评估肯尼亚初级保健网络的影响,实施经验和政治经济:混合方法研究的协议
Beatrice Amboko1, Jacinta Nzinga2,3, Benjamin Tsofa2
1Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya. BAmboko@kemri-wellcome.org.
肯尼亚正在评估初级保健网络 (PCN) 对医疗保健服务的影响. 本研究使用混合方法来评估PCN实施,政治经济和低收入和中等收入国家背景下的性别影响.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 卫生政策研究 卫生政策研究
背景情况:
- 全球正在采用初级保健网络 (PCN),以加强初级保健 (PHC) 的提供.
- 肯尼亚正在实施PCN作为一个关键的卫生改革,在2020年试点之后,通过法律和全国推出PCN.
- 本研究报告详细介绍了肯尼亚PCN改革的评估.
研究的目的:
- 检查PCN对肯尼亚PHC服务交付准备能力的影响.
- 了解PCN改革的实施经验和政治经济学.
- 评估PCN实施对PHC的性别影响.
主要方法:
- 融合混合方法设计与并行定量和定性数据收集.
- 定量:使用设施和客户调查进行研究前后的控制 (n=228个设施,n=2560个客户).
- 定性:通过文档审查和80次深入访谈进行过程评估和政治经济分析.
主要成果:
- 该研究将提供基线数据 (2023年10月至12月) 和终点数据 (2024年10月至12月) 用于差异分析.
- 专题分析将用于定性数据,重点关注实施,背景和利益相关者互动.
- 将从供求方面对PHC的性别影响进行调查.
结论:
- 评估将产生PCN影响,实施,政治经济和性别在LMIC中的证据.
- 调查结果将为完善肯尼亚和其他LMICs的PCN实施提供信息.
- 这项研究旨在提高PCN改革的有效性,以改善PHC.
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