• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Trials >The impact of i-PUSH on maternal and child health care utilization, health outcomes, and financial protection: study protocol for a cluster randomized controlled trial based on financial and health diaries data
【24h】

The impact of i-PUSH on maternal and child health care utilization, health outcomes, and financial protection: study protocol for a cluster randomized controlled trial based on financial and health diaries data

机译：I-Push对妇幼保健使用，健康结果和金融保护的影响：基于金融和健康日记数据的集群随机对照试验的研究议定书

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Universal Health Coverage ensures access to quality health services for all, with no financial hardship when accessing the needed services. Nevertheless, access to quality health services is marred by substantial resource shortages creating service delivery gaps in low-and middle-income countries, including Kenya. The Innovative Partnership for Universal Sustainable Healthcare (i-PUSH) program, developed by AMREF Health Africa and PharmAccess Foundation (PAF), aims to empower low-income women of reproductive age and their families through innovative digital tools. This study aims to evaluate the impact of i-PUSH on maternal and child health care utilization, women’s health including their knowledge, behavior, and uptake of respective services, as well as women’s empowerment and financial protection. It also aims to evaluate the impact of the LEAP training tool on empowering and enhancing community health volunteers’ health literacy and to evaluate the impact of the M-TIBA health wallet on savings for health and health insurance uptake. This is a study protocol for a cluster randomized controlled trial (RCT) study that uses a four-pronged approach—including year-long weekly financial and health diaries interviews, baseline and endline surveys, a qualitative study, and behavioral lab-in-the-field experiments—in Kakemega County, Kenya. In total, 240 households from 24 villages in Kakamega will be followed to capture their health, health knowledge, health-seeking behavior, health expenditures, and enrolment in health insurance over time. Half of the households live in villages randomly assigned to the treatment group where i-PUSH will be implemented after the baseline, while the other half of the households live in control village where i-PUSH will not be implemented until after the endline. The study protocol was reviewed and approved by the AMREF Ethical and Scientific Review Board. Research permits were obtained from the National Commission for Science, Technology and Innovation agency of Kenya. People in low-and middle-income countries often suffer from high out-of-pocket healthcare expenditures, which, in turn, impede access to quality health services. Saving for healthcare as well as enrolment in health insurance can improve access to healthcare by building capacities at all levels—individuals, families, and communities. Notably, i-PUSH fosters savings for health care through the mobile-phone based “health wallet,” it enhances enrolment in subsidized health insurance through the mobile platform—M-TIBA—developed by PAF, and it seeks to improve health knowledge and behavior through community health volunteers (CHVs) who are trained using the LEAP tool—AMREF’s mHealth platform. The findings will inform stakeholders to formulate better strategies to ensure access to Universal Health Coverage in general, and for a highly vulnerable segment of the population in particular, including low-income mothers and their children. Registered with Protocol Registration and Results System (protocol ID: AfricanPHRC; trial ID: NCT04068571 : AEARCTR-0006089 ; date: 29 August 2019) and The American Economic Association’s registry for randomized controlled trials (trial ID: AEARCTR-0006089; date: 26 June 2020).
机译：普遍健康覆盖范围可确保为所有人提供优质卫生服务，在访问所需的服务时没有经济困难。尽管如此，通过大量资源短缺，在包括肯尼亚在内的低收入中等收入国家的服务交付差距来损害质量卫生服务。由Amref Health Africa和PharmAccess Foundt（PAF）制定的普遍可持续医疗保健（I-Bull）计划的创新伙伴关系旨在通过创新的数字工具赋予生殖年龄及其家庭的低收入妇女。本研究旨在评估I-Push对妇女和儿童保健利用的影响，妇女的健康，包括他们的知识，行为和适应各自的服务，以及妇女的赋权和财务保护。它还旨在评估飞跃培训工具对赋权和增强社区健康志愿者的卫生素养的影响，并评估M-TIBA Health Worket对健康和健康保险的节省的影响。这是一项用于集群随机对照试验（RCT）研究的研究方案，该研究使用四管齐下的方法 - 包括年长的每周财政和健康日记访谈，基线和终止调查，定性研究和行为实验室-Field实验 - 在肯尼亚克克马格县。总共有240户Kakamega村庄，随着时间的推移，捕捉健康，健康知识，寻求健康行为，健康支出和入学。一半的家庭住在随机分配到治疗小组的村庄，我推动的基线​​将在基线之后实施，而另一半家庭生活在控制村，在终点之后，我推推的我推动不会实施。综合审查和批准了Amref道德和科学审查委员会的研究议定书。研究许可是从肯尼亚的国家科学，技术和创新机构委员会获得。中低收入国家的人往往遭受高口袋医疗保健支出，反过来妨碍了获得优质卫生服务。储蓄保健以及健康保险的入学可以通过建立所有级别的个人，家庭和社区的能力来改善对医疗保健的机会。值得注意的是，我通过基于手机的“健康钱包”的“健康钱包”，我推动抚养人员节省的保健，它通过PAF的移动平台-M-TIBA开发，增强了补贴健康保险的入学，并寻求改善健康知识和行为通过社区健康志愿者（CHVS）使用Leap Tool-Amref的MHEATH平台接受培训。调查结果将向利益攸关方提供更好的战略，以确保一般的普遍健康覆盖以及特别是人口的高度脆弱部分，包括低收入母亲及其子女。在协议注册和结果系统注册（协议ID：Africanphrc;审判ID：NCT04068571：日期：2019年8月29日）和美国经济协会的随机对照试验的注册管理机构（试验ID：Aearctr-0006089;日期：日期：26 6月26日2020）。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

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