在莱特省选定城市提供保健服务:改善保健服务提供的投入

Miguel E. Mangada
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摘要

采用描述性研究设计,本研究调查了生殖健康(RH)和结核病(TB)控制相关服务提供的性质和实施程度。数据收集使用现有的数据文件,调查清单问卷和访谈时间表。这些问卷先进行试点测试,然后在实际受访者中实施。调查结果表明,所有农村保健单位都有足够数量的需要人员,具备适当的教育资格、资格和培训。现有的设施和材料是功能性的,也是最常用的。大多数卫生服务提供单位没有专门分配用于结核病控制和生殖健康规划的资金。信息传播方式为一对一讲解和体检期间讲座。在区域健康单位中存在与一个或两个非政府组织的联系,但非政府组织与两家医院设施之间没有这种联系。就人员数量和专家可用性而言,初级保健单位和医院的保健服务提供情况是充分的。注意到设施不足和新闻材料缺乏。在部分执行法律规定的同时,还实施了与结核病控制和生殖健康方案有关的保健服务。地方政府单位之间没有任何联系。这两个规划在提供卫生服务方面的差距和重叠是显而易见的。关键词:卫生服务提供,结核病控制,生殖健康,地方政府单位,非政府组织
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health service delivery in selected municipalities in Leyte: Inputs for improved health service delivery
Utilizing  descriptive research design, this study investigated the nature and implementation extent of service delivery related to reproductive health (RH) and tuberculosis (TB) control. Data were gathered using existing data files, survey checklist questionnaires and interview schedule. The questionnaires were pilot-tested then implemented on actual respondents. Findings showed there was adequate number of needed personnel in all rural health units (RHUs) with the appropriate educational qualification, eligibility and training. Facilities and materials available were functional and most often used. Most health service delivery units have no specific allocation earmarked for TB control and RH programs. Information dissemination techniques were one-on-one session and lecture during check-up. Linkage with either one or two NGOs among the RHUs existed, but, none of such linkage existed between NGO and the two hospital facilities. The health service delivery profile in RHUs and hospitals is adequate in terms of personnel number and experts’ availability. Inadequacy of facilities and scarcity of information materials were noted. Legal mandates were partly enforced together with implementation of health service delivery related to TB control and reproductive health programs. There was no extent of linkages of local government units. Gaps and overlaps in health service delivery for the two programs were evident. Key words: Health service delivery, tuberculosis control, reproductive health, local government units, non-government organizations.
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