关于SMARTheHealth怀孕混合型2集群随机对照试验的过程和实施评估的协议
Nicole Votruba1,2, Sreya Majumdar3, Sudhir Thout Raj3
1Nuffield Department of Women's & Reproductive Health, University of Oxford, UK.
这项研究评估了印度的SMARTheHealth怀孕干预措施,评估其对管理孕产妇非传染性疾病的实施. 调查结果将为孕妇护理的可扩展性和整合性提供信息.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 孕产妇健康 孕产妇健康
背景情况:
- SMARTheHealth怀孕 (SHP) 试验是印度的一项实用性的2型混合群随机试验.
- 它旨在改善社区层面对贫血,糖尿病和高血压的孕妇的护理.
研究的目的:
- 了解SHP干预的有效性,上下文因素,障碍和促进者.
- 探索实施机制和策略,以管理怀孕和产后非传染性疾病.
主要方法:
- 使用现实主义评估,规范化过程理论和MRC框架进行混合方法的过程评估.
- 数据收集包括重点小组,与医疗保健提供者和妇女的采访,以及定量过程数据.
- 定性和定量数据的代分析,与初级结果数据进行三角化.
主要成果:
- 收集了关于干预的覆盖范围,忠实性,剂量和采用的定量数据.
- 定性数据提供了对医疗保健提供者和患者体验的见解.
- 代分析允许早期了解实施动态.
结论:
- 过程评价将阐明SHP干预如何在实践中发挥作用.
- 调查结果将为发现和管理关键孕产妇疾病的潜力提供信息.
- 结果将指导SHP模型的可扩展性,用于综合性非传染性疾病管理.
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