马拉维Neno社区卫生工作者学习卓越计划的混合方法评估,马拉维Neno社区卫生工作者
Maartje Kletter1, Bronwyn Harris2, Emilia Connolly3
1The University of Manchester, Oxford Road, Manchester, M13 9PL, UK. maartje.kletter@manchester.ac.uk.
BMC health services research
|March 20, 2024
概括
从卓越中学习 (LfE) 计划对诺诺区的社区卫生工作者 (CHW) 是可行的,但没有显著提高动机或监督. 参与者对共同设计的干预措施表示欢迎,强调了它的潜力,尽管缺乏可衡量的影响.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 医疗卫生的人力资源
背景情况:
- 社区卫生工作者 (CHWs) 对获得医疗保健至关重要.
- 低CHW动机在许多项目中是一个持续的挑战.
- 需要新的干预措施来改善CHW的动机和工作环境.
研究的目的:
- 评估共同设计的卓越学习 (LfE) 计划对Neno区的CHW动机的可行性,产出和影响.
- 探索利益相关者和CHW与LfE干预的经验.
- 开发一个逻辑模型来理解LfE程序的结果.
主要方法:
- 融合混合方法评估,包括共同设计研讨会.
- 分析了555份提交的LfE表格,并对半结构面试进行了主题分析.
- 干预前后调查问卷,以评估CHW动机和感知监督的变化.
主要成果:
- 34.4%的CHW提交了LfE报告;采访显示了积极的接待和对表彰优秀工作的赞赏.
- 在CHW动机或干预后感知到的监督方面没有发现统计学上显著的差异.
- 开发了一个逻辑模型来说明LfE计划影响的潜在途径.
结论:
- 共同设计的LfE计划可在Neno区实施.
- 虽然受到欢迎,但LfE干预并没有在CHW动机或监督方面取得统计学上显著的改善.
- 开发的逻辑模型为未来的干预提供了一个框架,旨在提高卫生工作者的动力.
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