通过加强公共部门在尼日利亚社会和行为变化规划方面的能力来改善健康结果:一项定性研究
Adetayo Adetunji1,2, Bright Addo3, Dele Abegunde4
1Population Council, Abuja, Nigeria adetunjidiran@gmail.com.
公共部门能力增强 (PSCS) 方法通过赋予个人和组织权力,有效地促进了孕产妇,新生儿,儿童健康和营养 (MNCH + N),计划生育 (FP) 和疟疾预防的卫生计划. 诸如资金和劳动力短缺等挑战需要有针对性的干预措施,以获得持续的影响.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 能力建设 能力建设
背景情况:
- 加强公共部门能力 (PSCS) 对于改善健康结果至关重要.
- 有效实施MNCH + N,FP和疟疾预防计划取决于强大的公共部门能力.
- 以前的方法可能没有完全解决医疗服务供应的系统性障碍.
研究的目的:
- 评估尼日利亚PSCS方法的成果.
- 评估PSCS对MNCH+N,FP和疟疾预防的贡献.
- 确定公共部门PSCS实施的挑战和促进者.
主要方法:
- 使用结果采集和关键信息人采访进行定性研究.
- 雇佣了最重要的变化 (MSC) 故事,以捕捉五年 (2017-2022) 的项目成果.
- 在尼日利亚五个州 (Sokoto,Kebbi,Nasarawa,Bauchi,Ebonyi) 开展,与45个公共部门利益相关者合作.
主要成果:
- PSCS赋予个人传播健康信息的权力,并增加了对服务的需求.
- 通过协调活动,培训级联和遵守指南,提高了组织能力.
- 在病房发展委员会中观察到系统层面的加强,尽管资金和劳动力限制等挑战仍然存在.
结论:
- 在MNCH+N,FP和疟疾预防计划中,PSCS方法有效地扩大了社会和行为改变 (SBC) 能力.
- 解决供给方面的挑战需要包容性招聘,宣传,政府所有权和改进的基础设施.
- 持续影响需要解决劳动力,资金,文化和可访问性障碍.
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