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首页> 外文期刊>Global public health >A case study of community-based distribution and use of Misoprostol and Chlorhexidine in Sokoto State, Nigeria
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A case study of community-based distribution and use of Misoprostol and Chlorhexidine in Sokoto State, Nigeria

机译：尼日利亚索科托州基于社区的米索前列醇和洗必太使用案例研究

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摘要

The United States Agency for International Development/Targeted States High Impact Project supported Sokoto State, Nigeria government in the development of a community-based intervention aimed at preventing post-partum haemorrhage (PPH) and cord infection among women and children, respectively. This paper describes the innovative intervention within the Nigeria health delivery system. It then explains the case study approach to assessing this intervention and summarises findings. Ultimately, the intervention was received well in communities and both drugs were added to the procurement list of all health facilities providing maternity services in the State. Key factors leading to such success include early advocacy efforts at the state-level, broad stakeholder engagement in designing the distribution system, early community engagement about the value of the drugs and concerted efforts to monitor and ensure availability of the drugs. Implementation challenges occurred in some areas, including shortage of community-based health volunteers (CBHVs) and drug keepers, and socio-cultural barriers. To maximise and sustain the effectiveness of such interventions, state government needs to ensure constant drug supply and adequate human resources at the community level, enhance counselling and mobilisation efforts, establish effective quality improvement strategies and implement a strong M&E system.
机译：美国国际开发署/目标国家高影响力项目支持尼日利亚索科托州政府制定了一项社区干预措施，旨在分别防止妇女和儿童的产后出血（PPH）和脐带感染。本文介绍了尼日利亚卫生系统中的创新干预措施。然后，它解释了评估这种干预措施的案例研究方法并总结了发现。最终，该干预措施在社区中受到好评，两种药物均被添加到该州所有提供产妇服务的医疗机构的采购清单中。取得这种成功的关键因素包括：在州一级的早期倡导工作，利益相关者在设计分配系统中的广泛参与，社区在药物价值方面的早期参与以及在监测和确保药物供应方面的共同努力。在某些领域出现了实施方面的挑战，包括缺乏社区卫生志愿者（CBHV）和毒品持有者，以及社会文化障碍。为了最大程度地保持此类干预措施的有效性，州政府需要确保社区一级的药品供应稳定和充足的人力资源，加强咨询和动员力度，建立有效的质量改进策略并实施强有力的M＆E体系。

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