The effect of enhanced public-private partnerships on Maternal, Newborn and child Health Services and outcomes in Nairobi-Kenya: the PAMANECH quasi-experimental research protocol
The effect of enhanced public-private partnerships on Maternal, Newborn and child Health Services and outcomes in Nairobi-Kenya: the PAMANECH quasi-experimental research protocol
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DOI：
10.1136/bmjopen-2014-006608
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发表时间：
2014-01-01
期刊：
影响因子：
2.9
通讯作者：
Osindo, Jane
中科院分区：
文献类型：
--
作者：
Bakibinga, Pauline;Ettarh, Remare;Osindo, Jane
简介：肯尼亚的快速城市化导致了城市中心贫民窟的增长，其特点是贫困、社会服务不足和健康状况不佳。政府为改善母亲和儿童获得高质量医疗保健的机会而采取的举措主要限于公共卫生设施，在贫民窟等服务不足的地区，公共卫生设施很少和/或无法使用。“产妇、新生儿和儿童健康伙伴关系”目前正在Viwandani和Korogocho这两个内罗毕贫民窟实施PAMANECH项目，以评估在肯尼亚两个非正规住区加强提供保健服务的公私伙伴关系对母亲、新生儿和幼儿健康的影响。我们的方针是支持私营和公共医疗服务提供者及社会各界，以增加市民对优质医疗服务的需求。主要活动包括：对在两个贫民窟运作的选定的私营非营利保健设施进行基础设施升级，为内罗毕的保健提供者和保健管理小组进行能力建设，促进地方卫生当局提供支助性监督，并建立社区卫生志愿者网络，以创造对保健服务的需求。为了评估干预措施的影响，该研究采用了定性和定量相结合的方法，利用多种数据来源。2013年进行了基线调查，在全面实施干预措施至少一年后将进行终点调查。目前正在对干预措施进行系统监测和记录，以加强因果推理。伦理和传播：肯尼亚医学研究所对这项研究进行了伦理批准。将通过讲习班、会议介绍、报告、概况介绍和学术出版物将结果中的关键信息打包并广泛传播，以促进决策者的理解。
Introduction: Rapid urbanisation in Kenya has resulted in growth of slums in urban centres, characterised by poverty, inadequate social services and poor health outcomes. The government's initiatives to improve access to quality healthcare for mothers and children are largely limited to public health facilities, which are few and/or inaccessible in underserved areas such as the slums. The 'Partnership for Maternal, Newborn and Child Health' (PAMANECH) project is being implemented in two Nairobi slums, Viwandani and Korogocho, to assess the impact of strengthening public-private partnerships for the delivery of healthcare on the health of mothers, newborns and young children in two informal settlements in Kenya.Methods and analysis: This is a quasi-experimental study; our approach is to support private as well as public health providers and the community to enhance access to and demand for quality healthcare services. Key activities include: infrastructural upgrade of selected Private Not-For-Profit health facilities operating in the two slums, building capacity for healthcare providers as well as the Health Management Teams in Nairobi, facilitating provision of supportive supervision by the local health authorities and forming networks of Community Health Volunteers (CHVs) to create demand for health services. To assess the impact of the intervention, the study is utilising multiple data sources using a combination of qualitative and quantitative methods. A baseline survey was conducted in 2013 and an end-line survey will be conducted at least 1 year after full implementation of the intervention. Systematic monitoring and documentation of the intervention is ongoing to strengthen the case for causal inference.Ethics and dissemination: Ethical approval for the study was obtained from the Kenya Medical Research Institute. Key messages from the results will be packaged and widely disseminated through workshops, conference presentations, reports, factsheets and academic publications to facilitate uptake by policymakers.Protocol registration number: KEMRI-NON-SSC-PROTOCOL No. 393.