Fonn S, Mtonga A S, Nkoloma H C, Bantebya Kyomuhendo G, daSilva L, Kazilimani E, Davis S, Dia R
Women Health Project, Department of Community Health, University of the Witwatersrand, Johannesburg, South Africa.
Health Policy Plan. 2001 Sep;16 Suppl 1:19-23. doi: 10.1093/heapol/16.suppl_1.19.
A multi-centre study in four African countries was undertaken to test the acceptability and effectiveness of Health Workers for Change, a methodology to explore provider-client relations within a gender-sensitive context. This intervention addresses the interpersonal component of quality of care. The methodology, consisting of six workshops, was implemented by research teams in Zambia, Senegal, Mozambique and Uganda. It was found to be acceptable within in a range of cultural and primary health care settings. The workshops allowed difficult issues such as prejudice and bribery to be discussed openly, fostered problem solving and the development of practical plans to address problems that could strengthen district health systems.
在四个非洲国家开展了一项多中心研究，以测试“变革卫生工作者”的可接受性和有效性。“变革卫生工作者”是一种在性别敏感背景下探索医患关系的方法。该干预措施解决了护理质量中的人际因素。该方法由六个工作坊组成，由赞比亚、塞内加尔、莫桑比克和乌干达的研究团队实施。研究发现，在一系列文化和初级卫生保健环境中，该方法是可接受的。这些工作坊允许公开讨论偏见和贿赂等棘手问题，促进了解决问题以及制定切实可行的计划，以解决可能加强地区卫生系统的问题。
