新兴技术在资源匮乏地区降低五岁以下儿童死亡率方面的作用:津巴布韦马孔德区公共卫生工作者面临的挑战和感知到的机遇。

IF 1.3 4区 医学 Q3 NURSING Journal of Child Health Care Pub Date : 2023-07-18 DOI:10.1177/13674935231189790
John Batani, Manoj Sewak Maharaj
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引用次数: 0

摘要

五岁以下儿童死亡率仍然是一项全球性挑战,撒哈拉以南非洲受到的打击最为严重。2019年冠状病毒病(COVID-19)使医疗保健系统紧张,有可能逆转目前在500万人口健康结果方面取得的进展。它威胁到实现联合国可持续发展目标3的进展,因为它对卫生保健系统造成压力,资源重新分配以及全球卫生当局对其的优先考虑。资源匮乏的环境在打击U5M和向五岁以下儿童提供高质量医疗保健方面面临着独特的挑战,如人员配备不足、药品短缺、资金不足、技能差距和缺乏专门的医疗保健设备,导致U5M的高比率。本研究探讨了在资源匮乏的津巴布韦,公共卫生设施在减少U5M方面面临的挑战,以及公共卫生工作者对新兴技术在应对这些挑战方面的作用的看法。20名公共卫生工作者参加了访谈和焦点小组。他们认为新兴技术(ETs)是应对挑战的灵丹妙药,支持数据驱动的医疗保健,通过自动提醒药物和诊所就诊改善后续结果,协助诊断、持续监测、健康教育、药物供应监测、关键物资交付和技能发展。在本文中,新兴技术是指在津巴布韦公共卫生领域尚未充分发挥其潜力的任何信息和通信技术。调查结果表明,马孔德的公共卫生工作者欢迎外来教育改善五岁以下儿童的健康和福祉。
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Emerging technologies' role in reducing under-five mortality in a low-resource setting: Challenges and perceived opportunities by public health workers in Makonde District, Zimbabwe.

Under-five mortality (U5M) remains a global challenge, with Sub-Saharan Africa being the hardest hit. The coronavirus disease 2019 (COVID-19) has strained healthcare systems, threatening to reverse current gains in U5M health outcomes. It threatened progress made towards achieving United Nations Sustainable Development Goal 3 due to its strain on healthcare systems, resource reassignment and its prioritisation by health authorities globally. Low-resource settings inherently face unique challenges in fighting U5M and providing quality healthcare to under-fives, like understaffing, drug shortages, underfunding, skills gaps and lack of specialised healthcare equipment, contributing to high U5M rates. This study explored public health facilities' challenges in reducing U5M in a low-resource setting in Zimbabwe and public health workers' perceptions of emerging technologies' role in addressing those challenges. Twenty public health workers participated in interviews and a focus group. They perceived emerging technologies (ETs) as a panacea to the challenges by supporting data-driven healthcare, improving follow-up outcomes through automated reminders of medication and clinic visits, aiding diagnosis, continuous monitoring, health education, drug supply monitoring, critical supplies delivery and skills development. In this paper, emerging technology is any information and communication technology that has not been utilised to its full potential in Zimbabwe's public health domain. Findings indicate that public health workers in Makonde would welcome ETs to improve under-five health and well-being.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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