国家卫生政策和预测其在尼泊尔当地实施的因素:一项探索性横截面研究
Dipendra Khadka1,2,3, Zhang Xinyi1,2, Zhang Mengjie1,2
1School of Health Management, Southern Medical University, Guangzhou, China.
Frontiers in public health
|July 21, 2025
概括
尼泊尔 尼泊尔 尼泊尔 尼泊尔 尼泊尔
科学领域:
- 公共卫生 公共卫生
- 卫生政策实施 卫生政策实施
- 医疗保健管理的管理
背景情况:
- 自1991年以来,尼泊尔的国家卫生政策 (NHP) 经过修订,以改善联邦民主结构中的公民健康.
- 尼泊尔2015年宪法指导了当地卫生政策实施的框架.
研究的目的:
- 评估尼泊尔国家卫生政策 (NHP) 在地方层面的实施情况.
- 识别NHP实施中的挑战和机遇.
- 评估卫生工作者的意识和影响NHP执行的因素.
主要方法:
- 在尼泊尔的Lumbini省进行了一项描述性的横截面研究.
- 166名卫生工作者通过简单的随机抽样进行了选择.
- 数据采集使用结构化尼泊尔问卷,并使用描述性和二进制物流回归统计数据进行分析.
主要成果:
- 在卫生工作者中发现了对NHP的适度认识 (60.2%有点熟悉).
- 主要挑战包括基础设施不足 (62.0%),技能有限的专业人员 (56.0%) 和资金不足 (54.2%).
- 技术使用 (OR:5.448) 显著改善了NHP实施结果;年龄较小和经验较少与更积极的态度相关.
结论:
- 国家健康计划的实施面临着与基础设施,人员和财务相关的重大挑战.
- 技术整合和有针对性的培训对于提高NHP执行至关重要.
- 解决这些障碍对于改善尼泊尔的健康状况至关重要.
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