Leveraging Informatics to Enhance the Obstetrics Emergency Supply Chain in Amhara, Ethiopia

利用信息学增强埃塞俄比亚阿姆哈拉的产科紧急供应链

• 批准号: 10533968
• 负责人: Kylie Kelleher Dougherty
• 金额: $ 4.68万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10533968
• 关键词: Affect; Africa; Africa South of the Sahara; Area; Caring; Cessation of life; Childbirth; Clinic; Clinical; Collaborations; Communication; Comprehension; Computer Interface; Country; Data; Data Analyses; Data Reporting; Development; Discipline of obstetrics; Effectiveness; Emergency Care; Emergency Situation; Employee; Ensure; Equipment; Ethiopia; Ethiopian; Evaluation; Evaluation Methodology; Face; Failure; Fellowship; Foundations; Fracture; Goals; Health; Health Information System; Health care facility; Healthcare; Healthcare Systems; Hospital Referrals; Income; Individual; Informatics; Intervention; Interview; Lead; Logistics; Maternal Mortality; Measures; Mentorship; Methods; Monitor; Mothers; Movement; National Institute of Nursing Research; Online Systems; Outcome; Paper; Persons; Pharmaceutical Preparations; Pharmacy (field); Policies; Process; Protocols documentation; Public Health; Readiness; Recording of previous events; Research; Research Priority; Resources; Retained Placenta; School Nursing; Signal Transduction; Structure; Surveys; System; Technology; Time; Tracer; Training; Tuberculosis; Universities; Update; Visualization; Visualization software; Woman; Work; base; career; computer human interaction; dashboard; design; experience; health equity; health information technology; heuristics; high standard; improved; improved outcome; maternal outcome; medical supply; new technology; obstetric care; policy implication; population health; prevent; prototype; standard of care; tool; uptake; usability; user centered design

Maternal mortality remains a critical public health concern, especially in Sub-Saharan Africa where the majority of maternal mortality cases occur. To improve maternal outcomes, facilities must have the clinical capacity to manage obstetric emergencies. This capacity begins with having the necessary medications and equipment to identify, treat, and modify care. Currently, there is no system in place in Amhara, Ethiopia to monitor readiness and deploying supplies in real time. The aims of this study are to investigate the barriers and bottlenecks within Amhara’s obstetric emergency supply chain and produce a dashboard prototype and design specification document that will track the movement of emergency supplies and monitor obstetric emergency readiness. The study aligns with the National Institute of Nursing Research priority areas of identifying interventions to remove barriers to health equity and promoting population health. This study will provide an electronic dashboard for monitoring facility readiness to manage obstetric emergencies in Amhara, Ethiopia which will assist in ensuring regional facilities are able to provide adequate obstetric care. This will ultimately improve outcomes and decrease maternal mortality rates in the region. The Socio-technical Framework will be used to guide this mixed-methods study. This framework supports exploration of the impact of new technology in a healthcare system. A preliminary quantitative analysis using the Signal Functions Tracer Items and the Clinical Cascade assessed the region’s current clinical capacity to manage obstetric emergencies. To contextualize these findings, we will conduct 20 semi-structured interviews with individuals in the regional and the federal ministries of health along with local health facility workers who interact with the current obstetric supply chain. The findings from the preliminary study and Aim 1 will inform the creation of the electronic dashboard for visualizing supply chain status. We will apply user-centered design strategies, including think-aloud protocol, to enhance dashboard usability. End-user evaluations using the Health Information Technology Usability Scale and heuristic evaluations with human-computer interaction experts will ensure ease of use and usefulness of the dashboard. This study will culminate in the creation of a prototype dashboard and design specification document that can be incorporated into Amhara’s current Integrated Pharmaceutic Logistics System to improve readiness surveillance. This study will be supported by a diverse mentorship team and will benefit from the vast resources available at Columbia University School of Nursing and through the Emory-Ethiopia Partnership, which has over a decade of experience conducting research and working in Amhara. This established relationship will aid the applicant by connecting her to potential interviewees and in-country support. Results of this study will not only improve Amhara’s capacity to monitor obstetric emergency clinical capacity, but it will also provide the region with the tools to enact targeted interventions to both improve and maintain a high standard of care for mothers.

孕产妇死亡率仍然是一个严重的公共卫生问题，特别是在撒哈拉以南非洲，那里的大多数人 产妇死亡的情况发生。为了改善产妇的结局，设施必须具备临床能力， 处理产科急诊。这种能力始于拥有必要的药物和设备， 识别、治疗和改进护理。目前，埃塞俄比亚阿姆哈拉没有建立监测准备情况的系统 并在真实的时间内部署补给。本研究的目的是调查的障碍和瓶颈， 阿姆哈拉的产科急诊供应链，并产生一个仪表板原型和设计规范 这份文件将跟踪紧急用品的流动情况，并监测产科紧急情况的准备情况。的 这项研究与国家护理研究所确定干预措施的优先领域保持一致， 卫生公平和促进人口健康的障碍。这项研究将提供一个电子仪表板， 在埃塞俄比亚阿姆哈拉监测设施管理产科急诊的准备情况， 区域设施能够提供充分的产科护理。这将最终改善结果， 降低该地区的孕产妇死亡率。社会技术框架将用于指导这一工作。 混合方法研究该框架支持探索新技术在医疗保健领域的影响 系统应用信号函数示踪项和临床级联的初步定量分析 评估了该区域目前管理产科急诊的临床能力。把这些 调查结果，我们将进行20个半结构化的采访个人在地区和联邦部委 卫生沿着与当地卫生设施工作人员谁与目前的产科供应链互动。的 初步研究的结果和目标1将为电子仪表板的创建提供信息， 供应链现状。我们将应用以用户为中心的设计策略，包括有声思维协议，以提高 仪表板可用性。使用卫生信息技术可用性量表进行最终用户评价， 人机交互专家的启发式评估将确保 仪表板.这项研究将最终在创建一个原型仪表板和设计规范 该文件可以纳入阿姆哈拉目前的综合制药物流系统， 加强战备监督。这项研究将得到一个多元化的导师团队的支持， 从哥伦比亚大学护理学院和埃默里-埃塞俄比亚 伙伴关系，它有超过十年的经验进行研究和工作在阿姆哈拉。这 已建立的关系将帮助申请人与潜在的面试者和国内联系 支持.这项研究的结果不仅将提高阿姆哈拉监测产科急诊临床的能力， 这不仅将提高本区域的能力，而且还将为该区域提供工具，以实施有针对性的干预措施， 为母亲提供高标准的护理。