印度阿萨姆邦选定的地区社区健康行动的现状:量化研究
Tapashi Adhikary1, Anusha Purushotham2, V Kirthana3
1Research Associate, Piramal Swasthya Management and Research Institute, Assam, India.
Indian journal of public health
|October 4, 2025
概括
社区卫生行动 (CAH) 的实施显示出志向区 (AD) 的差异. 村卫生卫生和营养委员会 (VHSNCs) 需要更多的支持在ADs,许多社区成员不知道CAH.
科学领域:
- 公共卫生 公共卫生
- 社区健康 社区健康
- 卫生系统研究 卫生系统研究
背景情况:
- 社区健康行动 (CAH) 是国家卫生使命的核心战略.
- 在医疗保健方面,CAH优先考虑社区的需求和权利.
- 在印度多个州,CAH的实施始于2007年.
研究的目的:
- 分析Jan Arogya Samitis (JAS) 和村卫生卫生和营养委员会 (VHSNCs) 在CAH实施中的组成和功能.
- 评估社区参与CAH相关活动的情况.
- 为了比较CAH在志向区 (ADs) 和非ADs中的实施情况.
主要方法:
- 在阿萨姆州的戈尔帕拉 (AD) 和纳贡 (非AD) 地区进行了一项定量比较横截面研究.
- 全面采样包括戈尔帕拉的17个设施和纳贡的56个设施,共219名受访者.
- 描述性统计和千平方测试用于数据分析.
主要成果:
- 在AD和非AD之间对JAS功能的认识没有显著差异.
- 在区类型之间,对VHSNC成员的培训支持需求 (P=0.010) 和为VHSNC提供资金 (P=0.010) 中观察到显著的差异.
- 在AD (94.1%) 和非AD (53.6%) 的高比例的受访者不知道CAH.
结论:
- 在AD中有效地利用CAH的资金对于可持续性至关重要.
- 在所有卫生系统层面定期监测CAH活动至关重要.
- 需要针对VHSNC进行有针对性的支持和宣传活动,特别是在ADs中.
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