转变多方利益相关者参与以实现优化孕产妇,新生儿和儿童健康以及在埃塞俄比亚农村地区建立有弹性的社区卫生系统:一项定性研究
Akalewold T Gebremeskel1,2, Ogochukwu Udenigwe1, Josephine Etowa1,2
1School of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada.
埃塞俄比亚的多方参与
科学领域:
- 社区卫生系统
- 公共卫生政策
- 产妇,新生儿和儿童健康 (MNCH)
背景情况:
- 埃塞俄比亚的孕产妇和5岁以下儿童死亡率很高,
- 有限证据表明多利益相关者参与的联合生产如何增强MNCH和弹性卫生系统.
研究的目的:
- 检查埃塞俄比亚农村地区多方利益相关者参与的共同生产的障碍和促进因素,以改善MNCH结果和强大的社区卫生系统.
主要方法:
- 埃塞俄比亚西什瓦地区的定性案例研究.
- 来自与社区卫生工作者 (CHW) 的重点小组和关键信息人采访的数据.
- 根据世卫组织的构建模块和国家与社会的协同效应模型,审查政策文件和主题分析.
主要成果:
- 这些障碍包括缺乏一致性,分裂的参与,不足的协调平台和有限的能力.
- 促进者包括综合社区卫生系统和宏观和社区层面的承诺.
结论:
- 目前多方利益相关者参与不足和分散,无法优化MNCH的结果和卫生系统的弹性.
- 有意义的联合生产框架,共享权力和持续的参与策略至关重要.
- 需要积极的健康外交来维持和吸引参与者,以获得长期的积极健康成果.
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