扩大社区卫生工作者决策空间:从南非农村地区的参与行动研究培训干预中吸取教训
Lucia D'Ambruoso1,2,3,4,5, Nana Akua Abruquah6, Denny Mabetha7,8,9
1Aberdeen Centre for Health Data Science, School of Medicine, Medical Sciences and Nutrition, and Centre for Global Development, School of Education, University of Aberdeen, Aberdeen, Scotland, UK. lucia.dambruoso@abdn.ac.uk.
南非社区卫生工作者 (CHW) 面临着挑战,但培训提高了他们的决策能力和信心. 这种干预赋予了医疗保健工作者权力,加强了他们在初级医疗保健和社区参与中的角色.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 社区健康 社区健康
背景情况:
- 社区卫生工作者 (CHW) 对南非的分散卫生改革至关重要.
- 医疗保健医院面临重大挑战,包括COVID-19期间的角色变化和从社区转移到诊所设置.
- 重新设计的初级医疗保健 (PHC) 需要支持CHW的决策能力.
研究的目的:
- 为医疗保健工作者实施培训干预,以加强当地决策.
- 从CHW的角度评估这次培训的学习和影响.
主要方法:
- 参与行动研究 (PAR) 培训与9个CHW和33个社区利益相关者进行.
- 培训重点是为医疗保健工作者提供社区参与,解决问题和促进行动的技能.
- 通过干预前后的半结构面试收集CHW的观点,并使用决策空间框架进行分析.
主要成果:
- 医疗保健工作者尽管面临有限的支持,角色模糊和低薪等挑战,但表现出了性.
- 该培训赋予了CHW权力,提高了他们的管理能力,对话技能和社区动员能力.
- 医疗保健机构报告的好处包括社区接受度增加,同行支持和系统认可.
结论:
- 培训增强了CHW自我主张的能力,并提高了他们的决策权.
- 干预促进了更好的沟通,建立信任,并在战略伙伴关系中放大了CHW的声音.
- 建议将培训计划扩展为PHC实施支持策略.
更多相关视频
08:10Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
Published on: February 2, 2018
05:35Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
Published on: January 19, 2024
相关概念视频
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
