使用Wash'Em为津巴布韦受危机影响的人口设计洗手计划:一个过程评估
Astrid Hasund Thorseth1, Jennifer Lamb1, Constancia Vimbayi Mavodza2
1London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
概括
洗 洗 洗 洗 洗 洗
科学领域:
- 公共卫生 公共卫生
- 水,环境卫生和卫生 (WASH)
- 人道主义援助 人道主义援助
背景情况:
- 人道主义卫生计划需要快速,特定于环境的设计.
- Wash'Em流程是为了帮助人道主义工作者完成这项任务而开发的.
- 过程评估对于理解项目实施挑战至关重要.
研究的目的:
- 评估Wash'Em在危机环境中的实施过程.
- 评估Wash'Em方法的可行性和有效性.
- 在 Wash'Em 计划设计和交付过程中识别挑战和适应.
主要方法:
- 在津巴布韦受干旱影响的地区进行了过程评估.
- 在计划设计和实施期间收集了定性数据.
- 研究结果与预期的wash'em阶段和UKRI医学研究委员会评估领域进行了分析.
主要成果:
- 由于各种挑战 (例如,简短的培训,遗漏的工具,预算限制),Wash'Em过程并没有完全按照设计实施.
- 尽管有调整,但实施者发现Wash'Em是可行的,并且不如其他方法那么自上而下.
- 干预接收者发现活动具有吸引力,理解内容,并改善了洗手行为.
结论:
- Wash'Em是一个可行的过程,用于在人道主义危机中设计特定环境的卫生计划.
- 社区参与和基于证据的设计有助于取得积极的结果,即使实施不完美.
- 像Wash'Em这样的适应性强,以社区为中心的项目可以在具有挑战性的环境中产生显著的公共卫生效益.
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