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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

基本信息

批准号：
10723096
负责人：
Kylie Kelleher Dougherty
金额：
$ 1.97万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2023-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10723096
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 Electronics Emergency Care Emergency Situation Employee Ensure Equipment Ethiopia Ethiopian Evaluation Evaluation Methodology Face Failure Fellowship Fracture Goals Health Health Information System Health Promotion Health care facility Healthcare Healthcare Systems Hospital Referrals Income Individual Informatics Intervention Interview Logistics Maternal Mortality Measures Mentorship Methods Monitor Mothers Movement National Institute of Nursing Research Online Systems Outcome Paper Persons Pharmaceutical Preparations Pharmacy (field)Policies Postdoctoral Fellow Process Protocols documentation Public Health Readiness Recording of previous events Research Research Priority Resources Retained Placenta School Nursing Signal Transduction Specific qualifier value Structure Surveys System Technology Time Tracer Training Tuberculosis Universities Update Visualization Visualization software Woman Work career clinic ready computer human interaction dashboard data communication 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 supply chain tool uptake usability user centered design wireless fidelity

项目摘要

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重要的公共卫生问题，特别是在撒哈拉以南非洲地区，那里的大多数人发生孕产妇死亡病例。为了改善孕产妇结局，设施必须具备临床能力管理产科紧急情况。这种能力始于拥有必要的药物和设备识别、治疗和调整护理。目前，埃塞俄比亚阿姆哈拉没有监控准备情况的系统并实时部署物资。本研究的目的是调查内部的障碍和瓶颈 Amhara 的产科急诊供应链并制作仪表板原型和设计规范该文件将跟踪紧急物资的流动并监测产科紧急情况的准备情况。这研究与国家护理研究所确定干预措施的优先领域相一致，以消除健康公平和促进人口健康的障碍。这项研究将为以下人员提供一个电子仪表板监测埃塞俄比亚阿姆哈拉产科紧急情况的设施准备情况，这将有助于确保区域设施能够提供足够的产科护理。这最终将改善结果并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点混合方法研究。该框架支持探索新技术对医疗保健的影响系统。使用信号功能示踪项目和临床级联进行初步定量分析评估了该地区目前处理产科紧急情况的临床能力。为了将这些内容结合起来根据调查结果，我们将对地区和联邦部委的个人进行 20 次半结构化访谈以及与当前产科供应链互动的当地卫生机构工作人员。这初步研究的结果和目标 1 将为创建用于可视化的电子仪表板提供信息供应链状况。我们将应用以用户为中心的设计策略，包括有声思考协议，以增强仪表板的可用性。使用健康信息技术可用性量表进行最终用户评估和与人机交互专家的启发式评估将确保该系统的易用性和实用性仪表板。这项研究最终将创建仪表板原型和设计规范该文件可以纳入阿姆哈拉目前的综合药品物流系统改善战备状态监测。这项研究将得到多元化导师团队的支持，并将受益来自哥伦比亚大学护理学院和埃默里埃塞俄比亚分校的大量资源 Partnership 在阿姆哈拉拥有十多年进行研究和工作的经验。这建立的关系将帮助申请人与潜在的受访者和国内人士建立联系支持。这项研究的结果不仅将提高 Amhara 监测产科急诊临床的能力能力，但它也将为该地区提供制定有针对性的干预措施的工具，以改善和保持对母亲的高标准护理。