评估社区数字数据链接,是否使用社区数据,以增加肯尼亚西部的产前护理:实用性开放标签,集群随机对照优越性试验的协议
Gerald Ong'ayo1,2, Hellen C Barsosio1,2, Lilian Otiso3
1Centre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Frontiers in health services
|February 12, 2026
概括
这项研究测试了数字健康记录系统,以改善肯尼亚的产前护理 (ANC). 将社区和设施数据与质量改善团队联系起来,促进了ANC的访问,提高了孕产妇的健康.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 孕产妇健康 孕产妇健康
背景情况:
- 在撒哈拉以南非洲,产前护理 (ANC) 覆盖率较低,需要改进战略.
- 肯尼亚的数字健康记录旨在提高ANC数据的质量和连续性.
- 连接数字记录和利用数据进行质量改进存在挑战.
研究的目的:
- 评估数字链接社区和设施电子患者数据对ANC吸收的影响.
- 评估质量改进团队使用链接数据来解决当地ANC挑战的有效性.
- 提高肯尼亚Homabay县的产前服务利用率和质量.
主要方法:
- 一个实用的集群随机试验,涉及到肯尼亚Homabay县的18个医疗保健机构.
- 实施数据链接模块,以在社区和设施层面之间进行数字推.
- 在干预集群中建立和培训质量改进团队,以审查并根据链接的ANC数据采取行动.
主要成果:
- 主要结果是怀孕妇女达到至少八个ANC接触的比例.
- 二次结果包括早期ANC吸收,不良妊娠结果和熟练的分娩人员.
- 数据链接和质量改进团队的干预正在评估它们对ANC服务提供的影响.
结论:
- 该试验将提供证据,证明社区质量改进团队在利用链接的数字健康数据方面的实用性.
- 成功实施可以提高产前服务的普及率和质量,改善妊娠结果.
- 调查结果可能会为实现孕产妇健康可持续发展目标的可扩展战略提供信息.
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