利用流动卫生加强尼泊尔有效提供卫生信息的沟通技能:对女性社区卫生志愿者观点的定性研究

R. Tuitui, Anju Bhatt, Shobhana Pradhan, Genevieve Hutchinson, S. Gowland, S. Saha, B. Rajbhandari
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引用次数: 0

摘要

女性社区卫生志愿者在将社区成员——特别是边缘化和弱势妇女——与尼泊尔的卫生设施联系起来方面发挥着重要作用。FCHVs越来越多地使用手机,并支持提高FCHVs提供的医疗服务质量,取得了积极成果。在卫生和人口部(MoHP)、卫生服务部(DoHS)的领导下,以及英国国际发展部(DFID)通过尼泊尔卫生部门支持计划3(NHSSP 3)的投资下,BBC媒体行动设计并测试了一种创新的基于手机的解决方案,该解决方案可以最好地支持FCHVs作为当地社区的健康推动者的工作。本研究旨在研究自引入基于移动的干预措施(mobile Chautari)以来,FCHVs受益人互动和沟通的变化。在尼泊尔的三个地区进行了一项定性研究:Tehrathum、Darchula和Rautahat,采用了深入访谈、与FCHVs、孕妇和有5岁以下孩子的母亲、婆婆和卫生机构工作人员的焦点小组讨论。此外,还对健康母亲小组(HMG)会议进行了观察。数据分析采用专题分析法。mHealth干预措施为FCHVs所接受,Mobile Chautari的使用有助于FCHVs认识到通信辅助工具的价值,并促进HMG会议中的有效讨论。FCHVs在谈论健康问题时更加自信,并与不同的受益人进行更有效的沟通。FCHVs认为Mobile Chautari提高了他们在社区中的地位,这也有助于增强FCHVs和社区之间的信任。Mobile Chautari有可能加强FCHVs的沟通技能,并弥合FCHVs与其受益人之间的差距。移动Chautari似乎是一种很有前途的沟通健康相关信息和与不同客户沟通的方式。在短期内,该研究已经能够展示Mobile Chautari的潜力,以及它如何支持积极的行为改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using mobile health to strengthen the communication skills for effective delivery of health information in Nepal: A qualitative study of the perspectives of Female Community Health Volunteers
Female Community Health Volunteers (FCHVs) play an important role in linking community members-particularly marginalised and vulnerable women and health facilities in Nepal. There has been increased use of mobile phones amongst FCHVs and their support to improve the quality of health services FCHVs provide, with positive results. Under the leadership of Ministry of Health and Population (MoHP), Department of Health Services (DoHS), and investment by the UK Department for International Development (DFID) via Nepal Health Sector Support Programme 3 (NHSSP 3), BBC Media Action designed and tested an innovative mobile phone-based solution that can best support FCHVs in their work as health promoters in local communities. This study aimed to examine the changes in the FCHVs-beneficiary interaction and communication since the introduction of a mobile-based intervention (Mobile Chautari). A qualitative study was conducted in three districts of Nepal: Tehrathum, Darchula and Rautahat using in-depth interviews, focus group discussions with FCHVs, pregnant women and mothers with children less than 5 years old, mothers-in-law, and health facility staff. In addition, observation of Health Mothers Group (HMG) meeting was also conducted. Data analysis was conducted using thematic analysis. The mHealth intervention was acceptable to the FCHVs and the use of Mobile Chautari helped FCHVs recognise the value of communication aids and facilitate effective discussions in HMG meeting. FCHVs felt more confident when talking about health issues and communicated more effectively with diverse beneficiaries. FCHVs felt that Mobile Chautari improved their status in the communities, which also helped enhance trust between FCHVs and communities. Mobile Chautari has the potential to strengthen the communication skills of FCHVs and bridge the gap between the FCHVs and their beneficiaries. Mobile Chautari appears to be a promising way to communicate health related information and communicate with diverse clients. In the short period the study has been able to show the potential of Mobile Chautari and how it could support positive behaviour change.
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