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评估一项旨在增强加利福尼亚州地方母婴及青少年健康项目核心公共卫生职能数据能力的计划。

Evaluating a program to build data capacity for core public health functions in local maternal child and adolescent health programs in california.

作者信息

Oliva Geraldine, Rienks Jennifer, Chavez Gilberto F

机构信息

Family Health Outcomes Project, University of California San Francisco, 3333 California Street, Suite 365, San Francisco, CA, 94118, USA.

出版信息

Matern Child Health J. 2007 Jan;11(1):1-10. doi: 10.1007/s10995-006-0139-2. Epub 2006 Sep 28.

Abstract

OBJECTIVES

To improve local Maternal and Child Health programs' capacity to collect and analyze data to support core public health functions, the California Maternal and Child Health Branch (CAMCHB) and the University of California San Francisco Family Health Outcomes project (FHOP) entered into a cooperative agreement. FHOP utilizes a 6-pronged strategy: face-to-face training, telephone technical assistance, on-site consultation, development of automated analytic tools, development of written guidelines, and web dissemination of data and materials. We evaluated the acceptability and effectiveness of these approaches.

METHODS

Local Health Jurisdiction (LHJ) staff completed a self-administered questionnaire on use of and satisfaction with FHOP's services. A 34-item assessment tool was used to independently evaluate each 5-year community assessment plan submitted by LHJs to the CAMCHB. Administrative data on the use of FHOP's service was also considered. Correlational analyses were done to determine if use of FHOP services and materials was related to more adequate plans.

RESULTS

LHJs with higher overall adequacy scores on their plans had an overall higher level of use of FHOP's products and services. LHJs with higher adequacy scores reported calling FHOP for technical assistance more frequently, using FHOP's book - "Developing an Effective Planning Process: A Guide for Local MCH Programs," and using FHOP's automated tools including EpiBC, an EpiINFO based program for birth certificate analysis, and Microsoft Excel data analysis templates.

CONCLUSION

This 6-pronged strategy is well utilized and accepted by local MCH staff and appears to have some degree of association with better quality of local MCH plan documents.

摘要

目标

为提高地方妇幼保健项目收集和分析数据以支持核心公共卫生职能的能力,加利福尼亚州妇幼保健处(CAMCHB)与加州大学旧金山分校家庭健康结果项目(FHOP)达成了一项合作协议。FHOP采用六管齐下的策略:面对面培训、电话技术援助、现场咨询、开发自动化分析工具、编写指南以及在网络上传播数据和资料。我们评估了这些方法的可接受性和有效性。

方法

地方卫生管辖区(LHJ)的工作人员完成了一份关于FHOP服务使用情况和满意度的自填式问卷。使用一个包含34个项目的评估工具,对LHJ提交给CAMCHB的每一份5年社区评估计划进行独立评估。还考虑了关于FHOP服务使用情况的行政数据。进行相关性分析以确定FHOP服务和资料的使用是否与更完善的计划相关。

结果

计划总体充足性得分较高的LHJ对FHOP产品和服务的总体使用水平也较高。充足性得分较高的LHJ报告称更频繁地致电FHOP寻求技术援助,使用FHOP的书籍《制定有效的规划流程:地方妇幼保健项目指南》,以及使用FHOP的自动化工具,包括EpiBC(一个基于EpiINFO的出生证明分析程序)和Microsoft Excel数据分析模板。

结论

这种六管齐下的策略得到了地方妇幼保健工作人员的充分利用和认可,并且似乎与地方妇幼保健计划文件质量的提高存在一定程度的关联。

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