Stover Kim Ethier, Shrestha Ram, Tsambe Isac, Mathe Percina Paulo
1 University Research Co, LLC (URC), USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, Chevy Chase, MD, USA.
2 Licilo Health Center, Gaza Province, Ministry of Health, Gaza Province, Mozambique.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219855623. doi: 10.1177/2325958219855623.
A Community Health System Strengthening model, which mobilizes communities by applying quality improvement, was used in 39 communities around 3 health centers in Gaza Province, Mozambique, to increase identification of pregnant women and support them to attend antenatal care (ANC). This article describes the process and results. Community group representatives formed a community improvement team to spread messages about the importance of ANC, identify pregnant women, link them to the facility, and follow up. Between March 2014 and February 2015, teams identified 2020 pregnant women. Antenatal care attendance increased at all 3 centers. One health center did an additional chart review and found that postintervention, women were enrolling in care earlier in pregnancy. There were no changes in HIV testing or treatment initiation for HIV-positive women. Community-led improvement initiatives play an important role in connecting pregnant women with services to receive testing and treatment to promote optimal health and prevent HIV transmission.
一种通过应用质量改进来动员社区的社区卫生系统强化模式，在莫桑比克加沙省3个健康中心周边的39个社区中得到应用，以增加对孕妇的识别，并支持她们接受产前护理（ANC）。本文描述了该过程及结果。社区小组代表组建了一个社区改进团队，以传播有关产前护理重要性的信息、识别孕妇、将她们与医疗机构联系起来并进行随访。在2014年3月至2015年2月期间，各团队识别出2020名孕妇。所有3个中心的产前护理就诊率均有所提高。其中一个健康中心进行了额外的图表审查，发现干预后，女性在孕期更早地开始接受护理。艾滋病毒检测或艾滋病毒阳性女性的治疗启动情况没有变化。社区主导的改进举措在将孕妇与接受检测和治疗的服务联系起来以促进最佳健康状况和预防艾滋病毒传播方面发挥着重要作用。
