成功的驱动力:改善实施研究工具,以获得更好的健康结果
Quinhas Fernandes1,2, Orvalho Augusto3,4, Kenneth Sherr3,5,6
1National Directorate of Public Health, Ministry of Health, Maputo, Mozambique. quinhasf@uw.edu.
实施研究是了解各国如何减少儿童死亡率的关键. 研究成功的策略可以帮助其他国家提高儿童存活率,特别是在资源较低的环境中.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 儿童生存率 儿童生存率
背景情况:
- 通过检查基于证据的干预措施的上下文影响,可以加强儿童生存计划.
- 从成功降低五岁以下儿童死亡率的"榜样"国家学习,为其他国家提供战略,特别是低收入和中等收入国家.
- 在评估死亡率和实施成功驱动因素的强有力的分析方法中存在差距.
研究的目的:
- 突出实施研究在理解成功的儿童生存策略中的作用.
- 确定可复制的经验教训,以改善儿童生存在不同的全球背景下.
- 强调实施科学在减少五岁以下儿童死亡率方面的重要性.
主要方法:
- 在一个可适应的评估框架内整合定性和定量研究方法.
- 利用实施科学工具来衡量人口健康结果.
- 通过混合方法研究确定实施障碍和促进者.
主要成果:
- 情境检查是加强儿童生存计划的一个有希望的策略.
- 实施科学提供了评估死亡率和干预成功驱动因素的方法.
- 基于证据的干预措施需要量身定制的方法来实现有效的大规模实施.
结论:
- 实施研究对于了解模范国家如何实现儿童生存率改善至关重要.
- 结合混合方法的可适应性评估框架可以解决实施科学中的知识差距.
- 识别和解决障碍和促进因素对于为具体背景政策提供信息以减少五岁以下儿童死亡率至关重要.
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