菲律宾东维萨亚斯地区针对家庭计划的定时和有针对性的护理计划的评估计划
Yunhee Kang1,2, Sherlyn Mae Provido3, Heunghee Kim3
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
这项研究评估了菲律宾的定时和有针对性的家庭护理 (ttCF) 计划,旨在改善母亲和儿童的健康. 结果将指导社区卫生系统的加强,以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 社区卫生干预措施 社区卫生干预
- 孕产妇和儿童的健康
背景情况:
- 家庭定时和有针对性的护理 (ttCF) 是菲律宾东部维萨亚斯的母亲,新生儿和儿童健康 (MNCH) 项目 (2021-2025) 的社区干预计划.
- 该计划的重点是改善母亲和儿童健康在生命的关键的前1000天.
研究的目的:
- 介绍ttCF计划的影响和实施过程评估的设计.
- 评估ttCF在改善母婴健康结果和服务利用方面的有效性.
主要方法:
- 一个全面的评估框架,包括一个准实验性研究 (6项干预与6个比较市) 和16个干预市的多个横截面调查.
- 以RE-AIM框架为指导的过程评估 (覆盖范围,影响/结果,采用,实施,维护).
- 通过家庭调查,监测记录,焦点小组讨论和与母亲,家庭成员和巴拉加尼卫生工作者 (BHW) 进行深入采访来收集数据.
主要成果:
- 准实验性研究招募了1518名怀孕妇女/有2岁以下儿童的母亲,其中1313名在一年后进行了随访.
- 横截面调查评估了720名女性在基线和896名女性在中线.
- 截至2024年12月,超过6280名妇女被注册,61名参与者接受了采访.
结论:
- 综合评估将阐明TTCF影响途径,战略监测和实施质量.
- 生成的证据将通过促进BHW参与来告知社区卫生系统的加强.
- 结果将指导干预措施,以改善菲律宾的母亲和儿童健康结果.
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