加强社区组织,国家第五章机构和资助者之间的合作,通过提升社区根源的证据:一个定性研究研究
Laura Powis1, Ellisa S Alvarez2, Lynda Krisowaty2
1Association of Maternal & Child Health Programs, Washington, DC, USA. lpowis@amchp.org.
Maternal and child health journal
|January 12, 2026
概括
社区扎根的证据 (CRE) 对于母婴健康 (MCH) 资助至关重要. 标题V机构需要拥抱CRE,与社区组织 (CBOs) 建立信任,并支持他们获得更好的MCH结果的能力.
科学领域:
- 产妇和儿童健康 (MCH)
- 基于社区的参与式研究
- 健康 公平 卫生 公平
背景情况:
- 目前的母婴健康 (MCH) 资助的证据框架往往优先考虑经验研究,而不是社区根植的证据 (CRE).
- 国家和司法管辖区的第五章机构主要使用证据框架,这些框架可能不完全涵盖基于社区的工作的价值.
- 这在MCH中不同形式的证据如何影响资源分配方面造成了差异.
研究的目的:
- 调查社区基础证据 (CRE) 如何影响第五章机构的决策.
- 评估社区组织 (CBO) 的能力建设要求.
- 探索加强CBOs和第V章机构之间的合作关系的策略.
主要方法:
- 一项定性研究,涉及与第V章机构和CBO的员工进行半结构面试.
- 16名CBO工作人员和11名Title V工作人员在2024年2月至7月期间参加了补偿面试.
- 专题分析用于分析转录的访谈数据,重点关注对CRE和资助者-CBO动态的看法.
主要成果:
- 基于社区的组织 (CBOs) 强调需要建立基于信任的关系,在定义成功指标方面采取行动,承认CRE (包括定性数据和讲故事),以及灵活的资金结构.
- 标题V的受访者指出,在他们的决策过程中运行CRE和支持CBOs方面需要能力建设.
- 资助者-CBO关系的错误调整被强调为有效实施MCH计划的障碍.
结论:
- 第五章机构可以通过将CRE整合到证据框架中来促进定制的,社区驱动的MCH解决方案.
- 投资基于信任的伙伴关系和支持CBO能力建设对于推进MCH至关重要.
- 为第V章机构提供了建议,以便在他们的工作和融资实践中有效地运行CRE.
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