印度西孟加拉州一个农村社区的适当的家庭新生儿护理,采用混合方法批量质量保证采样
Rohan Chatterjee1, Dipta Kanti Mukhopadhyay1, Kajari Bandyopadhyay1
1Department of Community Medicine, College of Medicine & Sagore Dutta Hospital, Kolkata 58, India.
Journal of tropical pediatrics
|February 9, 2026
概括
西孟加拉邦的家庭新生儿护理 (HBNC) 覆盖率仅为67.6%,近一半的分中心未能达到标准. 提高HBNC的有效性需要解决社区意识,ASHA信誉和运营挑战.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 家庭新生儿护理 (HBNC) 是印度政府的一个关键倡议,旨在减少新生儿死亡率.
- 评估HBNC服务的有效性和覆盖范围对于公共卫生干预至关重要.
- 认可的社会卫生活动家 (ASHAs) 在提供HBNC服务方面发挥着至关重要的作用.
研究的目的:
- 评估西孟加拉邦某个特定区块的适当家庭新生儿护理 (HBNC) 服务的覆盖范围.
- 确定具有可接受的HBNC服务覆盖范围的子中心.
- 探索受益者的看法和ASHAs在提供HBNC时面临的挑战.
主要方法:
- 通过使用批量质量保证采样 (LQAS) 进行了一项混合方法的横截面研究.
- 调查了434个母婴二,其中31个子中心被视为批次.
- 通过19次深入访谈和8次焦点小组讨论,收集了定性数据.
主要成果:
- 总体HBNC覆盖率估计为67.6%,其中48.4%的子中心覆盖率是不可接受的.
- 对于ASHA来说,主要的挑战包括社会经济差异,低可信度,不规则支付和协调不良.
- 受益人的看法受到来自ASHA的支持的影响.
结论:
- 加强社区意识和服务可信度等需求侧因素至关重要.
- 改善供给侧因素,包括ASHA能力建设,及时报酬和部门间协调,至关重要.
- 需要有针对性的干预措施来提高家庭新生儿护理计划的有效性.
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