Auto James, Nasi Titus, Ogaoga Divi, Kelly Julian, Duke Trevor
Honiara National Referral Hospital, Ministry of Health, Solomon Islands, and Centre for International Child Health, University of Melbourne Department of Paediatrics, Parkville, Victoria, Australia.
J Paediatr Child Health. 2006 Nov;42(11):680-7. doi: 10.1111/j.1440-1754.2006.00951.x.
The Solomon Islands health service, infrastructure and economy were severely affected by the civil conflict that occurred between 1998 and 2003. In 2002 plans to rebuild health services for children, especially those provided in provincial hospitals, were developed by paediatricians, in collaboration with the World Health Organization. We aimed to inform this process by an assessment of the strengths and weaknesses of the child health service, particularly in provincial hospitals.
A systematic assessment of the quality of hospital care for children in Solomon Islands was conducted in November 2003. The study used a WHO assessment tool, modified for use in the Asia-Pacific region.
The assessment highlighted several problems in clinical care, human resources, health financing, referral systems, and training, and has been used as a basis for several interventions for improving the quality of paediatric care.
This study and the initiatives that have followed it demonstrate the link between such assessments, child health policy and quality improvement activities. Such programs can be implemented even where resources are very limited. Sustaining initiatives based on this assessment will be important for the Solomon Islands if it is to achieve the Millennium Development Goals for child survival by 2015.
1998年至2003年期间发生的内战给所罗门群岛的卫生服务、基础设施和经济造成了严重影响。2002年，儿科医生与世界卫生组织合作，制定了重建儿童卫生服务的计划，特别是省级医院提供的服务。我们旨在通过评估儿童卫生服务的优势和劣势，尤其是省级医院的情况，为这一进程提供信息。
2003年11月对所罗门群岛儿童住院治疗质量进行了系统评估。该研究使用了为亚太地区修改的世界卫生组织评估工具。
评估突出了临床护理、人力资源、卫生筹资、转诊系统和培训方面的若干问题，并已作为改善儿科护理质量的若干干预措施的基础。
本研究及其后的举措表明了此类评估、儿童卫生政策和质量改进活动之间的联系。即使在资源非常有限的情况下，此类项目也可实施。如果所罗门群岛要在2015年实现儿童生存方面的千年发展目标，基于这一评估持续开展举措将很重要。
