使用基于证据的干预核心要素评估LLIN分配实施:在资源有限的环境中进行定性研究
Phyllis Dako-Gyeke1, Emmanuel Asampong2, Franklin N Glozah1
1Department of Social and Behavioural Sciences, School of Public Health, University of Ghana, Accra, Ghana.
BMC health services research
|July 9, 2024
概括
加纳的大规模长效杀虫剂网 (LLIN) 分发活动显示了实施的优势,但未能达到持续使用LLIN所需的行为变化. 未来的努力需要创新的教学和标准化的核心元素,以获得更好的疟疾预防结果.
科学领域:
- 实施科学 实施科学
- 公共卫生干预 公共卫生干预
- 控制疟疾 控制疟疾
背景情况:
- 加纳国家疟疾消除计划利用大规模的长效杀虫剂网 (LLIN) 分发活动.
- 实施科学原则指导社会背景的评估和利益相关者参与基于证据的干预.
- 本研究使用Galbraith的分类学在资源有限的环境中评估LLIN分布的核心元素.
研究的目的:
- 评估加纳大规模LLIN分发活动的核心要素 (实施,内容,教学).
- 在资源有限的环境中识别最佳实践和实施差距.
- 为未来的有效疟疾预防干预策略提供信息.
主要方法:
- 加纳东部和伏尔塔地区的6个地区参加了比赛.
- 与护理人员和家庭主管进行了14次焦点小组讨论 (FGD).
- 数据分析涉及到字面转录,使用NVivo的演/诱导编码以及主题改进.
主要成果:
- 实施的关键要素包括注册,分发,与传统当局的接触,以及社区卫生志愿者参与.
- 教学包括外展,插图,演示和多个沟通道.
- 内容侧重于疟疾预防和自我有效性,但在所需行为 (例如,滥用) 和对女性的关注方面发现了差距.
结论:
- 加纳的大规模LLIN活动包含了核心干预元素,但尚未完全实现持续使用所需的行为变化.
- 未来的运动应该采用创新的教学方法和社区层面的参与.
- 核心元素的标准化是必要的,以提高基于证据的健康干预措施的有效性.
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