将地区卫生系统转变为学习卫生系统:地区的改进战略. 团队在贝宁和几内亚的经验
Tamba Mina Millimouno1,2,3, Kéfilath Olatoyossi Akankè Bello4, Jean-Paul Dossou4
1Africa Center of Excellence for Prevention and Control of Communicable Diseases (CEA-PCMT) Gamal Abdel Nasser University of Conakry Conakry Guinea.
区卫生系统可以通过使用 District.Team.Team 等数字平台成为学习卫生系统. 这种方法提高了数据的使用和决策,以改善低资源环境中的健康结果.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 数字健康数字健康
背景情况:
- 低收入和中等收入国家的地区卫生系统 (DHS) 经常面临低效率和有限的数据利用.
- 将DHS转变为学习健康系统 (LHS) 对于改善治理和服务提供至关重要.
- 数字学习平台为加强DHS内部的知识交流和决策提供了潜在的解决方案.
研究的目的:
- 评估District.Team数字学习平台在将地区健康管理团队 (DHMTs) 转变为学习健康系统 (LHS) 的有效性.
- 确定在贝宁和几内亚的District.Team试点项目中发现的挑战和经验教训.
- 为可持续和可扩展的LHS转型提出一个改进的战略,District.Team+.
主要方法:
- 试点 District.Team 数字学习平台与贝宁和几内亚的 DHMTs (2016-2017).
- 雇佣了结构化的学习周期,重点关注卫生系统的挑战,如孕产妇死亡监测和流行病学准备.
- 收集了关于参与率,参与在线讨论和自我报告的决策和数据使用改善的数据.
主要成果:
- 地区医疗官员 (DMO) 的参与率很高,他们积极参与在线问卷和讨论.
- 医疗数据管理人员报告说,他们加强了决策,改善了对健康数据的参与,加强了合作.
- 挑战包括有限的国家一体化,缺乏制度支持,时间限制和基础设施限制 (互联网,电力).
结论:
- 区.团队战略显示,通过数字学习和点对点交流,DHS转变为LHS具有前景.
- 一个增强的战略,District.Team+,被提议通过与国家系统集成和扩大学习社区来解决可持续性和可扩展性.
- 成功的转型需要将数字平台嵌入国家结构,提供足够的资源,并与卫生系统的优先事项保持一致.
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