基于移动货币的有条件现金转移干预对马达加斯加南部医疗保健利用的影响:混合方法研究
Mara Anna Franke1, Anne Neumann1, Kim Nordmann2
1Charité Center for Global Health, Charité - Universitätsmedizin Berlin, Charitéplatz1, Berlin, 10117, Germany, 49 15754821334.
JMIR mHealth and uHealth
|March 3, 2025
概括
马达加斯加的移动现金转账在人道主义危机期间改善了医疗保健的获取. 成功取决于社区外展,积极的员工和高效的非政府组织流程,突出未来干预的关键因素.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 人道主义援助 人道主义援助
背景情况:
- 马达加斯加南部在2021-2022年因COVID-19和饥荒而经历了人道主义紧急情况.
- 基于移动货币的现金转账干预越来越多地用于人道主义环境.
研究的目的:
- 分析基于移动货币的有条件现金转移对医疗保健利用的影响.
- 确定影响马达加斯加干预成功的因素.
主要方法:
- 混合方法研究使用来自设施登记册的定量数据和来自64次深入访谈的定性数据.
- 对定量数据进行中断时间序列分析,对定性数据进行反射主题分析.
主要成果:
- 该干预措施对干预后的医疗保健利用产生了显著的负面影响,特别是在手术和儿科护理方面.
- 关键的成功因素包括社区外展,具有数字素养的有动机的设施人员,以及高效的非政府组织管理.
- 障碍包括先前非政府组织活动的混乱和被认为不公平的奖金支付.
结论:
- 有条件的现金转移干预在很大程度上成功地增加了人道主义环境中的医疗保健利用率.
- 成功取决于社区,设施和非政府组织层面的实施因素.
- 未来的干预应考虑这些已识别的因素,以优化影响.
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