Spreading the Integrated District Evidence-to-Action Program for Neonatal Mortality Reduction (IDEAs) in Mozambique

NICHD补充计划：促进健康相关领域多样性的行政补充 研究项目：NICHD补充项目 母项目：推广降低新生儿死亡率的综合地区从证据到行动方案 （IDEA）in Mozambique（5R01HD092449-03） 项目总结/摘要 根据2016年全球疾病负担医疗服务可及性和质量分析， 各国之间和各国内部在获得保健服务和保健质量方面仍然存在不平等。柳叶刀全球健康杂志 可持续发展目标（SDG）时代高质量卫生系统委员会发现， 低质量的卫生系统每年导致低收入和中等收入国家800多万人死亡 （LMICs），造成6万亿美元的经济福利损失。更好地了解地点， 服务质量可以弥补差距。本研究补充的总体目标是促进多样性， 与健康有关的研究通过引入地理空间分析方法为科学界做出贡献 通过展示地理信息整合的可行性， 系统（GIS）方法，以加强审计和反馈战略的评价。具体而言，本研究将 为评估综合区以地区为基础的传播和实施战略提供信息 降低新生儿死亡率的证据-行动方案， 评估方案的覆盖面和有效性。这项研究的结果将有助于确定可修改的 孕妇和产后妇女及其子女寻求保健的障碍。访问定义在 客户从居住地到提供优质产前护理的初级卫生保健机构的旅行时间 以及由熟练护理人员提供的机构服务。我们的团队将采用双向系统评估 同时考虑供应（服务提供者）和需求（客户）两个方面的方法。

NICHD Supplemental Program: Administrative Supplements to Promote Diversity in Health-Related Research Program: NICHD Supplemental Program Parent Project: Spreading the Integrated District Evidence-to-Action Program for Neonatal Mortality Reduction (IDEAs) in Mozambique (5R01HD092449-03) Project Summary/Abstract According to the Global Burden of Disease 2016 Healthcare Access and Quality analysis, large geographical inequalities in healthcare access and quality persist across and within countries. The Lancet Global Health Commission on High Quality Health Systems in the Sustainable Development Goals (SDG) Era found that Poor-quality health systems result in more than 8 million deaths per year in Low and Middle-Income Countries (LMICs), resulting in economic welfare losses of $6 trillion US dollars. Improved understanding of locations and quality of services can address gaps. The overall goal of this Research Supplement to Promote Diversity in Health-Related research is to contribute to the scientific community by introducing geospatial analysis methods in implementation science research by demonstrating the feasibility of integrating Geographic Information System (GIS) methods to enhance evaluation of audit and feedback strategies. Specifically, this study will inform the evaluation of district-based dissemination and implementation strategy for the Integrated District Evidence-to-Action Program for Neonatal Mortality Reduction (IDEAs) by providing a spatial lens in the evaluation of the program’s reach and effectiveness. The results from this research will help identify modifiable barriers to health care seeking of pregnant and postpartum women, and their children. Access is defined in terms of client’s travel time from place of residence to a primary health care with quality Antenatal Care (ANC) and institutional delivery by skilled attendance. Our team will apply a bi-directional systems evaluation approach that considers both the supply (service provider) and demand (clients) perspectives.