• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>International Journal of Health Policy and Management >Strengthening Care Delivery in Primary Care Facilities: Perspectives of Facility Managers on the Immunization Program in Kenya
【2h】

Strengthening Care Delivery in Primary Care Facilities: Perspectives of Facility Managers on the Immunization Program in Kenya

机译：加强初级保健设施中的护理提供：设施管理者对肯尼亚免疫规划的看法

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

>Background: Primary healthcare facility managers (PHFMs) occupy a unique position in the primary healthcare system, as the only cadre combining frontline clinical activities with managerial responsibilities. Often serving as ‘street-level bureaucrats,’ their perspectives can provide contextually relevant information about interventions for strengthening primary healthcare delivery, yet such perspectives are under-represented in the literature on primary healthcare strengthening. Our objective in this study was to explore perspectives of PHFMs in western Kenya regarding how to leverage human resource factors to improve immunization programs, in order to draw lessons for strengthening of primary healthcare delivery. >Methods: We employed a sequential mixed methods approach. We conducted in-depth interviews with key informants in Kakamega County. Emergent themes guided questionnaire development for a cross-sectional survey. We randomly selected 94 facility managers for the survey which included questions about workload, effects of workload on immunization program, and appropriate measures to address workload effects. Participants provided self-assessment of their general motivation at work, their specific motivation to ensure that all children in their catchment areas were fully immunized, and recommendations to improve motivation. Participants were asked about frequency of supervisory visits, supervisor activities during those visits, and how to improve supervision. >Results: The most frequently reported consequences of high workload were reduced accuracy of vaccination records (47%)and poor client counseling (47%). Hiring more clinical staff was identified as an effective remedy to high workload (69%).Few respondents (20%) felt highly motivated to ensure full immunization coverage and only 13% reported being verymotivated to execute their role as a health worker generally. Increasing frequency of supervisory visits and acting on thefeedback received during those visits were mostly perceived as important measures to improve program effectiveness.>Conclusion: Besides increasing the number of staff providing clinical care, PHFMs endorsed introducing some financialincentives contingent on specified targets and making supervisory visits meaningful with action on feedback as strategiesto increase program effectiveness in primary healthcare facilities in Kenya. Targeting health worker motivation andpromoting supportive supervision may reduce missed opportunities and poor client counseling in primary healthcarefacilities in Kenya.
机译：>背景：作为唯一将一线临床活动与管理职责结合起来的干部，基层医疗机构经理（PHFM）在基层医疗系统中占据着独特的位置。他们的观点通常是“街头官僚”，可以提供有关加强初级保健服务的干预措施的上下文相关信息，但是这些观点在加强初级保健的文献中并未得到充分体现。我们在这项研究中的目的是探讨肯尼亚西部PHFMs如何利用人力资源因素改善免疫计划的观点，以便为加强初级卫生保健提供经验教训。 >方法：我们采用了顺序混合方法方法。我们对卡卡梅加县的主要信息提供者进行了深入采访。新兴主题指导了问卷调查的横断面调查。我们随机选择了94位设施经理进行调查，其中包括有关工作量，工作量对免疫计划的影响以及解决工作量影响的适当措施的问题。参与者对自己在工作中的总体动机进行自我评估，以确保其流域内所有儿童都得到充分免疫的具体动机，并提出改善动机的建议。询问参与者有关监督访问的频率，访问期间的监督员活动以及如何改善监督。 >结果：工作量大的最常报告的后果是疫苗接种记录的准确性降低（47％）和不良的客户咨询服务（47％）。雇用更多的临床人员被认为是对高工作量的有效补救措施（69％）。很少有受访者（20％）感到有足够的动力来确保全面免疫接种，只有13％的受访者表示非常积极积极地履行其作为卫生工作者的角色。监督访问的频率增加，并采取行动这些访问期间收到的反馈意见大多数被视为提高计划有效性的重要措施。>结论：除了增加提供临床护理的人员数量外，PHFM还支持引入一些财务激励措施取决于特定的目标，并使监督访问有意义，并采取将反馈作为策略的措施以提高肯尼亚主要医疗机构的计划有效性。针对卫生工作者的动机和促进支持性监督可以减少初级医疗保健中错过的机会和客户咨询不足肯尼亚的设施。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号