结束马拉维可预防的孕产妇死亡:利益相关方的共识方法来确定孕产妇健康需求优先级
Mtisunge Joshua Gondwe1, Leonard Mndala2,3, Chifundo Kondoni2
1Maternal and Fetal Group, Malawi Liverpool Wellcome Programme, Blantyre, Malawi. mtisungejoshua@outlook.com.
BMC health services research
|March 10, 2025
概括
马拉维 马拉维 马拉维 马拉维
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 孕产妇健康 孕产妇健康
背景情况:
- 马拉维在孕产妇医疗保健方面面临重大挑战,导致高发病率和死亡率.
- 有效的优先设定对于优化产妇保健资源配置至关重要.
- 与利益相关者一起进行了一项全国性演习,以确定改善马拉维孕产妇护理的重点优先事项.
研究的目的:
- 确定和优先考虑改善马拉维孕产妇医疗保健服务的关键领域.
- 让利益相关者参与建立对孕产妇健康优先事项共识的过程.
- 为马拉维未来对孕产妇健康的干预和投资提供指导.
主要方法:
- 名义组技术被调整为国家母体健康优先考虑的实践.
- 利益相关者通过一个多阶段的过程生成,整合,澄清和排列优先事项.
- 数据和现实生活经验被介绍,以告知产妇健康服务的优先级.
主要成果:
- 74个利益相关者确定了233个初始优先级,通过讨论和优先级矩阵将其减少到40个.
- 确定的前三项优先事项是尊重产妇护理,信息和数据管理,以及加强分娩助理的技能.
- 在小组选择后,有12个优先事项被排名,在最后阶段有57个利益相关者投票.
结论:
- 优先考虑尊重产妇护理,信息/数据管理和熟练的助产员对于实现国家母亲健康目标至关重要.
- 这些优先事项赋予医疗保健工作人员和客户权力,推动孕产妇医疗保健的积极变化.
- 让国家利益相关者参与是利用这些优先事项实现计划实施,研究和政策调整的关键.
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