现金或数字支付方式是否会影响社区卫生工作者的表现? - 一个关于乌干达西部一个偏远难民定居点的案例研究
Michael T Wagaba1, David Musoke2, Charles Opio3
1Department of Community Health and Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.
Global health action
|August 23, 2024
概括
难民定居点的社区卫生工作者 (CHW) 在现金支付方面表现更好,这是由于持续的交付. 数字支付导致了延迟和缺口,对CHW的业绩和动机产生了负面影响.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 关于数字支付与现金支付方式如何影响社区卫生工作者 (CHW) 在难民定居点等服务不足地区的表现的证据有限.
- 了解这些支付方式对于优化资源有限的环境中的医疗保健服务至关重要.
研究的目的:
- 为了比较社区卫生工作者 (CHWs) 通过现金和数字支付系统获得报酬时的表现.
- 评估不同支付方式对Kyaka II难民营CHW有效性的影响,乌干达.
主要方法:
- 进行了一项比较的横截面混合方法研究.
- 量化分析涉及247份来自现金和数字支付时期的CHW报告,使用Stata.
- 通过焦点小组讨论和与利益相关者的访谈收集了定性数据,并使用Atlas.ti.ti.进行了主题分析.
主要成果:
- 与数字支付相比,CHW在现金支付方面表现明显更好 (p < 0.001).
- 教育和二次就业等因素对现金支付期间的表现产生了积极的影响.
- 数字支付与男性,服务时间较长的医疗保健工作者和家庭拨款较大的家庭的业绩有负面关联.
结论:
- 现金支付是CHW的首选,并且由于较少的延误和缺陷而导致更好的业绩,与数字方法相比.
- 解决延迟和不完整的数字支付问题对于改善偏远地区的CHW动机和绩效至关重要.
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