从仓库到病房:将实施研究方法应用于新生儿基本解决方案和技术 (NEST360) 联盟中的设备识别,合格,分销和管理流程
Kylie Dougherty1, Rebecca P Kirby2, Katerina Claud3
1Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 Michigan Ave., Chicago, IL, 60611, USA. kylie.dougherty@northwestern.edu.
BMC global and public health
|August 1, 2025
概括
新生儿基本解决方案和技术 (NEST360) 联盟成功改善了在四个非洲国家获得功能性小型和生病新生儿护理 (SSNC) 设备的机会. 实施研究证实了他们的战略有效地解决了障碍,确保了设备的可用性和功能.
科学领域:
- 全球健康 全球健康
- 医疗设备工程 医疗设备工程
- 实施科学 实施科学
背景情况:
- 基本医疗器械对于预防新生儿死亡至关重要,但在资源较少的环境中,它们往往无法使用或不起作用.
- 新生儿基本解决方案和技术 (NEST360) 联盟致力于确保肯尼亚,马拉维,尼日利亚和坦桑尼亚的适当和功能性的小型和生病新生儿护理 (SSNC) 设备.
- NEST360采用全面的方法,包括技术资格,供应链管理和生物医学技术人员培训,以保持设备的功能.
研究的目的:
- 应用实施研究 (IR) 来了解确保功能SSNC设备的一致可用性的上下文,策略和结果.
- 识别SSNC设备程序成功实施的障碍和促进因素.
- 评估NEST360在改善设备可用性和功能方面的策略的有效性.
主要方法:
- 与NEST360团队成员进行了12次深入采访,并审查了定量程序数据,包括设备功能报告.
- 应用了定性数据的演性内容分析和定量数据的描述性统计.
- 开发了一个实施研究逻辑模型 (IRLM),使用NEST360和联合国儿童基金会SSNC实施工具包以及RE-AIM框架来实现结果.
主要成果:
- 确定了40个上下文因素,其中78%是设备实施的障碍.
- 实施了21个战略,包括利益相关者参与和持续培训,以克服已识别的障碍.
- 实现了显著的实施成果:29个设备在12个类别中合格,66个设施获得了NEST合格的设备,2024年平均设备功能87%,到2023年安装的设备超过2476,技术人员报告的接受度很高.
结论:
- NEST360方法有效地解决了多层次的障碍,以确保适当和正常运行的SSNC设备.
- 实施研究为战略有效性和需要改进的领域提供了宝贵的见解.
- 结果将为未来的扩大规模和传播努力提供信息,以改善新生儿护理技术的获取.
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