通过社区卫生扩展工作者在乌干达提高获得计划生育服务的机会:试点评估协议
Lydia Kabwijamu1, Steven Ndugwa Kabwama1,2, Fredrick Makumbi3
1Department of Community Health & Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.
乌干达的社区卫生推广工作者可以提供计划生育植入物,改善获得服务的机会. 初步调查结果显示,人们的信心和能力有所增加,但废物处理和数据管理方面的挑战仍然存在.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乌干达面临着大量未满足的计划生育服务需求,其中22%的生育年龄妇女受到影响.
- 限制对避孕服务的获取,特别是长期可逆方法,如植入物,是一个主要的挑战.
- 缺乏训练有素的医疗服务提供者进一步加剧了未满足的避孕需求.
研究的目的:
- 评估乌干达向社区卫生扩展工作者 (CHEW) 提供任务转移计划生育植入物的实施情况和利益相关者的接受度.
- 与授权卫生工作者相比,评估CHEW在提供植入物的能力.
主要方法:
- 一项采用量化 (非劣质设计) 和定性 (描述性方法) 方法的横截面研究.
- 通过绩效评估检查清单和调查问卷从92个CHEW和92名合格卫生工作者收集的定量数据.
- 通过关键信息人采访 (n=23),深入采访 (n=24) 和焦点小组讨论 (n=18) 收集的定性数据,以主题分析.
主要成果:
- 初步发现表明,社区卫生工作者对提供植入物有更强的信心和能力.
- 发现的挑战包括废物处理,记录和数据管理等问题.
- 数据收集正在进行中,预计将于2025年10月完成,结果将于2026年12月发布.
结论:
- 向CHEW提供任务转移植入器,有望改善社区层面对计划生育的准入.
- 该试点项目将产生有价值的上下文信息,以改善服务提供.
- 解决已确定的挑战对于成功和可持续的实施至关重要.
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