如何优化埃塞俄比亚卫生推广工作者的时间使用和效率:一项定性研究
Kora Tushune Godana1, Yibeltal Kiflie Alemayehu1,2, Negalign Berhanu Bayou1
1Department of Health Policy and Management, Public Health Faculty, Jimma University, Jimma, Ethiopia.
埃塞俄比亚的健康扩展计划 (HEP) 工作人员由于非健康任务和低动力而面临效率低下. 解决这些问题需要提高问责制,激励和资源, 以加强初级医疗保健服务.
科学领域:
- 公共卫生
- 卫生系统研究
- 定性研究方法
背景情况:
- 埃塞俄比亚的健康扩展计划 (HEP) 旨在提供平等的初级医疗服务.
- 最近的报道强调了HEP员工使用时间的显著低效率,包括缺勤和非生产性活动.
研究的目的:
- 对影响埃塞俄比亚卫生扩展工作者的时间使用和效率的因素进行定性探索.
- 在健康扩展计划中确定影响HEW生产力的关键挑战.
主要方法:
- 在埃塞俄比亚农村卫生站进行了为期12个月的定性研究.
- 通过52次关键信息采访,31次深入采访和28次聚焦小组讨论收集的数据.
- 分析使用了ATLAS.ti软件来解释来自不同利益相关者的发现.
主要成果:
- 他们将大量时间用于非健康和非HEP相关的活动,包括社区保险,农业,教育和政治任务.
- 员工在工作场所的存在并不总是与生产力相关.
- 确定影响因素包括环境特征,社区参与,地方行政,人力资源管理,多部门合作和动机.
结论:
- 在HEW中,低效率是普遍存在的,并且与各种可修改的因素有关.
- 建议包括加强问责制,绩效管理,激励系统,运输,安全和劳动力规划.
- 能力建设对于提高HEW效率和提供初级医疗服务至关重要.
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