Strengthening health system promotion of maternal and child health through medical travel

加强卫生系统通过医疗旅行促进妇幼健康

• 批准号: MR/M002160/1
• 负责人: Johanna Hanefeld
• 金额: $ 11.3万
• 依托单位: London School of Hygiene & Tropical Medicine
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2015
• 资助国家: 英国
• 起止时间: 2015 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FM002160%2F1
• 关键词: Strengthening; health; system; promotion; maternal

This 12 month grant focuses on strengthening health system promotion of maternal and child health through medical travel. It concentrates on South Africa and the effect on resident population of patients traveling to South Africa for treatment from neighbouring countries. It is a collaboration between the University of Cape Town and the London School of Hygiene and Tropical Medicine. The main objective is to identify how to assess and influence the effect of medical travel on the health system and maternal and child health in South Africa. There are three linked specific objectives.1) To understand how inbound medical travel affects the maternal and child health of the resident South African population.2) To identify and analyse current agreements between South Africa and neighbouring countries which govern and affect patients traveling.3) To establish and review what kind of indicators and data are available at national and sub-national level to monitor health systems impact of medical travel on MCH. Research employs quantitative and qualitative methods. To assess effects on resident South African MCH, it examines indicators and experiences of health workers, patients and other actors in areas where health facilities are seeing a large number of medical travellers coming in and compare these with areas and facilities who do not. These will be identified through initial key informant interviews. Interviews will be in five communities/facilities where large numbers of medical travellers are received and five where there are not. Quantitative work will evaluate usefulness of core indicators for MCH and health systems access which are publicly accessible. Research will include the analysis of agreements governing medical travel between South Africa and neighbouring countries to identify policy recommendations on how such governance arrangements can best support health systems' promotion of maternal and child health. Findings, including reflection on methods, will inform a larger comparative research proposal with researchers in India and Thailand.

这笔为期12个月的赠款侧重于通过医疗旅行加强卫生系统促进妇幼保健。它侧重于南非和从邻国前往南非接受治疗的患者对居民人口的影响。这是开普敦大学和伦敦卫生和热带医学学院的合作项目。主要目标是确定如何评估和影响医疗旅行对南非卫生系统和妇幼保健的影响。有三个相互关联的具体目标：1）了解入境医疗旅行如何影响南非常住人口的孕产妇和儿童健康; 2）确定和分析南非与邻国之间管理和影响患者旅行的现有协议; 3）建立和审查国家和地方各级可提供的指标和数据; 4）建立和审查国家和地方各级可提供的指标和数据。在国家一级监测医疗旅行对妇幼保健的影响。研究采用定量和定性方法。为了评估对南非妇幼保健居民的影响，它审查了卫生设施看到大量医疗旅行者进入的地区的卫生工作者、病人和其他行为者的指标和经验，并将其与没有进入的地区和设施进行比较。这些将通过初步关键线人访谈确定。访谈将在五个接待大量医疗旅行者的社区/设施和五个没有接待大量医疗旅行者的社区/设施进行。定量工作将评价妇幼保健和保健系统可供公众使用的核心指标的效用。研究工作将包括分析南非与邻国之间关于医疗旅行的协定，以确定政策建议，说明这种治理安排如何能够最好地支持卫生系统促进妇幼保健。调查结果，包括对方法的反思，将为与印度和泰国研究人员进行更大规模的比较研究提案提供信息。

项目成果

Exploring The Migration Profiles of Primary Healthcare Users in South Africa.

探索南非主要医疗保健使用者的迁移概况。

• DOI: 10.1007/s10903-016-0535-7
• 发表时间: 2018-03
• 期刊: Journal of immigrant and minority health
• 影响因子: 1.9
• 作者: Vearey J;de Gruchy T;Kamndaya M;Walls HL;Chetty-Makkan CM;Hanefeld J
• 通讯作者: Hanefeld J

Towards an understanding of resilience: responding to health systems shocks.

• DOI: 10.1093/heapol/czx183
• 发表时间: 2018-04-01
• 期刊: Health policy and planning
• 影响因子: 3.2
• 作者: Hanefeld J;Mayhew S;Legido-Quigley H;Martineau F;Karanikolos M;Blanchet K;Liverani M;Yei Mokuwa E;McKay G;Balabanova D
• 通讯作者: Balabanova D

How trade in health services can strengthen and challenge health systems resilience?

卫生服务贸易如何增强和挑战卫生系统的复原力？

• DOI: 10.1093/eurpub/ckx187.590
• 发表时间: 2017
• 期刊: European Journal of Public Health
• 影响因子: 4.4
• 作者: Hanefeld J