非洲基于社区的健康信息系统:对数据生成,利用和社区赋权的全面审查
Beatrice Kuvuna1, Moriasi Nyanchoka1, Fatuma Guleid1
1Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
在非洲,基于社区的健康信息系统 (CBHIS) 主要使用纸质数据收集. 虽然投资集中在数字化上,但加强社区数据利用和赋权对于有效的卫生计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 卫生系统研究 卫生系统研究
背景情况:
- 基于社区的健康信息系统 (CBHIS) 对于社区的医疗保健服务提供评估和计划规划至关重要.
- 基于数据的决策,资源分配和基于证据的政策制定.
研究的目的:
- 在非洲国家对CBHIS的利用进行范围审查.
- 检查CBHIS数据生成,途径,可访问性及其在社区赋权方面的作用.
主要方法:
- 利用了阿克西和奥马利的范围审查方法.
- 搜索了八个数据库和灰色文献,按主题综合发现.
- 包括来自27个非洲国家的55篇文章,分析定量和定性数据.
主要成果:
- 大多数非洲国家依赖纸质CBHIS,有些国家采用电子/移动系统.
- 根据CBHIS的数据,政策,资源分配和计划规划得到了信息.
- 社区对话是数据共享和赋权的主要方法,通常侧重于促进健康.
结论:
- 尽管对数字化进行了投资,但非洲大多数CBHIS仍以纸质为基础.
- 迫切需要将重点转向加强社区层面的数据利用和赋权.
- 加强社区对CBHIS数据的参与对于改善健康结果至关重要.
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