Participatory evaluation of reproductive health care quality in developing countries
Participatory evaluation of reproductive health care quality in developing countries
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DOI：
10.1016/s0277-9536(01)00170-8
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发表时间：
2002-07-01
影响因子：
5.4
通讯作者：
Rukonge, A
中科院分区：
文献类型：
--
作者：
Bradley, JE;Mayfield, MV;Rukonge, A
在卫生领域，预防性做法正变得越来越重要，许多组织、政府和捐助者已认识到，需要增加利益攸关方的参与，以确保可持续和真实的变革。然而，往往缺乏参与承诺，参与进程即使实施，也往往是短期和离散的，在机构环境中尤其如此。例如，利益攸关方很少参与长期的监测和评价活动，因为参与活动很费时，而且捐助方和其他决策者认为参与缺乏外部评价的严谨性和客观性。本文介绍了一个国际生殖健康组织与当地利益攸关方合作，以长期参与的方式提高质量的战略，重点是定义护理质量，确定卫生设施中的问题，制定目标并寻求解决这些问题的方法，跟踪质量随时间的变化，并将监测和评价信息反馈到质量改进过程中。该文件还说明了随着时间的推移，随着当地利益攸关方摆脱传统模式和关系，开始共同努力实现质量改进目标，如何实现更大的参与。该文件认为，参与性技术是必不可少的，如果客户的真实的需求是通过持续的变化和不断的质量改进，在现场一级得到满足。(C)2002爱思唯尔科技有限公司。保留所有权利。
Participatory approaches are becoming increasingly important in the field of health, and many organizations, governments and donors have recognized the need to increase stakeholder involvement to ensure sustainable and real change. However, commitment to participation is often lacking and participatory processes, if applied, tend to be short-term and discrete, especially in institutional settings. Rarely, for example, arc stakeholders involved in long-term monitoring and evaluation activities, due the time-consuming nature of participation, and to perceptions on the part of donors and other decision-makers that participation lacks the rigor and objectivity of external evaluation. This paper describes the strategies used by an international reproductive health organization to collaborate with local stakeholders in a long-term participatory approach to quality improvement, focusing on defining quality of care, identifying problems in health facilities, setting goals and seeking solutions to those problems, tracking changes in quality over time, and feeding this monitoring and evaluation information back into the quality improvement process. The paper also illustrates how greater participation was achieved over time as local stakeholders moved away from traditional models and relationships and started working together to meet their quality improvement goals. The paper argues that participatory techniques are essential if the real needs of clients are to be met through sustained change and continuous quality improvement at the site level. (C) 2002 Elsevier Science Ltd. All rights reserved.