Improving facility-based care for sick children in Uganda: training is not enough
Improving facility-based care for sick children in Uganda: training is not enough
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DOI：
10.1093/heapol/czi051
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发表时间：
2005-12-01
影响因子：
3.2
通讯作者：
Burnham, G
中科院分区：
文献类型：
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作者：
Pariyo, GW;Gouws, E;Burnham, G
本研究评估了扩大儿童疾病综合管理 (IMCI) 对乌干达 10 个地区患病儿童所接受护理质量的影响。研究发现，接受过 IMCI 培训的卫生工作者比未经培训的卫生工作者提供的护理明显更好，但服务质量的绝对水平仍然较低。仅实现培训覆盖率不足以作为改善和维持护理质量的策略。其他因素，包括培训质量、有效监督、基本药物、疫苗和设备的可用性以及政策背景也很重要，必须纳入儿童生存政策和计划。
This study assessed the effects of scaling-up Integrated Management of Childhood Illness (IMCI) on the quality of care received by sick children in 10 districts in Uganda. Health workers trained in IMCI were found to deliver significantly better care than health workers who had not yet been trained, but absolute levels of service quality remained low. Achieving training coverage alone is not sufficient as a strategy to improve and sustain care quality. Other factors including training quality, effective supervision, availability of essential drugs, vaccines and equipment, and the policy context are also important and must be included in child survival policies and plans.