从目标到收获:成果管理制为埃及农村地区的非传染性疾病护理带来革命性变化

Sonia Utterman, Muhammad Ragaa Hussein, Mona ElKady, Walaa Awad, Amanda Marrison
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摘要

本文探讨了成果管理制(RBM)在埃及农村地区一项旨在防治非传染性疾病(NCDs)的卫生计划中的应用。研究重点是 2019 年至 2022 年在五个省实施的一项为期三年的计划,目标是防治糖尿病、高血压和心血管疾病。我们采用混合方法,从成果管理制原则的角度分析了该计划的设计、实施和成果。我们的研究结果表明,采用成果管理制提高了目标的清晰度,加强了监测和评估流程,并增强了利益相关者之间的责任感。该计划使与非传染性疾病相关的死亡率降低了 15%,早期发现率提高了 22%。本案例研究为公共卫生领域,尤其是资源有限环境下的成果管理制文献的不断增加做出了贡献。最后,我们为政策制定者和项目管理人员提供了建议,帮助他们在类似环境中有效地将成果管理制纳入针对非传染性疾病的卫生计划:成果管理制 非传染性疾病 农村卫生 埃及 计划评估
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From Goals to Gains: Results Based Management Revolutionizes NCD Care in Rural Egypt
This paper examines the application of Results Based Management (RBM) in a health program aimed at combating noncommunicable diseases (NCDs) in rural Egypt. The study focuses on a three-year initiative implemented from 2019 to 2022 across five governorates, targeting diabetes, hypertension, and cardiovascular diseases. Using a mixed-methods approach, we analyze the program's design, implementation, and outcomes through the lens of RBM principles. Our findings indicate that the adoption of RBM led to improved goal clarity, enhanced monitoring and evaluation processes, and increased accountability among stakeholders. The program achieved a 15% reduction in NCD-related mortality and a 22% increase in early detection rates. However, challenges were encountered in data collection and local capacity building. This case study contributes to the growing body of literature on RBM in public health contexts, particularly in resource-limited settings. We conclude by offering recommendations for policymakers and program managers on effectively integrating RBM into health initiatives targeting NCDs in similar environments. Keywords: Results Based Management, Noncommunicable diseases, Rural health, Egypt, Program evaluation
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