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在产科单位加强团队合作和尊重 (STAR):在南非开发卫生系统干预措施

Tanya Doherty^1,2,3, Ruwayda Petrus⁴, Sandra Land⁵

¹Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.

Global health action

|February 3, 2025

概括

由于系统性问题,南非产妇护理中的不尊重和虐待仍然存在. 加强团队合作和尊重 (STAR) 干预使用参与式学习来促进问责制并改善农村医院的尊重护理.

科学领域:

公共卫生公共卫生
卫生系统研究卫生系统研究
孕产妇健康孕产妇健康

背景情况:

南非产妇服务部门的不尊重和虐待是长期存在的问题,由社会政治因素和卫生系统压力加剧.
传统的质量提高策略,如教学教学,往往不能培养自我反思或可持续的学习文化.
嵌入到服务交付中的参与式学习提供了一种有希望的方法,以加强卫生系统的问责制和所有权.

研究的目的:

描述加强团队合作和尊重 (STAR) 干预措施的开发过程.
概述STAR干预的组成部分及其理论基础.
为改善低收入和中等收入环境中尊重产妇护理和团队合作提供框架.

主要方法:

STAR干预是通过一个代的过程开发的,涉及文献审查,形成性数据收集和利益相关者咨询.
干预策略由学习健康系统框架和参与式学习和行动理论提供信息.
STAR工具包包括培训冠军,组建STAR团队,进行学习课程,实施变革项目和提供指导.

主要成果:

STAR干预开发过程导致了一种全面的方法和工具包,用于改善产妇护理.
这项干预措施正在九个地区医院实施,这些医院位于KwaZulu-Natal的农村地区.
这项研究将提供证据,证明干预措施的有效性,以加强孕产妇单位的尊重护理和学习文化.

结论:

参与式学习过程对于开发有效的干预措施来解决医疗保健中的系统性问题至关重要.
在资源有限的环境中,STAR干预提供了一种结构化的方法,以促进团队合作,问责制和尊重护理.
需要进一步评估,以推进改善农村,低收入和中等收入环境中的产妇服务的证据基础.

关键词:

孕产妇护理服务提供医疗系统干预是对健康系统的干预.学习健康系统学习健康系统参与式学习和行动.尊重,关心和关心他们.团队合作团队合作.

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