PDF(Pubmed)
Abstract：
Village Health Workers (VHWs) in Zimbabwe complement the healthcare staff in primary health care delivery. In 2015 the Ministry of Health streamlined services offered by the VHWs with the VHW Strengthening Plan to improve the effectiveness of the program. However, these continue to offer services not addressing the current and emerging health problems. This three-phased study seeks to develop strategies to improve the effectiveness and efficiency of VHWs in service delivery. Systematic literature review shall be used to develop a conceptual framework to guide the development of VHWs service delivery strategies. Exploratory sequential mixed methods design shall explore VHWs roles in primary health care. A survey in the first stage shall collect qualitative data from 45 purposely selected healthcare workers and VHWs using interviews and then thematically analyzed with MAXQDA. The variables generated will have a cross-sectional survey used to collect quantitative data from 134 VHWs and analyzed on SPSS. The SWOT and basic logic models shall be used to develop strategies validated by the Delphi Technique and Key Stakeholders. Informed consent will be maintained in the study with findings published in journals and presentation symposiums. This protocol was approved by the University of Venda Research Ethics Committee (Registration FHS/23/pH/11/0709).
摘要：
津巴布韦的乡村卫生工作者（VHW）补充了初级卫生保健服务中的医护人员。2015年，卫生部通过VHW加强计划简化了VHW提供的服务，以提高该计划的有效性。然而,这些服务继续提供服务，不能解决当前和新出现的健康问题。这项分三个阶段的研究旨在制定策略，以提高VHW在服务交付中的有效性和效率。系统文献综述应用于开发概念框架，以指导VHW服务交付策略的开发。探索性序贯混合方法设计应探索VHW在初级卫生保健中的作用。第一阶段的调查应使用访谈从45名故意选择的医护人员和VHW中收集定性数据，然后使用MAXQDA进行主题分析。生成的变量将进行横断面调查，用于从134个VHW中收集定量数据，并在SPSS上进行分析。SWOT和基本逻辑模型应用于开发经德尔菲技术和关键利益相关者验证的策略。在研究中将保留知情同意书，并在期刊和演讲座谈会上发表研究结果。该方案由万达大学研究伦理委员会(注册FHS/23/pH/11/0709)批准。
