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

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 孕产妇死亡案例的发生。为了改善产妇结局，医疗机构必须具备临床能力 处理产科紧急情况。这种能力始于拥有必要的药物和设备来 识别、治疗和修改护理。目前，埃塞俄比亚阿姆哈拉没有监测准备情况的系统 并实时部署补给。这项研究的目的是调查内部的障碍和瓶颈 Amhara的产科急救供应链和生产仪表板原型和设计规范 将跟踪紧急用品的移动并监测产科紧急情况准备情况的文件。这个 这项研究与国家护理研究所确定要移除的干预措施的优先领域一致 阻碍健康公平和促进人口健康。这项研究将为以下方面提供电子仪表盘 在埃塞俄比亚阿姆哈拉监测设施管理产科紧急情况的准备情况，这将有助于确保 区域设施能够提供适当的产科护理。这最终将改善结果并 降低该区域的孕产妇死亡率。将使用社会技术框架来指导这一工作 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。信号功能示踪项目与临床级联的初步定量分析 评估了该区域目前管理产科紧急情况的临床能力。要将这些设置为上下文 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 与与当前产科供应链互动的当地卫生设施工作人员一起，提供保健服务。这个 初步研究和目标1的结果将为创建可视化电子仪表盘提供信息 供应链状态。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 仪表板可用性。使用卫生信息技术可用性量表和 具有人机交互专家的启发式评估将确保 仪表盘。这项研究最终将创建一个原型仪表板和设计规范 可以并入阿姆哈拉目前的综合制药物流系统的文件，以 改进战备监控。这项研究将得到一个不同的指导团队的支持，并将受益 来自哥伦比亚大学护理学院的大量资源，并通过埃默里-埃塞俄比亚 合作伙伴关系，它有十多年在阿姆哈拉进行研究和工作的经验。这 已建立的关系将帮助申请者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 能力，但它也将为该区域提供工具，以制定有针对性的干预措施，以改善和 对母亲保持高标准的关爱。

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.