Community

社区
  • 文章类型: Journal Article
    本文探讨了组织环境志愿服务作为组织的企业社会责任(CSR)战略的一部分的重要性。如果更多的组织支持他们的员工参与这些项目,有希望缓解气候变化并向更可持续的世界过渡。我们使用偏最小二乘结构方程模型来分析管理支持对组织环境志愿服务的影响以及后者对员工福祉和生产力的影响。使环境志愿服务成为组织CSR战略的一部分可以帮助环境,员工们,以及组织本身。结果表明,管理支持与组织环境志愿服务之间以及后者与员工的福祉和生产力之间存在直接和积极的关系。这些发现将帮助公共和私营组织的管理者更好地制定他们的战略,并鼓励他们的员工参与旨在减少污染和碳足迹的项目。
    This paper addresses the importance of organizational environmental volunteering as part of the corporate social responsibility (CSR) strategies of organizations. If more organizations support their employees\' involvement in such projects, there can be hope for mitigating climate change and making the transition to a more sustainable world. We used partial least squares structural equation modeling to analyze the impact of management support on organizational environmental volunteering and of the latter on the employees\' well-being and productivity. Making environmental volunteering part of an organization\'s CSR strategy can help the environment, the employees, and the organization itself. The results show a direct and positive relationship between management support and organizational environmental volunteering and between the latter and both the well-being and productivity of employees. The findings will help managers in both public and private organizations to better shape their strategies and encourage their employees to get involved in projects meant to reduce pollution and the carbon footprint.
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  • 文章类型: Journal Article
    关于社区对COVID-19大流行的知识和态度的科学信息是有效控制措施的重要一步。本研究旨在调查哈瓦萨市居民对COVID-19的知识和态度水平以及对COVID-19的知识和态度之间的相互作用。
    从2020年6月至2020年8月,采用分层随机抽样的基于社区的横断面研究。选取了五百八十七名居民进行研究,旨在使用标准化的结构化问卷评估他们对COVID-19的知识和态度。数据是通过严格遵循世卫组织和埃塞俄比亚卫生部预防COVID-19指南的面对面访谈收集的。态度和知识根据平均得分值进行分类。描述性统计和两个独立的多元逻辑回归被应用于识别知识和态度的可能决定因素,使用SPSS版本20设置在95%CIs,p<0.05的值被认为具有统计学意义。
    总共,61.7%的参与者了解该病毒,65.9%的参与者对COVID-19持积极态度。第二学位及以上类别的教育水平(AOR=29.709,95%CI=1.239-712.55),一级(AOR=3.476,95%CI=3.278-22.02),证书/文凭(AOR=1.062-18.24,95%CI=1.062-18.24),和12年级已完成(AOR=1.903,95%CI=2.12-6.809);自雇受访者的就业状况(AOR=9.545,95%CI=1.165-78.173)和受雇受访者(AOR=10.053,95%CI=1.783-56.673);总是对类别的阅读兴趣(AOR=34.45,95%CI=16.881.80.432%,有时
    尽管受访者对COVID-19的知识和态度是积极的,有必要使用更有效的策略来提高他们对COVID-19的知识和态度,并且必须在社区中增加对预防行为的了解才能获得更好的结果。教育水平,使用社交媒体,受访者的阅读习惯似乎在决定他们对COVID-19的知识水平和态度方面发挥着重要作用。
    Scientific information on the knowledge and attitude of the community toward the COVID-19 pandemic is a vital step for effective control measures. This study aimed to investigate the level of knowledge and attitude of Hawassa city residents toward COVID-19 and the interaction among knowledge and attitude toward COVID-19.
    A community-based cross-sectional study with stratified random sampling was used from June 2020 to August 2020. Five hundred and eighty-seven residents were selected for the study, which aimed to evaluate their knowledge and attitude toward COVID-19 using a standardized structured questionnaire. Data were collected using face-to-face interviews that strictly follow the WHO and the Ministry of Health Ethiopia guidelines for COVID-19 prevention. Attitude and knowledge were categorized based on the mean score value. Descriptive statistics and two independent multiple logistic regressions were applied to identify the possible determinants of knowledge and attitude using SPSS version 20 set at 95% CIs with a value of p of <0.05 considered statistically significant.
    In total, 61.7% of the participants were knowledgeable about the virus and 65.9% had a positive attitude toward COVID-19. Educational level with the categories of second degree and above (AOR = 29.709, 95% CI = 1.239-712.55), first degree (AOR = 3.476, 95% CI = 3.278-22.02), certificate/diploma (AOR = 1.062-18.24, 95% CI = 1.062-18.24), and grade 12 completed (AOR = 1.903, 95% CI = 2.12-6.809); employment status of respondents who were self-employed (AOR = 9.545, 95% CI = 1.165-78.173) and employed respondents (AOR = 10.053, 95% CI = 1.783-56.673); reading interest with categories always (AOR = 34.45, 95% CI = 26.608-4462.226) and sometimes (AOR = 17.24, 95% CI = 17.213-1661.966); and habit of using social media with categories always (AOR = 38.708, 95% CI = 5.086-294.610) and sometimes (AOR = 3.432, 95% CI = 3.504-23.378) were the significant explanatory variables that were correlated with knowledge of the respondents.
    Although the knowledge and attitude of respondents toward COVID-19 were positive, there is a need to use more effective strategies to improve their knowledge and attitude toward COVID-19, and increasing knowledge on preventive behaviors among the community was mandatory to attain better results. The educational level, use of social media, and reading habits of the respondents appear to play significant roles in determining their level of knowledge and attitude toward COVID-19.
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  • 文章类型: Journal Article
    住在家里的老年人可能会感到越来越孤独,脱离他们的社会环境,功能能力下降。在这个社区案例研究中,我们报告了我们发起的一个项目,通过与他们一起创建音乐生活评论(MLR)来增强老年人的功能能力。我们的七个音乐疗法毕业生(MT)连接到住在校园对面的街道附近的老年人。MT首先接受了与老年人一起创建MLR的协议的培训,由本文作者开发。然后,他们与附近的老年人进行了10次一对一的会议,亲自定制的MLR。MTs在每周的小组监督会议中保持开会,从而互相学习-并形成自己的社区。与会者对这一进程表示高度满意,并报告说,他们的MLR对他们变得越来越重要。他们中的大多数人都有兴趣将他们的MLR领先一步,并将其播放给家人和/或朋友,and,作为过程的一部分,计划一个个人活动来做到这一点。Further,参与者和MTs发起了两次大型社区活动。最后,我们展示了社区项目如何增强参与者的功能能力。我们还指出了可能的挑战和进一步实施该项目的建议。
    Older people living in their homes might experience growing loneliness, detachment from their social environment, and decreased functional ability. In this community case study, we report on a project we initiated to enhance the functional ability of older people by creating musical life reviews (MLR) with them. We connected seven of our music therapy graduates (MT) to older people living in the neighborhood across the street from campus. MTs were first trained to work by a protocol for creating MLRs with older people, developed by the authors of this article. They then worked with older people from the neighborhood for 10 one-on-one sessions, on personally tailored MLRs. MTs kept on meeting in weekly group supervision sessions, thus learning from each other- and forming a community of their own. Participants expressed their high satisfaction with the process and reported that their MLRs became increasingly important to them. Most of them were interested in taking their MLR one step ahead, and playing it to family and/or friends, and, as part of the process, planned a personal event to do this. Further, two big community events were initiated by participants and MTs. To conclude, we show how the community project enhanced the functional ability of those participating in it. We also point at possible challenges and recommendations for further implementation of the project.
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  • 文章类型: Journal Article
    跨专业合作是执业医疗保健专业人员,包括遗传咨询师和注册营养师营养师的日益重要的技能。创建了多部分交互式案例研究活动,以在学术医学中心的遗传咨询和医学营养培训计划中为研究生开发跨专业技能。参加此活动的学习者的反馈强调了其对毕业后临床实践的影响。此外,自从这项活动实施以来,每个项目的学生和教师之间的合作发生在其他学术追求中,培养长期的职业间关系。可以与其他医疗保健专业或其他机构一起考虑采用类似的跨专业教育方法,作为毕业后加强实践的另一种工具。
    Interprofessional collaboration is an increasingly important skillset for practicing healthcare professionals including genetic counselors and registered dietitian nutritionists. A multi-part interactive case study activity was created to develop interprofessional skills for graduate students within genetic counseling and medical nutrition training programs at an academic medical center. Feedback from learners who participated in this activity highlights its effect on their post-graduation clinical practice. Additionally, since the implementation of this activity, collaboration between students and faculty members of each program has occurred in other scholarly pursuits, fostering longstanding interprofessional relationships. Similar approaches to interprofessional education could be considered with other healthcare professions or at other institutions as another tool to strengthen practice upon graduation.
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  • 文章类型: Journal Article
    尽管有证据表明在肯尼亚实施世界卫生组织关于管理可能的严重细菌感染(PSBI)的指南的可行性和可接受性,初步实施发现社区设施转诊和PSBI病例随访不理想.本研究探讨了在Busia和Migori县实施PSBI指南时社区与设施联系的促进者和障碍,肯尼亚。我们对2022年6月至7月收集的“COVID-19:减轻新生儿死亡率”项目的终线评估数据进行了探索性定性研究设计。数据包括0-59天大的SYIs护理人员的病例叙述(18),与社区卫生志愿者(CHV)的焦点小组讨论(6),以及对设施提供商的深入访谈(18)。使用归纳主题分析框架对数据进行了分析。在2021年8月至2022年7月之间,CHV评估了10187名新生儿,1176人(12%)被确定为PSBI危险标志,并被转至最近的设施,其中820人(70%)接受转介。分析揭示了促进PSBI治疗的社区-设施联系的几个因素,包括CHV与社区成员和设施的关系,CHV办公桌和工具的可用性,使用移动应用程序,培训,支持监督。然而,挑战,如卫生系统相关因素(提供者不足,基本商品和用品的库存,和缺乏运输/救护车),和个体相关因素(护理人员拒绝转诊)阻碍了社区-设施的联系。解决共同的障碍并促进社区卫生工作者与设施之间的积极关系,可以增强社区一级对PSBI服务的接受和获取。将社区卫生工作者的努力与移动数字策略相结合可以提高识别效率,转介,并跟踪社区中的PSBI病例,并促进与初级医疗机构的联系。
    Despite evidence showing the feasibility and acceptability of implementing the World Health Organization\'s guidelines on managing possible serious bacterial infection (PSBI) in Kenya, the initial implementation revealed sub-optimal community-facility referrals and follow-up of PSBI cases. This study explores facilitators and barriers of community-facility linkages in implementing PSBI guidelines in Busia and Migori counties, Kenya. We used an exploratory qualitative study design drawing on endline evaluation data from the \'COVID-19: Mitigating Neonatal Mortality\' project collected between June and July 2022. Data include case narratives with caregivers of sick young infants (0-59 days old) (18), focus group discussions with community health volunteers (CHVs) (6), and in-depth interviews with facility-based providers (18). Data were analysed using an inductive thematic analysis framework. Between August 2021 and July 2022, CHVs assessed 10 187 newborns, with 1176 (12%) identified with PSBI danger signs and referred to the nearest facility, of which 820 (70%) accepted referral. Analysis revealed several factors facilitating community-facility linkage for PSBI treatment, including CHVs\' relationship with community members and facilities, availability of a CHV desk and tools, use of mobile app, training and supportive supervision. However, challenges such as health system-related factors (inadequate providers, stockout of essential commodities and supplies, and lack of transport/ambulance) and individual-related factors (caregivers\' refusal to take referrals) hindered community-facility linkage. Addressing common barriers and fostering positive relationships between community health workers and facilities can enhance acceptance and access to PSBI services at the community level. Combining community health workers\' efforts with a mobile digital strategy can improve the efficiency of the identification, referral and tracking of PSBI cases in the community and facilitate linkage with primary healthcare facilities.
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  • 文章类型: Journal Article
    在过去的几十年里,从个人主义和机械主义的学习概念到将注意力转移到学习背景的重要性的方法。虽然这些方法已经被用来指出环境对技能获取的重要性,他们主要面向以绩效为导向的环境。受“实践社区”(CoP)情境学习理论的启发,这项研究的目的是分析成员之间的学习过程(参与者,教练,父母,等。)多元化的体育社区。这篇文章是基于一个名为Lykkeliga(快乐联盟)的丹麦手球社区的多案例研究,该社区在几年内吸引了一千多名年龄不同的儿童,性别,诊断,和残疾。数据收集包括参与者在三个月内观察两个俱乐部的训练和比赛情况,还有非正式的采访。主题分析揭示了快乐联盟俱乐部成员的一系列合法参与方式,包括坐在板凳上,甚至在练习中约会。总之,我们的案例研究揭示了体育社区中的情境学习如何被引导到包容性和对体育参与者意味着什么的广泛理解。
    In the last few decades, there has been a movement from individualistic and mechanistic notions of learning to approaches that turn attention to the significance of the context of learning. While these approaches have been utilized to point out the significance of the environment for skill acquisition, they have primarily been oriented towards performance-oriented milieus. Inspired by the theory of situated learning in \"communities of practice\" (CoP), the aim of the study is to analyze learning processes among members (participants, coaches, parents, etc.) of a diverse sporting community. The article is based on a multiple-case study of a Danish handball community named Lykkeliga (Happy League) that within a few years has attracted more than a thousand children with a remarkable diverse range of age, gender, diagnosis, and disabilities. The data collection included participant observation of training and tournament situations in two clubs over a 3-month period, along with informal interviews. The thematic analysis reveals a range of legitimate ways of participating for members of Happy League clubs, including sitting on the bench and even dating during practice. In sum, our case study sheds light on how situated learning in sporting communities may be directed towards inclusion and expansive understanding of what it means to be a sport participant.
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  • 文章类型: Journal Article
    随着对密集病例管理服务的需求继续超过供应,多伦多的社区精神卫生机构,安大略省,引入短期病例管理(STCM)。
    本研究旨在探索案例管理者对这种新的服务交付模式的看法和经验。
    焦点小组由21名病例经理组成,并使用主题分析对成绩单进行分析。
    新兴主题表明,尽管采用了复苏方法,案例管理人员对这种服务提供模式作为干预措施的可接受性和适当性表示了不同的看法。
    这种干预的理想人群是有心理健康问题需要系统导航的成年人,以及那些有动力实现自己目标的人。需要进一步的研究来建立保真度标准。
    UNASSIGNED: As demand for intensive case management services continues to outpace supply, community mental health agencies in Toronto, Ontario, introduced Short-Term Case Management (STCM).
    UNASSIGNED: This study sought to explore case managers\' perspectives and experiences with this new service delivery model.
    UNASSIGNED: Focus groups were conducted with twenty-one case managers, and transcripts analyzed using thematic analysis.
    UNASSIGNED: Emerging themes suggest that despite embracing a recovery approach, case managers expressed mixed views on the acceptability and appropriateness of this service delivery model as an intervention.
    UNASSIGNED: The ideal population for this intervention are adults with mental health issues in need of system navigation, and those motivated to address their goals. Further research is needed to establish fidelity criteria.
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  • 文章类型: Journal Article
    目的:关于肌肉减少症的研究主要集中在生理学或心理学等单一领域。然而,缺乏明确的证据来确定社会因素对肌少症的影响。因此,我们的目的是探讨导致社区内老年人肌少症的多维度因素.
    方法:在这项回顾性病例对照研究中,我们应用亚洲肌肉减少症工作组(AWGS)2019年的诊断标准,将研究对象分为对照组和病例组.我们的目的是检查身体的影响,心理,和社会因素对社区居住老年人肌肉减少症的影响。我们利用描述性统计数据,以及简单和多变量逻辑回归分析,来分析数据。我们比较了两组之间各因素的比值比(OR),并使用Python软件中的XGBoost算法对影响因素的重要性进行排序。
    结果:结合多变量分析和XGBoost算法结果,可以看出,体力活动是肌肉减少症的最强预测因子[OR]=0.922(95%CI0.906-0.948),其次是糖尿病[OR]=3.454(95%CI1.007-11.854),年龄[OR]=1.112(95%CI1.023-1.210),离婚或丧偶[OR]=19.148(95%CI4.233-86.607),营养不良[OR]=18.332(95%CI5.500-61.099),抑郁[OR]=7.037(95%CI2.391-20.710)。
    结论:与社区居住的老年人中肌肉减少症发展相关的因素包括多种身体,心理,和社会因素,身体活动,糖尿病,年龄,婚姻状况,营养,抑郁是影响肌少症的重要因素。
    背景:ChiCTR2200056297。
    OBJECTIVE: Research on sarcopenia has primarily focused on single fields such as physiology or psychology. However, there is a lack of clear evidence to determine the influence of social factors on sarcopenia. Therefore, our aim was to explore the multidimensional factors that contribute to sarcopenia in older adults within the community.
    METHODS: In this retrospective case-control study, we applied the diagnostic criteria from The Asian Working Group on Sarcopenia (AWGS) 2019 to categorize study subjects into control and case groups. Our aim was to examine the impact of physical, psychological, and social factors on community-dwelling older adults with sarcopenia across multiple dimensions. We utilized descriptive statistics, as well as simple and multivariate logistic regression analyses, to analyze the data. We compared the odds ratios (OR) of the factors between the two groups and ranked the importance of the influencing factors using the XGBoost algorithm in Python software.
    RESULTS: Combined with multivariate analysis and XGBoost algorithm results, it can be seen that physical activity is the strongest predictor of sarcopenia [OR] = 0.922(95% CI 0.906-0.948), followed diabetes mellitus [OR] = 3.454(95% CI 1.007-11.854), older age [OR] = 1.112(95% CI 1.023-1.210), divorced or widowed [OR] = 19.148 (95% CI 4.233-86.607), malnutrition [OR] = 18.332(95% CI 5.500-61.099), and depressed [OR] = 7.037(95% CI 2.391-20.710).
    CONCLUSIONS: Factors associated with the development of sarcopenia in community-dwelling older adults cover a multiplicity of physical, psychological, and social factors, physical activity, diabetes mellitus, age, marital status, nutrition, and depression were important factors that have an impact on sarcopenia.
    BACKGROUND: ChiCTR2200056297.
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  • 文章类型: Case Reports
    许多使用踝足矫形器(AFO)的患者的配合度差,疼痛,不适,不喜欢设备的美学,和过度的运动范围限制,这减少了AFO的使用。尽管3D打印踝足矫形器(3D-AFO)会影响患者满意度和整体步态功能,例如踝关节力矩,关节运动范围(ROM),和时空参数,3D-AFO的材料特性和制造过程仍然多种多样;使用3D-AFO进行社区步行的临床效果和对卒中患者的满意度了解甚少。
    案例1:一个30岁的男人,有右基底节出血史,表现为明显的足下垂和genu递归。案例2:一名58岁的男子,有多灶性散见性梗死病史,由于骨盆运动异常,步态模式不对称。案例3:一名47岁男子,有右壳核出血史,由于踝关节痉挛和震颤的增加,最近出现了平衡不良和明显的不对称步态。所有患者均可独立行走。
    在三步行走下评估步态(甚至,不均匀,和楼梯上升/下降)和四个AFO(没有鞋子,只有鞋子,带AFO的鞋子,和具有3D-AFO的鞋子)条件。在使用3D-AFO或AFO进行4周的社区步行训练后,对患者进行了随访。时空参数;关节运动学;肌肉效率;临床评估,包括损伤,局限性,和参与;并评估患者对佩戴3D-AFO的满意度。
    3D-AFO适用于慢性中风患者的社区下床活动,并且在步长上有效,步幅宽度,对称性,踝关节的活动范围,慢性中风患者在表面行走和楼梯上升过程中的肌肉效率。使用3D-AFO进行为期4周的社区步行训练并没有促进患者的参与;然而,它增加了脚踝肌肉的力量,balance,步态对称性,以及有中风史的患者的步态耐力和抑郁降低。参与者对3D-AFO的薄度感到满意,轻量级,穿着鞋子舒适的感觉,和步态可调性。
    UNASSIGNED: Many of the patients using ankle-foot orthoses (AFOs) experience poor fit, pain, discomfort, dislike of the aesthetics of the device, and excessive range of motion restrictions, which diminish the use of AFOs. Although 3D-printed ankle-foot orthoses (3D-AFOs) affect patient satisfaction and overall gait functions such as ankle moment, joint range of motion (ROM), and temporal-spatial parameters, the material properties and manufacturing process of 3D-AFOs are still diverse; the clinical effects of community ambulation using 3D-AFOs and satisfaction in patients with stroke are poorly understood.
    UNASSIGNED: Case 1: A 30-year-old man, with a history of right basal ganglia hemorrhage, presented with marked foot drop and genu recurvatum. Case 2: A 58-year-old man, with a history of multifocal scattered infarction, presented with an asymmetrical gait pattern due to abnormal pelvic movement. Case 3: A 47-year-old man, with a history of right putamen hemorrhage, presented with recent poor balance and a prominent asymmetrical gait pattern due to increased ankle spasticity and tremor. All patients could walk independently with AFOs.
    UNASSIGNED: Gait was assessed under three walking (even, uneven, and stair ascent/descent) and four AFO (no shoes, only shoes, shoes with AFOs, and shoes with 3D-AFOs) conditions. After 4 weeks of community ambulation training with 3D-AFO or AFO, the patients were followed up. Spatiotemporal parameters; joint kinematics; muscle efficiency; clinical evaluations including impairments, limitations, and participation; and patient satisfaction with wearing 3D-AFO were evaluated.
    UNASSIGNED: 3D-AFOs were suitable for community ambulation of patients with chronic stroke and effective on step length, stride width, symmetry, ankle range of motion, and muscle efficiency during even surface walking and stair ascent in patients with chronic stroke. The 4-week community ambulation training with 3D-AFOs did not promote patient participation; however, it increased ankle muscle strength, balance, gait symmetry, and gait endurance and reduced depression among patients with a history of stroke. The participants were satisfied with 3D-AFO\'s thinness, lightweight, comfortable feeling with wearing shoes, and gait adjustability.
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  • 文章类型: Journal Article
    背景:全球慢性卫生工作者短缺和常规免疫接种率停滞不前需要新的策略来增加疫苗接种覆盖率和公平性。经过训练,他们当地社区的信任成员,社区卫生工作者(CHW)在扩大免疫工作队伍和增加覆盖不足社区的疫苗接种覆盖率方面处于有利地位.马拉维是少数几个依靠CHW的国家之一-在马拉维称为健康监测助理(HSA)-管理常规免疫接种,因此提供了一个独特的例子,说明如何做到这一点。
    方法:我们试图通过对HSA的访谈来描述功能性CHW主导的常规免疫计划的操作和程序特征,HSA主管,卫生部官员,以及马拉维的社区成员。本案例研究描述了HSA如何以及在哪里提供疫苗接种,他们的疫苗接种相关责任,培训和监督过程,疫苗安全考虑,以及社区级别的疫苗供应链。访谈参与者一贯将HSA描述为高功能疫苗接种干部,熟练并致力于增加儿童的疫苗获取。他们还指出,需要加强对HSA的专业支持的某些方面,特别是与培训有关,监督,和供应链流程。受访者同意其他国家应考虑效仿马拉维的榜样,并使用CHWs管理疫苗,只要他们能得到充分的训练和支持。
    结论:这个来自马拉维的账户提供了一个由CHW主导的疫苗接种计划如何运作的例子。利用CHWs作为疫苗接种者是一种有希望但仍未被探索的任务转移方法,显示出帮助各国最大限度地利用其卫生人力的潜力,增加疫苗接种覆盖率,覆盖更多的零剂量儿童。然而,需要更多的研究来证明利用CHW作为疫苗接种者对患者安全的影响,免疫覆盖率/疫苗公平性,与使用其他干部进行常规免疫相比,成本效益更高。
    Global chronic health worker shortages and stagnating routine immunization rates require new strategies to increase vaccination coverage and equity. As trained, trusted members of their local communities, community health workers (CHWs) are in a prime position to expand the immunization workforce and increase vaccination coverage in under-reached communities. Malawi is one of only a few countries that relies on CHWs-called Health Surveillance Assistants (HSAs) in Malawi-to administer routine immunizations, and as such offers a unique example of how this can be done.
    We sought to describe the operational and programmatic characteristics of a functional CHW-led routine immunization program by conducting interviews with HSAs, HSA supervisors, ministry of health officials, and community members in Malawi. This case study describes how and where HSAs provide vaccinations, their vaccination-related responsibilities, training and supervision processes, vaccine safety considerations, and the community-level vaccine supply chain. Interview participants consistently described HSAs as a high-functioning vaccination cadre, skilled and dedicated to increasing vaccine access for children. They also noted a need to strengthen some aspects of professional support for HSAs, particularly related to training, supervision, and supply chain processes. Interviewees agreed that other countries should consider following Malawi\'s example and use CHWs to administer vaccines, provided they can be sufficiently trained and supported.
    This account from Malawi provides an example of how a CHW-led vaccination program operates. Leveraging CHWs as vaccinators is a promising yet under-explored task-shifting approach that shows potential to help countries maximize their health workforce, increase vaccination coverage and reach more zero-dose children. However, more research is needed to produce evidence on the impact of leveraging CHWs as vaccinators on patient safety, immunization coverage/vaccine equity, and cost-effectiveness as compared to use of other cadres for routine immunization.
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