埃塞俄比亚 Welkait 地区卫生服务延伸项目的社区初步意见。
Initial community perspectives on the Health Service Extension Programme in Welkait, Ethiopia.
机构信息
Centre for Global Health, Trinity College Dublin, Dublin 2, Republic of Ireland.
出版信息
Hum Resour Health. 2007 Aug 24;5:21. doi: 10.1186/1478-4491-5-21.
BACKGROUND
The Health Service Extension Programme (HSEP) is an innovative approach to addressing the shortfall in health human resources in Ethiopia. It has developed a new cadre of Health Extension Workers (HEWs), who are charged with providing the health and hygiene promotion and some treatment services, which together constitute the bedrock of Ethiopia's community health system.
METHODS
This study seeks to explore the experience of the HSEP from the perspective of the community who received the service. A random sample of 60 female heads-of-household in a remote area of Tigray participated in a structured interview survey.
RESULTS
Although Health Extension Workers (HEWs) had visited them less frequently than planned, participants generally found the programme to be helpful. Despite this, their basic health knowledge was still quite poor regarding the major communicable diseases and their vectors. Participants felt the new HESP represented an improvement on previous health provision. HEWs were preferred over Traditional Birth Attendants for assistance with labour
CONCLUSION
While the introduction of HEWs has been a positive experience for women living at the study site, the frequency of visits, extent of effectively imparted health knowledge and affects of HEWs on other health providers needs to be further explored.
背景
卫生服务拓展项目（HSEP）是埃塞俄比亚解决卫生人力资源短缺问题的一种创新方法。它培养了一批新的卫生推广员（HEWs），负责提供健康和卫生促进以及一些治疗服务，这些服务共同构成了埃塞俄比亚社区卫生系统的基石。
方法
本研究旨在从接受服务的社区角度探讨 HSEP 的经验。在提格雷的一个偏远地区，随机抽取了 60 名女性户主参加了一项结构化访谈调查。
结果
尽管卫生推广员（HEWs）的访问频率低于计划，但参与者普遍认为该计划有所帮助。尽管如此，他们对主要传染病及其传播媒介的基本健康知识仍然很差。参与者认为新的 HESP 代表了对以前卫生服务的改进。在分娩时，产妇更喜欢 HEWs 而不是传统的助产士。
结论
虽然 HEWs 的引入对研究地点的妇女来说是一次积极的体验，但需要进一步探讨访问频率、有效传授健康知识的程度以及 HEWs 对其他卫生提供者的影响。
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