未结合基金的利用情况和影响农村奥迪沙州子中心利用情况的因素:混合方法研究
Annu Antony1, Arvind K Singh1, Dinesh P Sahu2
1Department of Community Medicine and Family Medicine, All India Institute of Medical Science (AIIMS), Bhubaneswar, Odisha, India.
概括
副中心的未绑定资金显示由于卫生工作者知识不足和沟通差距不足而未得到充分利用. 解决这些障碍对于在地方一级有效加强医疗保健至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 医疗保健管理的管理
背景情况:
- 分中心的无关基金为加强医疗保健提供了当地灵活性.
- 有效利用这些资金对于改善基层医疗保健服务至关重要.
研究的目的:
- 评估卫生工作者对未绑定资金的知识.
- 在分中心层面评估未结合基金利用的有效性.
主要方法:
- 一个混合方法的研究结合了横截面和定性方法在吉区,奥迪沙州进行.
- 数据收集包括采访卫生工作者 (男性/女性) 和当地利益相关者,使用结构化日程表,财务记录,问卷和深入采访指南.
- 采用了普遍抽样,采访了24名卫生工作者和所有当地利益相关者进行定性组件.
主要成果:
- 观察到大量未充分利用未绑定资金,24个分中心中有7个没有花钱.
- 平均未花费金额为4260印度卢比,而36.8%的分中心在收款方面出现了长达9个月的延迟.
- 37%的卫生工作者使用不恰当的资金,缺乏关于资金使用的完整知识被确定为关键障碍,沟通缺口和延迟是关键障碍.
结论:
- 没有充分利用未绑定资金是分中心层面的一个重要问题.
- 障碍包括沟通缺口,领导人不合作,卫生工作者知识不足,负担过重,报告不当以及缺乏感知需求.
- 解决这些多方面的障碍对于提高有效利用未绑定资金来加强当地医疗保健系统至关重要.
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