探索多种参与性工具的使用,让社区卫生工作者参与计划评估和实施:菲律宾的一个案例研究
Laura J Brubacher1, Lincoln L Lau1,2,3, Monica Bustos1
1School of Public Health Sciences, University of Waterloo, Ontario, Canada.
这项研究将参与性工具与菲律宾社区卫生工作者 (CHW) 进行了比较. 研究结果揭示了不同的工具如何产生各种数据,从而影响健康计划的设计和评估.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 社区参与 社区参与
背景情况:
- 参与性工具对于将前线实施者的见解纳入卫生计划至关重要.
- 了解工具应用的细微差别对于有效的卫生计划联合设计和评估至关重要.
研究的目的:
- 为了比较菲律宾社区卫生工作者 (CHW) 使用的三种参与工具.
- 分析过程,生成的数据,以及这些工具的便利性考虑.
- 为加强在卫生计划开发中纳入实施者视角提供见解.
主要方法:
- 菲律宾的一个比较案例研究涉及三个参与工具.
- 对CHW讨论的促进者笔记和音频录音进行主题分析.
- 探索生成的数据类型 (项目特定与结构因素) 和促进策略.
主要成果:
- 参与工具产生了不同类型的数据,从CHW角色到更广泛的医疗保健提供挑战.
- 一个逐步的方法和最初的配对讨论加强了CHW之间的深入分享.
- 有效的促进需要特定的主题和背景知识.
结论:
- 参与性工具可以有效地捕捉到卫生计划共同设计的各种实施者观点.
- 适应和熟练的促进是最大限度地发挥这些工具的实用性的关键.
- 该研究提供了通过社区参与改善卫生计划实施和评估的关键见解.
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