利益相关者对布基纳法索实施免费使用费政策的看法和经验:定性研究
Aduragbemi Banke-Thomas1,2,3, Marie-Jeanne Offosse4, Pierre Yameogo5
1ThinkWell Institute, 11 B.P. 1255 CMS 11 Ouagadougou, Quartier Ouaga 2000, près de la fondation Kimi, à 500 du boulevard Muammar Kadaffi, Ouagadougou, Burkina Faso. abankethomas@Thinkwell.global.
Health research policy and systems
|June 6, 2023
概括
布基纳法索的免费政策改善了对母亲,新生儿和儿童健康服务的获取. 尽管有积极的看法和利用率增加,但资源短缺和实施效率低下阻碍了全民健康覆盖的目标.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生系统研究 卫生系统研究
背景情况:
- 布基纳法索于2016年推出的"免费政策"旨在取消对母亲,新生儿和儿童健康 (MNCH) 服务的用户费用.
- 与政策实施有关的利益相关者的经验没有被系统地记录下来.
- 这项研究旨在了解利益相关者对免费政策实施的看法和经验.
研究的目的:
- 评估利益相关者对布基纳法索的免费政策的看法.
- 记录实施免费 MNCH 服务的经验.
- 确定影响政策成功实现全民健康覆盖的因素.
主要方法:
- 与国家和次国家利益相关者进行了关键信息人采访 (KIIs) 和焦点小组讨论 (FGDs).
- 参与者包括政策制定者,卫生工作者,非政府组织和中心和高盆地地区的服务用户.
- 采用主题分析来合成来自录音和转录的会议的数据.
主要成果:
- 利益相关者普遍对免费政策持积极看法,并指出政府领导和多方利益相关者参与的优势.
- 担忧包括资源短缺 (金融,人力),服务滥用,报销延迟,以及影响全民健康覆盖 (UHC) 目标的政治不稳定.
- 虽然受益者表示满意,但该政策并不总是确保服务是完全免费的;利用率的增加对寻求健康的行为产生了积极的影响,但压迫了卫生工作者.
结论:
- 人们认为,免费政策是通过消除财政障碍来增加获得护理的机会,与其目标保持一致.
- 尽管有公认的价值和受益人满意度,但实施效率低下阻碍了实现UHC的进展.
- 对布基纳法索来说,对免费政策的持续投资至关重要,以实现其普遍医疗覆盖目标.
相关概念视频
Drug Control Governance: Regulatory Bodies and Their Impact
196
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
196
Compensation Mechanisms
438
The human body employs intricate mechanisms to counteract changes in blood pH, preventing conditions like acidosis (pH < 7.35) and alkalosis (pH > 7.45). These compensatory responses aim to restore normal arterial blood pH by engaging respiratory or renal systems, depending on the source of the imbalance.
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
438
Buffer Effectiveness
49.2K
Buffer solutions do not have an unlimited capacity to keep the pH relatively constant . Instead, the ability of a buffer solution to resist changes in pH relies on the presence of appreciable amounts of its conjugate weak acid-base pair. When enough strong acid or base is added to substantially lower the concentration of either member of the buffer pair, the buffering action within the solution is compromised.
The buffer capacity is the amount of acid or base that can be added to a given volume...
The buffer capacity is the amount of acid or base that can be added to a given volume...
49.2K
Facilitated Transport
12.5K
The chemical and physical properties of plasma membranes cause them to be selectively permeable. Since plasma membranes have both hydrophobic and hydrophilic regions, substances need to be able to transverse both regions. The hydrophobic area of membranes repels substances such as charged ions. Therefore, such substances need special membrane proteins to cross a membrane successfully. In facilitated transport, also known as facilitated diffusion, molecules and ions travel across a...
12.5K
Formal Charges
32.8K
In some cases, there are seemingly more than one valid Lewis structures for molecules and polyatomic ions. The concept of formal charges can be used to help predict the most appropriate Lewis structure when more than one reasonable structure exists.
32.8K
Free Energy
48.3K
Free energy—abbreviated as G for the scientist Gibbs who discovered it—is a measurement of useful energy that can be extracted from a reaction to do work. It is the energy in a chemical reaction that is available after entropy is accounted for. Reactions that take in energy are considered endergonic and reactions that release energy are exergonic. Plants carry out endergonic reactions by taking in sunlight and carbon dioxide to produce glucose and oxygen. Animals, in turn, break...
48.3K


