Lokossou Virgil, Sombié Issiaka, Somé Donmozoun Télesphore, Dossou Cyriaque Affoukou, Awignan Narcisse
Sante Publique. 2019 January-February;Vol. 31(1):165-175. doi: 10.3917/spub.191.0165.
Community Health Workers (CHWs) were promoted in Benin to improve maternal and child health care (MCH). To improve community health workers' performance, a Quality Improvement Team (QIT) was set up to reinforce CHW capacities. The objective of this work is to present an assessment of QIT's contribution to CHW's performance and MCH coverage in the municipality of Savè.
The design of the study includes a pre- and post- analysis. Data were extracted from CHWs' activity reports and routine health information systems from 2011 to 2014 in 22 health facilities. Individual in-depth interviews were also performed with some key informants. The performance of CHW and the MCH indicators were determined according to the National Community Health Policy.
The QIT improved Community Health Workers' performance and maternal and child health indicators in Savè. Educational sessions, skilled delivery care coverage, percentage of newborn seen over twice a week, percentage of children treated according national standards, percentage of children fully immunized, percentage of women using family planning methods were increased.
The establishment of QIT improved CHW's performance and the use of maternal and child health services in Savè. This strategy could be useful for community-based surveillance.
贝宁推广社区卫生工作者（CHW）以改善母婴保健（MCH）。为提高社区卫生工作者的绩效，成立了质量改进团队（QIT）以增强社区卫生工作者的能力。这项工作的目的是评估QIT对萨韦市社区卫生工作者绩效和母婴保健覆盖率的贡献。
该研究设计包括前后分析。数据从2011年至2014年22个卫生设施的社区卫生工作者活动报告和常规卫生信息系统中提取。还对一些关键信息提供者进行了个人深入访谈。根据国家社区卫生政策确定社区卫生工作者的绩效和母婴保健指标。
QIT提高了萨韦市社区卫生工作者的绩效以及母婴健康指标。教育课程、熟练分娩护理覆盖率、每周看诊两次以上的新生儿百分比、按照国家标准治疗的儿童百分比、完全免疫儿童百分比、使用计划生育方法的妇女百分比均有所增加。
QIT的设立提高了萨韦市社区卫生工作者的绩效以及母婴保健服务的利用率。该策略可能对基于社区的监测有用。
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