■初级卫生保健(PHC)是全民健康覆盖的支柱,社区卫生工作者(CHW)是中低收入国家的重要支柱之一。大多数CHW功能要求它们是一个有效的沟通者,但是他们的项目发展在这方面是有缺陷的。IT可以提供一些解决方案吗?此外,CansomeIT-basedCHW-deliveredinnovationshelpmothersandchildreninareasnotcoveredbyPHCservices?WeexplainedthesequestionsduringthedevelopmentandfeasibilitytestingofadigitalapplicationdesignedtoimprovethecommunicationcapaccapacityofCHWsint
■本研究旨在探索感知,实践,以及有关母婴健康的相关差距,以及服务不足地区的儿童发展;制定和部署行为改变沟通计划,以解决差距;并评估该计划的可行性。
■我们进行了三个步骤的混合方法研究。首先,我们进行了13次深入访谈,并与利益相关者进行了两次焦点小组讨论,以探讨生活在这些服务不足地区的母亲所面临的问题。为了解决这些障碍,我们开发了SehatGhar,基于视频的健康教育应用程序,以展示母亲和家庭需要采用的做法。第二,我们培训了来自同一社区的10名志愿者CHWs,以使用该应用程序提供健康教育,并评估了他们的pre-post知识和技能。第三,这些CHWs访问了社区中的孕妇和哺乳期母亲,并由辅助主管随机观察了她们的工作。
■初步探索表明,母亲需要与健康相关的知识,对公共卫生保健的利用不理想。SehatGhar使用了行为改变技术,包括知识转移,提高母亲的自我效能感,以及改善家庭对母亲和儿童护理的参与。志愿者CHW从社区中被发现,训练结束后,关于健康的平均知识得分(前:平均8.00,SD1.49;后:平均11.40,SD1.43;P<.001)显着改善。在支持性监督期间,这些CHW在与母亲的互动中被评为优秀,在使用应用程序时被评为优秀或非常好。CHW和她的社区报告了他们对申请的满意度,并希望定期交付。
■SehatGhar是一个简单的,易于使用的CHW数字应用程序,是可以接受的社区。母亲欣赏内容和演示文稿,并准备将其信息纳入日常实践中。在250对母婴对上测试的创新的现实世界有效性对于证明其有效性至关重要。凭借其实用性和适应性,以及移动电话和互联网技术的迅速普及,这种具有成本效益的创新可以帮助在最短的时间内大规模提供健康通信。
UNASSIGNED: Primary health care (PHC) is the backbone of universal health coverage, with community health workers (CHWs) being one of its critical pillars in lower-middle-income countries. Most CHW functions require them to be an efficient communicator, but their program development has been deficient in this area. Can IT provide some solutions? Moreover, can some IT-based CHW-delivered innovations help mothers and children in areas not covered by PHC services? We explored these questions during the development and feasibility testing of a digital application designed to improve the communication capacity of CHWs in two underserved areas of Islamabad.
UNASSIGNED: This study aims to explore the perceptions, practices, and related gaps about mother and child health, and child development in an underserved area; develop and deploy a behavior change communication program to address the gaps; and assess the feasibility of the program.
UNASSIGNED: We carried out a mixed methods study with three steps. First, we conducted 13 in-depth interviews and two focus group discussions with stakeholders to explore the issues faced by mothers living in these underserved areas. To address these barriers, we developed Sehat Ghar, a video-based health education application to demonstrate practices mothers and families needed to adopt. Second, we trained 10 volunteer CHWs from the same community to deliver health education using the application and assessed their pre-post knowledge and skills. Third, these CHWs visited pregnant and lactating mothers in the community with random observation of their work by a supporting supervisor.
UNASSIGNED: Initial exploration revealed a need for health-related knowledge among mothers and suboptimal utilization of public health care. Sehat Ghar used behavior change techniques, including knowledge transfer, enhancing mothers\' self-efficacy, and improving family involvement in mother and child care. Volunteer CHWs were identified from the community, who after the training, showed a significant improvement in mean knowledge score (before: mean 8.00, SD 1.49; after: mean 11.40, SD 1.43; P<.001) about health. During supportive supervision, these CHWs were rated as excellent in their interaction with mothers and excellent or very good in using the application. The CHW and her community reported their satisfaction with the application and wanted its delivery regularly.
UNASSIGNED: Sehat Ghar is a simple, easy-to-use digital application for CHWs and is acceptable to the community. Mothers appreciate the content and presentation and are ready to incorporate its messages into their daily practices. The real-world effectiveness of the innovation tested on 250 mother-infant pairs will be important for its proof of effectiveness. With its usefulness and adaptability, and the rapidly spreading use of mobile phones and internet technology, this cost-effective innovation can help in delivering health communications at a large scale in a minimum amount of time.