受益人参与对项目绩效的影响:卢旺达 Gicumbi 地区艾滋病同伴教育项目案例

Jean Berchmans Tugirimana, Jean De Dieu Dushimimana
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引用次数: 0

摘要

艾滋病毒/艾滋病的流行仍然是全球健康面临的重大挑战,尤其是在撒哈拉以南非洲地区,那里的流行率位居世界前列。本研究调查了受益人参与对卢旺达艾滋病毒感染者网络(RRP+)2017 年至 2020 年在 Gicumbi 区实施的艾滋病毒同伴教育项目绩效的影响。研究人员考察了三个具体领域:项目规划、实施和监测。研究人员回顾了利益相关者理论和参与理论以及参与理论。本研究采用了描述性研究设计,包括定性和定量方法。本研究的总研究人群为 3938 人,包括接受关怀者(RoC)和直接参与卢旺达 Gicumbi 区卢旺达艾滋病毒感染者网络(RRP+)2017-2020 年实施的艾滋病毒同伴教育项目的利益相关者。本研究采用了混合抽样法来选择参与者。这种方法结合了概率和非概率抽样方法。因此,使用Yamane公式计算出的样本量为387名关爱对象(RoC)和利益相关者。数据分析采用了描述性和推论性统计方法。研究结果表明,受益人对战略规划和年度计划的参与度很高,在 1-4 级评分中的平均分分别为 3.78 和 3.50。对工作分解结构(WBS)的熟悉程度为中等(平均 3.22)。统计分析证实,对项目绩效产生了重大的积极影响(p < 0.05)。受益人对医疗保健和社会心理支持表示满意(平均得分为 0.99),对支持性监督表示中度满意(平均得分为 1.62)。能力建设(平均分 1.02)有改进的余地,但对项目绩效仍有显著的积极影响(p < 0.05)。参与监督的程度有限(平均分 1.04),但对反馈会议的满意度较高(平均分 4.15)。反馈的可接受性(平均分 3.42)表明可接受性适中,也对项目绩效产生了积极影响(p < 0.05)。正的非标准化系数 (B) 为 0.398,表明医疗保健和社会心理支持的增加与项目绩效的提高有关。0.026 的正非标准化系数(B)表明,支持性监督与项目绩效有相对积极的关系。0.293 的正非标准化系数(B)凸显了在项目实施过程中对受益人进行培训的重要性。研究建议通过开展定期磋商、研讨会和反馈会议,促进受益人更多地参与项目规划。审查并完善支持性监督方法,以解决受益人满意度参差不齐的问题。定期召开富有成效的反馈会议,收集受益人的意见和关切。加强反馈意见的收集和分析工作,确保有效地将反馈意见纳入项目活动。建立强化的监测和评估系统,以持续评估项目绩效,并适应受益方不断变化的要求。此外,制定可持续发展模式,确保项目的有利和积极影响在项目全面完成后得到保 护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Beneficiary Participation on Project Performance: A Case of an HIV Peer Education Project in Gicumbi District, Rwanda
The HIV/AIDS pandemic remains a significant global health challenge, particularly in Sub-Saharan Africa, where the prevalence rates are among the highest in the world. This study investigated the impact of beneficiary participation on the performance of an HIV peer education program implemented by the Rwanda Network of People Living with HIV (RRP+) in Gicumbi District from 2017 to 2020. Researchers examined three specific areas: project planning, implementation, and monitoring. Stakeholder and Engagement Theory alongside Participation Theory were reviewed. The study adopted a descriptive research design with qualitative and quantitative approaches. The total study population for this research was be 3,938 that included Recipients of Care (RoC) and stakeholders directly involved in the HIV peer education project implemented by the Rwanda Network of People Living with HIV (RRP+) in Gicumbi District, Rwanda, from 2017 to 2020. A mixed sampling approach was employed to select participants for this research. This approach involves a combination of probability and non-probability sampling methods. Therefore, the sample size calculated using the Yamane formula was 387 Recipients of Care (RoC) and stakeholders. Both descriptive and inferential statistics were used to analyse the data. Findings indicated significant beneficiary involvement in strategic planning and annual plans, with mean scores of 3.78 and 3.50, respectively, on a 1-4 scale. Moderate familiarity with the Work Breakdown Structure (WBS) (average 3.22) was observed. Statistical analysis confirmed a significant positive impact on Project Performance (p < 0.05). Beneficiaries reported satisfactory healthcare and psychosocial support (mean score 0.99) and moderate satisfaction with supportive supervision (mean score 1.62). Capacity-building (average 1.02) showed room for improvement, yet still had a significant positive influence on Project Performance (p < 0.05). Limited involvement in monitoring (mean score 1.04) was observed, with high satisfaction in feedback meetings (mean score 4.15). Feedback acceptability (average 3.42) indicated moderate acceptability, also positively impacting Project Performance (p < 0.05). The positive unstandardized coefficient (B) of 0.398 indicate that increased healthcare and psychosocial support are associated with higher project performance. The positive unstandardized coefficient (B) of 0.026 suggest that supportive supervision has a relatively positive relationship with project performance. The positive unstandardized coefficient (B) of 0.293 highlight the importance of training beneficiaries during project implementation. The study recommended foster greater beneficiary involvement in project planning by conducting regular consultations, workshops, and feedback sessions. Review and refine the supportive supervision approach to address the varying levels of satisfaction among beneficiaries. Maintain regular and productive feedback meetings to capture beneficiary input and concerns. Enhance feedback collection and analysis processes to ensure feedback is incorporated into project activities effectively. Form a strengthened system of monitoring and evaluation in order to consistently evaluate performance of project as well as adapt to evolving requirements of the beneficiary. Additionally, formulate models of sustainability to ascertain that  favorable and positive impacts of the project are preserved after its overall completion.
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