马拉维卫生部门有效利用政府资源的知识、态度和实践的基线、横断面调查。

Baseline, Cross-sectional Survey of Knowledge, Attitudes, and Practices Related to Efficient Use of Government Resources in the Health Sector in Malawi.

机构信息

USAID/Health Communication for Life Project, implemented by FHI 360, Lilongwe, Malawi.

FHI 360 Global Health, Population and Nutrition Group, Durham, North Carolina, USA.

出版信息

Malawi Med J. 2020 Sep;32(3):146-152. doi: 10.4314/mmj.v32i3.7.

DOI:10.4314/mmj.v32i3.7

PMID:33488986

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7812153/

Abstract

BACKGROUND

Misuse of government resources is a challenge within the health sector that can be addressed by increasing public demand for accountability, reporting suspected misuse of resources, and other client-driven changes. This study was led by the USAID/Health Communication for Life Project to inform the design of social accountability communication messages and interventions. The study also established baseline data on Malawians' knowledge, attitudes, and practices related to efficient use of government resources in the health sector.

METHODS

This baseline, formative research study used a non-experimental, cross sectional survey design. Sampling for the mobile survey was conducted using the random digit dialing technique. Data were collected via mobile phone using interactive voice response technology. Our sample included 1,425 respondents, 67% of whom were male and 33% were female. Respondents were mostly 35 years old or younger, with more than half of female respondents reporting their age as 18-24 years.

RESULTS

Our findings indicate that Malawians believe misuse of government resources is pervasive in Malawi. Seventy percent of men and nearly 60% of women reported having noticed, found, or seen drugs believed to be from a government health facility being sold elsewhere. Few respondents who had observed or experienced misuse of government health sector resources reported the incident. When asked the likelihood that they would report a request for a bribe, gift, or favor in exchange for health services in the future, 68% of respondents said they would report it.

CONCLUSIONS

Social and behavior change communication could serve a key role in motivating those who are aware of misuse of public sector health resources to report the issues they observe and providing them with the information needed to follow through. Further research is needed to understand the best approaches to mitigate underlying factors that drive misuse of resources and underreporting.

摘要

背景

政府资源滥用是卫生部门面临的一个挑战，可以通过提高公众对问责制的需求、举报疑似资源滥用以及其他以客户为驱动的变革来解决。本研究由美援署/生命健康传播项目领导，旨在为社会问责制传播信息和干预措施的设计提供信息。该研究还建立了马拉维人在卫生部门有效利用政府资源方面的知识、态度和实践的基线数据。

方法

本基线、形成性研究使用非实验、横断面调查设计。移动调查的抽样采用随机数字拨号技术进行。使用交互式语音应答技术通过手机收集数据。我们的样本包括 1425 名受访者，其中 67%为男性，33%为女性。受访者大多为 35 岁或以下，超过一半的女性受访者报告其年龄为 18-24 岁。

结果

我们的研究结果表明，马拉维人认为政府资源滥用在马拉维普遍存在。70%的男性和近 60%的女性报告说，他们注意到、发现或看到过据称来自政府卫生机构的药物在其他地方出售。很少有报告过观察到或经历过政府卫生部门资源滥用的受访者报告了这一事件。当被问及他们未来是否有可能举报为换取卫生服务而索取贿赂、礼物或恩惠的请求时，68%的受访者表示会举报。