Evaluation of the Advancements in Implementing the Primary Healthcare System Strengthening Project (PSSP) at RDHS Nuwara Eliya, Sri Lanka

Wathsala Dilini Kumari Wijesinghe, Wijewardane Abeywickrama Nishshanka
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Abstract

Introduction: PSSP was designed by Sri Lankan health experts, professionals, and citizens with a new vision to strengthen the primary healthcare system in the country and to prepare the nation to meet future health challenges. Objective of this study: Evaluation of the Advancements in Implementing the Primary Healthcare System Strengthening Project (PSSP) at RDHS Nuwara Eliya, Sri Lanka Methodology: Key informant interviews with RDHS Nuwaraeliya, MO (Planning), MO NCD and PMCI MOs and a review of secondary data were used to gather information for this study. According to this prioritizing methodology and using nominal group technique with the support of t h e technical staff of the RDHS office, the Lack of participation of the public in the PMCI / HLC for NCD screening was identified and taken as the main problem. Conclusion: When evaluating the advancement of PSSP at PMCIs in the RDHS area in Nuwara Eliya it was identified that the baseline target of 2.48% of 35 years and more population screened in 2021, 7.4% was achieved in 2022. Recommendations : Improve the underutilization of PMCI / HLCs were improving t h e health literacy of people who are eligible for empanelment in PMCI in RDHS – Nuwaraeliya, improving the awareness of people about the services rendered by the PMCIs and conducting capacity building programs to health care workers to enhance communications skills.
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对斯里兰卡努瓦拉埃利耶地区医疗卫生服务机构实施初级医疗保健系统强化项目(PSSP)进展情况的评估
导言:PSSP 由斯里兰卡卫生专家、专业人员和公民共同设计,旨在以全新的视角加强该国的初级卫生保健系统,并为国家应对未来的卫生挑战做好准备。本研究的目的:评估斯里兰卡努瓦拉埃利耶地区医疗卫生服务机构实施初级医疗保健系统强化项目(PSSP)的进展情况 方法:对努瓦拉埃利耶地区医疗卫生服务机构的关键信息提供者进行访谈:对努瓦拉埃利耶区域医疗卫生协调系统、卫生部(规划)、非传染性疾病部和 PMCI 部的关键信息提供者进行访谈,并查阅二手资料,为本研究收集信息。根据这一优先排序方法,并在区域人口与健康调查办公室技术人员的支持下,使用名义小组技术,确定了公众缺乏参与非传染性疾病筛查的 PMCI / HLC,并将其作为主要问题。结论:在评估努瓦拉埃利亚区域人口与健康调查地区 PMCI 的 PSSP 进展情况时,发现 2021 年 35 岁及以上人口中 2.48% 接受筛查的基线目标和 2022 年 7.4% 接受筛查的基线目标已经实现。建议 :改善PMCI/HLC利用率不足的问题,提高努瓦拉埃利亚地区人口与健康调查中符合PMCI授权条件的人群的健康知识水平,提高人们对PMCI所提供服务的认识,并为医护人员开展能力建设项目,以增强沟通技能。
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