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Facilitators and Barriers of Community-Level Quality Improvement for Maternal and Newborn Health in Tanzania

机译：坦桑尼亚孕产妇和新生儿健康的社区水平质量改善的促进者及障碍

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摘要

A quality improvement intervention for maternal and newborn health was carried out in southern Tanzania at the community level. It sought to improve health-seeking behaviors and uptake of community-level maternal and newborn health practices. A process evaluation populated using data primarily from in-depth interviews and focus group discussions with the intervention's implementers was undertaken in four villages receiving the intervention to evaluate the intervention's implementation, uncover facilitators and barriers of quality improvement, and highlight contextual factors that might have influenced implementation. Performance implementation scores were used to rank the villages. Identifying higher- and lower-performing villages highlighted key facilitators and barriers of community-level quality improvement related to support from local leaders, motivation through use of local quality improvement data, and regular education around quality improvement and maternal and newborn health. These findings can be taken formatively in the design of similar interventions in the future.
机译：在坦桑尼亚南部的坦桑尼亚处于社区一级，在坦桑尼亚进行了质量改进干预。它试图改善寻求健康的行为和对社区级别的孕产妇和新生儿健康实践的影响。在接受干预的四个村庄中，在接受干预的四个村庄进行了主要来自深入访谈和焦点小组讨论的过程评估，以评估干预的实施，揭示助手和质量改进的障碍，并突出可能受到影响的背景因素执行。绩效实施分数用于对村庄进行排名。识别高阶和低于较低的村庄突出了与当地领导人的支持，通过利用当地优质改进数据的支持，以及常规教育围绕质量改善和孕产妇和新生儿的教育，阐明了社区级质量改善的关键促进者和障碍。这些发现可以在未来类似干预的设计中形成。

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