健康促进对初级卫生保健服务的影响:初级卫生保健政策分析

Olunike Blessing Olofinbiyi
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引用次数: 0

摘要

促进健康是在社区预防精神疾病和其他疾病的最佳途径。然而,腐败和挪用资金的高发率阻碍了尼日利亚初级卫生保健系统健康促进的有效性。更重要的是,健康促进是减轻疾病和预防疾病的最佳途径。然而,几乎所有的卫生保健工作者都意识到促进健康的好处,但如何实施是一个问题。目的:通过对初级卫生保健政策的分析,考察健康促进对初级卫生保健服务的影响。方法:本研究以语用范式为指导。实用主义范式对本研究至关重要,因为它强调行动与真理之间的联系。它也是本研究的理想选择,因为它提倡与民族志研究方法相一致的混合方法,以提供对研究问题的最佳理解。此外,本研究采用了语用范式,这种范式鼓励本研究将两种研究方法(定性和定量)结合起来,以获得高质量的研究成果。本研究采用非实验、探索性描述设计来分析尼日利亚初级卫生保健服务提供方面的国家卫生政策的定量方面。而民族志方法则很好地分析了研究的定性方面。结果:在300名受访者中,大多数人认为领导不善是导致健康促进效果不佳的主要原因。而大多数与会者认为我们缺乏好的领导者。因此,这项研究更强调政府为何不致力提高初级保健的健康促进效果,研究结果显示,领导不善是导致初级保健的健康促进效果不佳的主要因素,当受访者被问及如何确保在社区进行更有效的健康促进时,大部份(34.7%)受访者认为社区成员应在每个阶段积极参与,而33.3%的受访者则认为需要其他重要界别积极参与制订和推行基层医疗服务政策,以确保永久改变。结论:考虑到所有因素,本研究表明,初级卫生保健中的不良健康促进正在对儿童、青少年、成人和老年人的健康产生负面影响。这项研究建议政策制定者和政府应该在所有部门根除腐败和挪用资金,特别是在初级卫生保健领域
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of health promotion on primary health care services: an analysis of primary health care policy
Health promotion is the best way to prevent mental illness and other illnesses in the community. However, the high rate of corruption and embezzlement of funds has impeded the effectiveness of health promotion in Primary health care system in Nigeria. More so, health promotion is the best way to alleviate diseases and prevent diseases. However, nearly all the health care workers are aware of the benefits of health promotion but to implement it is the problem. The aim: to examine the effect of health promotion on primary health care service through the analysis of Primary Health Care policy. Method: this study was guided by a pragmatic paradigm. The pragmatist paradigm is highly essential to this study because it emphasizes the link between action and truth. It is also ideal for this study as it advocates for mixed methods that are in line with ethnographic research approach to provide the best understanding of a research problem. Furthermore, pragmatic paradigm was adopted for this study and this paradigm encourages the study to combine two research methods (qualitative and quantitative) to achieve quality research findings. In this study a non-experimental, exploratory-descriptive design was used to analyse the quantitative aspect of the national health policies on primary health care service delivery in Nigeria. While ethnographic method analysed the qualitative aspect of the study perfectly. Result: out of three hundred respondents, majority of them revealed that bad leadership is the main reason why health promotion is not effective. While majority of the participants opined that we lack good leaders. The study hereby emphasized more on why the Government is not working on the effectiveness of health promotion in PHC and the findings showed that bad leadership is the main factor that is causing the ineffectiveness of health promotion in PHC and when the respondents were questioned on what to do to ensure a more effective health promotion in the community, majority (34.7 %) of the respondents opined that the community members should be involved actively at every stage while (33.3 %) of the respondents revealed that there is need for active involvement of other essential sectors in formulation and implementation of PHC policy to ensure a permanent change. Conclusion: all things considering, this study shows that poor health promotion in Primary health care is having negative effect on the health of children, adolescents, adults, and old ones. This study here by recommends that the policy makers and the government should eradicate corruption and embezzlement of funds in all sectors especially in primary health care
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