迷失在翻译中:在赞比亚开展传播和实施科学的关键经验教训
Patricia Maritim1,2, Margarate Nzala Munakampe3,4, Mweete Nglazi3
1Implementation Science Centre for Advancing Practice and Training (IMPACT), University of Zambia, Lusaka, Zambia. triciamarie20@gmail.com.
Implementation science communications
|October 30, 2024
概括
实施科学可以改善赞比亚的健康状况,但在低收入和中等收入国家 (LMICs) 存在挑战. 解决诸如认识不公正和上下文复杂性等问题是有效解决健康问题的关键.
科学领域:
- 实施科学 实施科学
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
背景情况:
- 实施科学概念在全球范围内扩展到低收入和中等收入国家 (LMICs).
- 现有的理论和方法框架可能与LMIC环境相冲突.
- 这篇评论提供了来自赞比亚的实施科学家的自我反思.
研究的目的:
- 批判性地反思在赞比亚实施科学的应用.
- 确定利用实施科学解决健康问题的成功和局限性.
- 在LMIC环境中探索上下文理解.
主要方法:
- 一个"死前"的方法被用于反思.
- 展望地想象的后视被用来分析过去,现在和未来的赞比亚的实施科学.
- 确定了六个关键挑战.
主要成果:
- 确定的挑战包括认识系统的不公正,简化干预概念,以及低资源环境的理论化.
- 其他挑战包括研究到实践的滞后,传播有限,以及对不同参与者的培训不足.
- 这些因素影响了赞比亚有效实施基于证据的干预措施.
结论:
- 实施科学对解决赞比亚的健康问题具有重大前景.
- 需要进一步讨论如何将实施科学适应LMIC环境.
- 重新想象该领域的未来需要从不同环境中的经验中学习.
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