制度化创新:从试点到规模,共同包装口服补水盐和-在赞比亚的一项案例研究
Jane Berry1, Simon Berry1, Elizabeth Chizema2
1ColaLife, London, United Kingdom.
Global health, science and practice
|January 19, 2024
概括
在赞比亚成功扩大口服补水盐和 (ORSZ) 联合包装的规模,证明了针对儿童腹的可持续健康创新. 这种方法显著增加了国家ORSZ覆盖范围,可以在其他国家复制.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 实施科学 实施科学
背景情况:
- 在全球范围内,腹仍然是五岁以下儿童死亡的主要原因.
- 有效的治疗包括口服补水盐和 (ORSZ),但在许多低收入和中等收入国家,覆盖率仍然低于最佳水平.
- 扩大健康创新需要战略规划,利益相关方参与,并适应当地环境.
研究的目的:
- 为了记录在赞比亚开发和制度化一个独特的口服补水盐和 (ORSZ) 联合包装.
- 通过使用世界卫生组织/ExpandNet建议,分析这一健康创新的成功扩展情况.
- 确定有助于ORSZ共包扩大规模的可持续性的关键成功因素.
主要方法:
- 以世卫组织/ExpandNet的七项建议为指导,对赞比亚的ORSZ联合扩大规模的回顾性分析.
- 评估政策,机构和监管变化,以支持创新的采用.
- 评估国家覆盖率数据和捐助者资金后的长期可持续性.
主要成果:
- 在赞比亚,ORSZ联合包装的扩张证明是可持续的,当地的制造商在捐助者资金停止后继续供应.
- 国家ORSZ覆盖率从2012年的不到1%增加到2018年的34%.
- 关键的成功因素包括一个专门的指导小组,包容性的利益相关者参与,政府政策调整,以及全面的产品/价值链审查.
结论:
- 赞比亚的ORSZ共同包装扩大规模是可持续健康创新模式的典范.
- 这种以强有力的促进和政府采用为特征的方法,显著改善了儿童腹治疗覆盖率.
- 该战略提供了一个可复制的模型,用于在类似的环境中增加ORSZ和其他基本健康产品的覆盖范围.
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:14Scale-Up Processes
The scale-up of microbial fermentation processes is essential in industrial biotechnology, allowing the transition from laboratory-scale experiments to commercial-scale production while aiming to maintain product yield and quality. This process requires meticulous adjustment of equipment design, process parameters, and contamination control strategies to accommodate increasing culture volumes.At the laboratory scale, cultures are typically maintained in 1 to 10-liter glass or autoclavable...