Suppr超能文献

肯尼亚西部中层管理人员的培训需求与免疫接种覆盖率

Training needs for mid-level managers and immunisation coverage in Western Kenya.

作者信息

Ayaya S O, Liechty E, Conway J H, Kamau T, Esamai F O

机构信息

Department of Child Health and Paediatrics, Faculty of Health Sciences, Moi University, Eldoret, Kenya.

出版信息

East Afr Med J. 2007 Jul;84(7):342-52. doi: 10.4314/eamj.v84i7.9590.

Abstract

OBJECTIVES

To determine the current status of immunisation coverage in Western Kenya before intervention, to identify strengths and weaknesses of the existing programme in order to design educational interventions that could improve the services provided and find out the training needs of the mid-level managers of Kenya Expanded Programme of Immunisation.

DESIGN

Cross-sectional descriptive study.

SETTING

All thirty nine districts in Rift Valley, Western and Nyanza provinces.

SUBJECTS

Mid-level managers of Kenya Expanded Programme on Immunisation in the 39 districts and the provinces. These included Provincial Logisticians, Provincial Medical Officers of Health, District Medical Officers of Health, District Public Health Nurses, District Records and Health Information Officers, District Disease Surveillance Officers, and District Public Health Officers.

MAIN OUTCOME MEASURES

Number of staff trained on EPI, coverage rates and perceived training needs of the mid-level managers.

RESULTS

A total of eighty eight mid-level managers participated in the interviews. Most of these were District Public Health Nurses (40.9%) and District Health Information and Records Officers (23.9%). Only 49 (25%) of the District Health Management Team members had undergone training at the supervisory level. Eighteen districts (43.6%) had no member of the District Health Management Team that had ever been trained at the supervisory level. Using rates of Pentavalent 1 and measles coverage, Nyanza Province had the highest immunisation dropout rate (Pentavalent 1--measles) whereas Rift Valley Province had the lowest. The annual cumulative coverage for all the provinces by antigen was 80% for Pentavalent 1 and 2 and 60% for measles. The most requested need for inclusion in the training curriculum was maintenance of the cold chain equipment.

CONCLUSIONS

Most of the members in the study area have not been trained on Expanded Programme on Immunisation and may be ill-equipped to manage the complicated programmes needed to maximise delivery of services. The immunisation coverage in this area is low while the dropout rates are high. We therefore recommend that all the mid-level managers of Expanded Programme on Immunisation in this area be trained comprehensively through the Merck Vaccine Network--Africa programme using the World Health Organisation approved mid-level managers course.

摘要

目标

确定干预前肯尼亚西部的免疫接种覆盖率现状,找出现有项目的优势与不足,以便设计能改善所提供服务的教育干预措施,并了解肯尼亚扩大免疫规划中级管理人员的培训需求。

设计

横断面描述性研究。

地点

东非大裂谷、西部和尼扬扎省的所有39个地区。

研究对象

这39个地区及省份的肯尼亚扩大免疫规划中级管理人员。其中包括省级后勤人员、省级卫生医疗官、地区卫生医疗官、地区公共卫生护士、地区记录与卫生信息官员、地区疾病监测官员以及地区公共卫生官员。

主要观察指标

接受扩大免疫规划培训的工作人员数量、覆盖率以及中级管理人员认为的培训需求。

结果

共有88名中级管理人员参与了访谈。其中大部分是地区公共卫生护士(40.9%)和地区卫生信息与记录官员(23.9%)。地区卫生管理团队成员中只有49人(25%)接受过监督级别的培训。18个地区(43.6%)没有地区卫生管理团队成员接受过监督级别的培训。根据五价疫苗1和麻疹疫苗的覆盖率,尼扬扎省的免疫接种退出率最高(五价疫苗1——麻疹),而东非大裂谷省最低。所有省份按抗原计算的年度累计覆盖率,五价疫苗1和2为80%,麻疹为60%。培训课程中最需要纳入的内容是冷链设备的维护。

结论

研究区域内的大多数成员未接受过扩大免疫规划方面的培训,可能没有能力管理为最大限度提供服务所需的复杂项目。该地区的免疫接种覆盖率较低,而退出率较高。因此,我们建议通过默克疫苗网络——非洲项目,利用世界卫生组织批准的中级管理人员课程,对该地区所有扩大免疫规划的中级管理人员进行全面培训。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验