"你是如何去除这个蜘蛛网的?" 在赞比亚实施助产服务框架:一个案例研究
Kirsty Hughes1, Bwalya Mabo2, Shree Mandke3
1Novametrics Ltd, Duffield, Derbyshire, UK.
概括
在赞比亚实施助产服务框架 (MSF) 在政策和卫生系统层面显示出积极的结果. 关键的成功因素包括政治意愿和利益相关者的参与,并为未来的劳动力强化举措提出建议.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 助产士教育 助产士教育
背景情况:
- 国际助产士联合会 (ICM) 制定了助产服务框架 (MSF) 作为一个基于证据的战略.
- 无国界医生旨在通过加强助产员工来改善性,生殖,孕产妇和新生儿健康.
- 更新的MSF在2020年至2023年期间在赞比亚实施.
研究的目的:
- 审查在赞比亚实施MSF的过程.
- 了解参与MSF实施的利益相关者的观点.
- 确定有助于MSF实施成功的因素.
主要方法:
- 采用了使用鉴赏性调查的定性方法.
- 与九个主要利益相关者进行了半结构化访谈.
- 对收集的数据进行了内容分析,以过程评估框架为指导.
主要成果:
- 马斯克的实施对赞比亚的政策和卫生系统产生了积极的影响.
- 成功的因素包括政治意愿,与国家计划的协调,利益相关者的参与和当地所有权.
- 需要改进的领域包括更广泛的利益相关者参与,更好的概念理解和更强大的数据系统.
结论:
- 未来的MSF实施和助产员工计划应纳入已识别的成功因素.
- 从一开始就有意的设计和整合这些因素对于最大化影响至关重要.
- 在赞比亚学到的教训为全球卫生计划提供了宝贵的见解.
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