埃塞俄比亚基于社区的健康推广计划的多维性绩效推动因素:范围审查
Kora Tushune Godana1, Zewdie Birhanu2, Gugsa Nemera3
1Department of Health Policy and Management, Public Health Faculty, Jimma University Jimma, Jimma, Ethiopia.
PloS one
|June 5, 2025
概括
优化埃塞俄比亚的健康扩展计划 (HEP) 需要解决健康扩展工作者 (HEW) 的关键激励因素. 内在/外在的动机,社区参与和资源的可用性对于提高表现和健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 提供初级医疗保健服务
背景情况:
- 埃塞俄比亚的健康扩展计划 (HEP) 旨在改善获得初级保健的机会.
- 持续存在低于最佳的健康结果,需要优化HEP实施.
- 关于影响HEP和健康扩展工作者 (HEWs) 绩效的启用因素的证据需要综合.
研究的目的:
- 识别和综合影响埃塞俄比亚HEP的促成因素的证据.
- 了解影响卫生扩展工作者 (HEWs) 在HEP中的表现的因素.
主要方法:
- 在多个数据库 (PubMed,EMBASE,Web of Science) 和机构网站上进行全面的文献搜索.
- 包括自2003年1月以来发表的使用定量,定性和混合方法研究的研究.
- 遵守PRISMA和JBI指导方针,用于使用Atlas.ti进行审查报告和数据提取,并进行主题编码.
主要成果:
- 确定了多维的推动因素,包括内在/外在的动机,职业发展,以及对HEWs的公平补偿.
- 能力建设,多元化服务 (环境定制,男性HEW整合) 和社区参与至关重要.
- 资源的可用性,利益相关者协调和利用当地结构显著提高了HEP的绩效.
结论:
- 内在和外在的动机,社区参与和临床护士的参与提高了HEW的有效性.
- 男性HEW的参与,指导和改善生活条件是提高HEW表现的关键.
- 这些促成因素共同创造了一个有利的环境,对提高HEP绩效和成果至关重要.
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