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印度 Mandla 区消除疟疾示范项目中社区对其获得的医疗服务质量的看法的定性研究。

A qualitative study on community perceptions on quality of healthcare services they received in the Malaria Elimination Demonstration Project in district Mandla, India.

机构信息

Malaria Elimination Demonstration Project, Mandla, Madhya Pradesh, India.

Asia Pacific Leaders Malaria Alliance (APLMA), Singapore, Singapore.

出版信息

Malar J. 2022 Dec 3;21(1):368. doi: 10.1186/s12936-022-04400-6.

Abstract

BACKGROUND

The utilization and impact of the healthcare services depend on the perceived quality, appropriateness, ease of availability, and cost of the services. This study aimed to understand the community's perception of the quality of healthcare services delivered as part of the Malaria Elimination Demonstration Project (MEDP), Mandla, Madhya Pradesh, India.

METHODS

The study used qualitative techniques to analyze the community perceptions that emerged from the participants' narratives during the Focus Group Discussions (FGDs) and in-depth Interviews with Key Informants (IKIs) on the promptness and quality of healthcare service delivery, the behaviour of MEDP staff, Information, Education and Communication, and Behavioural Change Communication activities, coordination with community members and other health personnel, and capacity building of healthcare workers and the community.

RESULTS

36 FGDs and 63 IKIs with 419 respondents were conducted in nine blocks of district Mandla. Overall, 97% to 100% of beneficiaries associated MEDP with regularity and prompt service delivery, availability of diagnostics and drugs, friendly behaviour, good coordination, and community mobilization to enhance treatment-seeking behaviour.

CONCLUSIONS

The study's findings highlighted the importance of building and maintaining the community's participation and promoting the demand for optimal utilization of healthcare services inside the village to promptly achieve the malaria elimination goal.

摘要

背景

医疗服务的利用和影响取决于服务的质量感知、适宜性、易于获得性和成本。本研究旨在了解印度中央邦曼德拉县(Mandla)作为消除疟疾示范项目(MEDP)一部分所提供的医疗服务的社区感知。

方法

该研究采用定性技术,对来自焦点小组讨论(FGD)和关键知情人(IKI)深入访谈的参与者叙述中出现的社区感知进行分析,内容涉及医疗服务提供的及时性和质量、MEDP 工作人员的行为、信息、教育和沟通、行为改变传播活动、与社区成员和其他卫生人员的协调以及卫生工作者和社区的能力建设。

结果

在 Mandla 区的九个街区进行了 36 次 FGD 和 63 次 IKI,共有 419 名受访者。总体而言,97%至 100%的受益者将 MEDP 与定期和及时的服务提供、诊断和药物的可及性、友好的行为、良好的协调以及社区动员联系起来,以增强寻求治疗的行为。

结论

研究结果强调了建立和维持社区参与以及促进对村内最佳医疗服务利用的需求的重要性,以便及时实现消除疟疾的目标。

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