在注射器服务计划中监测和评估的促进者和障碍
Elise Healy1, Arianna Rubin Means2, Kelly Knudtson1
1Division of Allergy and Infectious Disease, School of Medicine, University of Washington, 325 9th Ave, Box 359777, Seattle, WA, 98195, USA.
Harm reduction journal
|August 27, 2024
概括
注射器服务计划 (SSP) 面临着数据收集和监测和评估 (M&E) 的重大障碍,包括资金短缺和报告不一致. 简化数据需求和增加M&E资金对于有效的项目交付至关重要.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 减少伤害 减少伤害
背景情况:
- 注射器服务计划 (SSP) 对于减少危害至关重要,为吸毒者提供物资和服务.
- SSP通常由资助者授权收集参与者数据用于监测和评估 (M&E).
- 对于SSP内数据收集和利用的促进者和障碍,人们的理解有限.
研究的目的:
- 探索SSP内部数据系统的格局.
- 确定影响SSP数据收集和使用的促进者和障碍.
- 为优化SSP中的数据实践提出建议.
主要方法:
- 在研究设计中使用了实施研究综合框架 (CFIR).
- 与SSP工作人员进行了12次关键告密者采访.
- 雇佣了30个CFIR构造来指导面试开发,数据分析和解释.
主要成果:
- SSP监测和评估 (M&E) 系统主要是以客户需求为导向的.
- 员工能力对M&E系统的适应性产生重大影响.
- 外部资金需求往往决定了M&E系统的变化,而强大的M&E通常是获得资金的先决条件.
结论:
- SSP并不是本质上对数据收集具有抵抗力,但遇到实质性的实施障碍,特别是资金限制和分散的报告要求.
- 显然需要增加SSP的M&E特定融资机会.
- 为改善SSP数据实践,建议在各资助方之间协调定量指标,并将数据收集最小化到基本点.
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