低收入和中等收入国家的孕产妇有条件现金计划的设计,覆盖和利用:一个范围审查
Sanghita Bhattacharyya1, Chetana Chaudhuri1, Sruti Mohanty2
1Public Health Foundation of India, New Delhi, India.
BMJ global health
|May 15, 2025
概括
有条件的现金转移 (CCT) 可以改善母亲的医疗保健,但需要有效的计划设计和监测. 解决需求和供应方面的挑战对于在低收入和中等收入国家成功实施至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
背景情况:
- 条件现金转移 (CCT) 越来越多地用于改善医疗保健的获取和结果.
- 这些计划旨在提高对基本卫生服务的需求和使用率,特别是产妇护理.
研究的目的:
- 检查在低收入和中等收入国家使用CCT的产妇福利计划的演变,优势和挑战.
- 了解产妇健康的CCT的设计和运营.
主要方法:
- 电子数据库 (PubMed,CINAHL,Cochrane) 和灰色文献的综合范围审查.
- 应用了包含标准和协议,由两名审查员进行独立选,第三名审查员进行决议.
- 公共卫生组织网站的雪球搜索也被使用.
主要成果:
- 在235篇确定的文章中,65篇符合纳入标准,详细介绍了各种CCT设计 (福利水平,监测,转移时间表,资格).
- 关键发现包括强制性的健康寻求行为 (产前/产后护理,机构分娩,免疫接种) 和确定的挑战.
- 需要方面的限制 (意识低,社区参与,妇女机构) 和供应方面的问题 (提供者角色明确性,资金流动,基础设施) 被强调.
结论:
- 综合产业技术显示出改善母亲和儿童健康服务获取的潜力.
- 有效的计划设计,密切监测和解决不平等问题对于CCT的成功至关重要.
- 包容弱势群体和较低的社会经济群体可以增强计划的影响.
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