马拉维现金转移计划的可持续性:非洲"零放弃"试点
Harriet Khofi1,2, Beatrice Chikaphonya2, Asya Agulnik3
1CANCaRe Africa, The Collaborative African Network for Childhood Cancer Care and Research, Blantyre, Malawi.
Pediatric blood & cancer
|August 29, 2025
概括
马拉维的一项现金转账计划成功减少了儿童放弃癌症治疗的情况. 在最初的资助四年后,该计划继续产生持续影响,证明了在资源较少的环境中提供资金支持的潜力.
科学领域:
- 全球健康
- 健康经济学
- 儿童瘤学
背景情况:
- 可持续性对于健康干预的长期影响至关重要.
- 2019年马拉维的一项现金转账计划显著减少了儿童的癌症治疗放弃率.
- 这项计划为护理人员提供交通补偿,咨询和患者追踪服务.
研究的目的:
- 评估马拉维儿童癌症患者的现金转移计划在四年内的可持续性.
- 评估干预的延续及其对外部资助后治疗放弃率的影响.
- 确定该计划长期可持续性的促进者和障碍.
主要方法:
- 混合方法研究评估2022-2024年间的干预持续性和可持续性.
- 在患有癌症的儿童 (< 16 岁) 中评估现金转移延续率和治疗中止率.
- 探索性利益相关者采访,以确定可持续性的促进者和障碍.
主要成果:
- 该计划继续进行修改 (例如,有限的运输补偿),并获得了新的捐助者资金.
- 治疗中断率持续下降:9% (2022年),10% (2023年) 和3% (2024年).
- 促进者包括高可接受性,当地所有权,证明有效性和替代捐助者支持; 障碍包括资源限制和竞争的健康优先事项.
结论:
- 现金转移干预在最初资助后的四年内保持活跃,并保持了治疗放弃率的减少.
- 财政支持计划可以在资源较少的环境中产生持续影响.
- 需要进一步的研究来确定未来扩大规模的关键可持续性决定因素.
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