Establishing a community advisory group (CAG) for partnership defined quality (PDQ) towards improving primary health care in a peri-urban setting in KwaZulu-Natal, South Africa
Establishing a community advisory group (CAG) for partnership defined quality (PDQ) towards improving primary health care in a peri-urban setting in KwaZulu-Natal, South Africa
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DOI：
10.1186/s12913-020-05275-6
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发表时间：
2020-05-08
影响因子：
2.8
通讯作者：
Mabaso, Musawenkosi
中科院分区：
文献类型：
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作者：
Ndaba, Thoko;Taylor, Myra;Mabaso, Musawenkosi
背景社区咨询小组（CAG）已被证明是弥合社区和初级卫生保健机构之间差距的催化剂，通过社区参与维持良好的工作关系，以提高卫生保健服务的质量。本研究旨在探讨CAG的建立、运作和成就，以在南非夸祖鲁-纳塔尔省的城郊环境中建立卫生机构和当地社区之间的强有力的伙伴关系，支持合作伙伴定义质量（PDQ）过程，改善孕产妇和新生儿护理的质量。方法采用质的探索性研究设计。招募遵循有目的的抽样方法。这项研究的对象是选定集水区的社区领导代表、潜在受益人和保健提供者。在筹备阶段为确保关键利益攸关方的支持而开展的社区动员活动中确定了参与者。采用参与性研究方法讨论了成员、组成、甄选标准，包括制定和商定现金援助小组成员的职权范围、作用和责任。采用快速评估方法，收集和分析了CAG的建立、活动和成就。结果社区在协商会议期间提名了24名CAG成员，组织图提供了明确的职权范围、作用和责任。成立后，CAG立即使用四个指标（弱点，威胁和风险，优势和机会）来审查影响其社区的社区和初级卫生保健挑战。这些现金援助小组的活动与PDQ进程的各个阶段相联系。CAG承诺继续为所有致力于改善社区福祉的利益攸关方创造有利环境，特别是致力于改善孕妇及其婴儿产前和产后护理的PDQ团队。结论这项工作表明，发展社区关系和基础设施是开始PDQ规划和实施之前的关键初始阶段。增强权能、地方自主权、资金、技术资源和持续支助是现金援助小组活动可持续性的关键要素。
Background Community advisory groups (CAGs) have been shown to be catalysts who bridge the gap between communities and primary health care facilities by sustaining good working relationships through community engagement to improve the quality of the health care services. This study aimed to explore the establishment, operation, and accomplishments of a CAG towards building a strong partnership between the health facilities and local communities in support of the Partner Defined Quality (PDQ) process, to improve the delivery of quality maternal and neonatal care in a peri-urban setting in the province of KwaZulu-Natal, South Africa. Methods The study used a qualitative exploratory research design. Recruitment followed a purposive sampling approach. The study targeted leadership representatives from the community, potential beneficiaries, and health care providers in the selected catchment areas. Participants were identified during community mobilization events that took place during the preparatory stage to ensure key stakeholder support. A participatory research approach was used to discuss membership, composition, the selection criteria, including formulation, and agreement on terms of reference of the CAG membership, roles and responsibilities. A rapid assessment method was used for data collection and analysis of establishment of the CAG, its activities and accomplishments. Results The community nominated 24 CAG members during the consultative meetings and the organogram provides clear terms of reference, roles and responsibilities. Immediately after inception, the CAG used four indicators (weaknesses, threats and risks, strengths, and opportunities) to review the community and primary health care challenges that affect their communities. These CAG activities were linked with the phases of the PDQ process. The CAG committed itself going forward to continue to create an enabling environment for all stakeholders working to improve the well-being of the community, especially the PDQ teams working on improving the care of pregnant mothers and their babies pre- and post-delivery. Conclusion This work shows that developing community relationships and infrastructure are critical initial stages before embarking on PDQ planning and implementation. Empowerment, local ownership, funding, technical resources and ongoing support are critical elements for sustainability of CAG activities.