Sustainability of community-capacity to promote safer motherhood in northwestern Tanzania: what remains?
Sustainability of community-capacity to promote safer motherhood in northwestern Tanzania: what remains?
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DOI：
10.1177/1757975909356627
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发表时间：
2010-03-01
影响因子：
2
通讯作者：
Kabakama, Alfreda
中科院分区：
文献类型：
--
作者：
Ahluwalia, Indu B.;Robinson, Dorcas;Kabakama, Alfreda
客观的。检查 CARE-坦桑尼亚实施的社区生殖健康项目 (CBRHP) 的遗留情况，该项目旨在解决两个农村地区的高孕产妇死亡率问题。方法。 2007 年初，从 29 个村庄收集了数据，并用于评估紧急运输系统的可持续性、乡村卫生工作者 (VHW) 的保留及其对孕产妇健康的潜在影响。审查了卫生部的监测数据，以评估产前和服务使用指标的变化。结果。从 2001 年到 2006 年，经过 CBRHP 培训的 VHW 继续向其社区的妇女提供教育和转诊，包括产前和紧急产科护理；拥有紧急交通系统的六个村庄已持续提供前往医疗机构的免费或低成本交通超过五年。随着时间的推移，两个目标地区的某些孕产妇和婴儿健康指标，例如早期产前护理、妊娠相关危险信号的识别以及孕产妇和婴儿结局数据得到改善。结论。 CBRHP 的两个组成部分，即 VHW 的工作和为六个村庄的应急交通系统提供社区融资的工作仍在继续。这两者都促进孕产妇健康以及与卫生服务系统的联系。监测数据显示了全区 CBRHP 干预措施所针对的孕产妇健康指标的变化。 CBRHP 等项目侧重于能力建设和赋权，可以协助调动社区中的正式和非正式系统，这些系统的组成部分可以随着时间的推移而持续下去。 （全球健康促进，2010 年；17(1)：第 39-49 页）
Objective. To examine the remains of the Community-Based Reproductive Health Project (CBRHP) implemented by CARE-Tanzania to address high maternal mortality in two rural districts. Methods. In early 2007, data were collected from 29 villages and used to assess sustainability of emergency transport systems, retention of village health workers (VHWs), and their potential impact on maternal health. Surveillance data from the Ministry of Health were reviewed to assess changes in prenatal and service use indicators. Results. From 2001 through 2006, the CBRHP-trained VHWs have continued to provide education and referrals to women in their communities including prenatal and emergency obstetric care; six villages with emergency transport systems have continued for more than 5 years providing free or low-cost transport to health facilities. Selected maternal and infant health indicators, such as early prenatal care, identification of pregnancy-related danger signs, and data on maternal and infant outcomes, improved in the two targeted districts over time. Conclusions. The two components of CBRHP, work of VHWs and community-financing for emergency transport systems in six villages, have continued. Both of these promote maternal health and linkages with the health delivery systems. Surveillance data show changes in maternal health indicators that were targeted by the district-wide CBRHP interventions. Programs such as CBRHP, with focus on capacity-building and empowerment, can assist in mobilizing the formal and informal systems in communities, components of which may be sustained over time. (Global Health Promotion, 2010; 17(1): pp. 39-49)