保持基于证据的干预措施的交付,以减少卢旺达COVID-19期间的5岁以下死亡率:通过实施研究学习的教训
Alemayehu Amberbir1, Felix Sayinzoga2, Kedest Mathewos1
1University of Global Health Equity, Kigali, Rwanda.
Annals of global health
|July 29, 2024
概括
卢旺达卢旺达卢旺达卢旺达卢旺达卢旺达卢旺达卢旺达
科学领域:
- 实施科学 实施科学
- 全球健康 全球健康
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19大流行,人们无法获得减少5岁以下死亡率 (U5M) 的必要干预措施.
- 卢旺达在维持这些关键服务的医疗保健服务方面遇到了挑战.
- 探索了先前U5M减少努力在系统弹性中的作用.
研究的目的:
- 确定在卢旺达COVID-19大流行期间缓解基于证据的干预措施 (EBI) 减少的策略和因素.
- 评估以前的U5M减少举措对医疗保健提供弹性的影响.
- 了解国家和地方的应对措施,以保持EBI访问.
主要方法:
- 融合混合方法方法方法整合实施科学和弹性框架.
- 来自文档审查,健康管理信息系统和关键信息人采访的数据的三角化.
- 使用中断时间序列和波桑回归的定量分析;使用主题分析的定性分析.
主要成果:
- 观察到中度下降:4%的五价疫苗,5%的轮状病毒疫苗和5%的设施为基础的分娩.
- 障碍包括封锁,运动限制以及社区和卫生工作者对COVID-19的恐惧.
- 有效的策略包括基于社区的交付,数据利用,指导,监督和数字平台.
结论:
- 卢旺达的卫生系统通过在疫情期间快速识别和应对EBI下降来表现出弹性.
- 根据数据和社区参与,适应能力和灵活的反应是缓解服务中断的关键.
- 学习和适应的能力促进了有弹性的医疗保健系统.
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