Onyango-Ouma W, Thiongo F W, Odero T M, Ouma J H
KEDAHR Project, Division of Vector-Borne Diseases, Ministry of Health, Kisumu, Kenya.
Health Policy Plan. 2001 Sep;16 Suppl 1:33-9. doi: 10.1093/heapol/16.suppl_1.33.
This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.
本文报告了一项关于“变革卫生工作者”（HWFC）系列研讨会对客户对卫生服务的看法、卫生中心内部关系以及卫生机构与地区卫生系统之间关系影响的详细研究结果。该研究分三个阶段进行：基线、干预和为期20个月的评估。定性和定量数据在三个层面收集：客户、机构和系统。结果表明，干预后卫生工作者与客户之间的关系有了很大改善，而机构与系统之间的关系在很大程度上保持不变。本文得出结论，在外部支持和帮助下，尤其是来自卫生系统层面的支持和帮助，卫生工作者可以努力改善卫生服务及其工作满意度，这可以带来更好的卫生工作者与客户关系。
