在扩大可能严重细菌感染指南的背景下,衡量实施结果:对测量和计划的影响
Timothy Abuya1, George Odwe1, Charity Ndwiga1
1Population Council, Nairobi, Kenya.
PloS one
|June 29, 2023
概括
在肯尼亚实施针对新生儿败血症的简化抗生素治疗方案.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 儿科 儿科 儿科
背景情况:
- 新生儿败血症需要在初级医疗保健 (PHC) 及时接受抗生素治疗.
- 建议在患病的幼儿 (SYI) 中对可能的严重细菌感染 (PSBI) 进行简化抗生素治疗方案.
- 有效的实施策略和结果测量对于PSBI指南至关重要.
研究的目的:
- 记录实用方法来设计,测量和报告实施策略和成果.
- 评估在肯尼亚的PHC环境中采用PSBI指南的可行性.
- 为有效实施PSBI指南提供经验教训.
主要方法:
- 纵向混合方法实施研究.
- 与利益相关者共同创建实施策略,使用形成性数据.
- 每季度对学习和反进行监测,跟踪实施结果.
- 服务级结果的终端数据收集.
主要成果:
- 描述实施策略和结果可以澄清流程和结果之间的路径.
- 在PHC实施PSBI是可行的,需要不断加强能力和优化资源利用.
- 持续的商品供应,设施社区联系和加强护理人员的准备,改善了服务采用和治疗完成.
结论:
- 精心设计和定义术语有助于解释实施结果.
- 使用实施结果的分类学结构测量,并证明因果关系.
- 简化SYI与PSBI的抗生素治疗方案在肯尼亚的PHC环境中是可行的.
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