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Framework of behavioral indicators evaluating TB health promotion outcomes: a modified Delphi study of TB policymakers and health workers

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Infectious Diseases of Poverty 2015年第1期4卷 447-459页

作者： Ying Li John Ehiri Daiyu Hu Eyal Oren Jia Cao Department of Social Medicine and Health Service Management Third Military Medical UniversityNo.30 Gaotanyan RoadShapingba districtChongqingChina Department of Health Promotion Sciences Mel and Enid Zuckerman College of Public HealthUniversity of ArizonaTucsonUSA Chongqing Institute of TB Prevention and Treatment Jiulongpo districtChongqingChina Department of Epidemiology&Biostatistics Mel and Enid Zuckerman College of Public HealthUniversity of ArizonaTucsonUSA Institute of Toxicology Third Military Medical UniversityNo.30 Gaotanyan RoadShapingba districtChongqingChina

Background:Although TB health promotion directed at policy makers and healthcare workers(HCWs)is considered important to tuberculosis(TB)control,no indicators currently assess the impact of such promotional *** article is the second in a series of papers that seek to establish a framework of behavioral indicators for outcome evaluation of TB health promotion,using the Delphi *** the first article,we sought to establish a framework of behavioral indicators for outcome evaluation of TB health promotion among TB suspects and *** objective of this second article is to present an indicator framework that can be used to assess behavioral outcomes of TB health promotion directed at policy makers and ***:A two-round,modified Delphi method was used to establish the *** experts who were knowledgeable and experienced in the field of TB control were consulted in Delphi surveys.A questionnaire was developed following 4 steps,and involved ranking indicators on a five-point Likert *** consensus level was 70%.Median,mode,and Coefficient of variation(CV)were used to describe expert *** authority coefficient(Cr)was used to assess the degree of each expert’s ***:Consensus was achieved following the two survey rounds and several iterations among the *** TB health-promotion activities directed at policymakers,the experts reached consensus on 2 domains(“Resource inputs”and“Policymaking and monitoring behaviors”),4 subdomains(“Human resources”among others),and 13 indicators(“Human resources per 100,000 person”among others).For TB health-promotion activities directed at HCWs,the experts reached consensus on 5 domains(“Self-protective behaviors”among others),6 sub-domains(“Preventing infection”among others),and 15 indicators(“Average hours of daily workplace disinfection by ultraviolet radiation”among others).Conclusions:This study identified a conceptual framework of core behavioral indicators to evalua

关键词： Health promotion Evaluation policymakers TB healthcare workers TB HCWs Indicator Delphi method

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Health Care Policy and Reform—Case Study on Liberia Tuberculosis among Childbearing Age Women

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Health 2021年第9期13卷 975-994页

作者： David M. Seward School of Public Administration Huazhong University of Science and Technology Wuhan China

Objective: Liberia health care needs to focus on addressing this disease called Tuberculosis among childbearing age women in Liberia and the world;focusing on women’s health governance of Liberia should involve these three sets of actors to control a disease outbreak. The first set of state actors, including politicians, policymakers, and other government officials, need to provide health care education in every part. The public sector health bureaucracy comprising the health ministry, health, social insurance agencies, public pharmaceutical procurement and distribution entities, etc., is central. Still, non-health public sector actors also play a role. Methods: The researcher used the questionnaire method as the main instrument for the study. Results: This survey indicates that 48% of those responding to health education can reduce TB among childbearing age women showed that education could minimize the spread of TB. 25% can improve economic status. 27% said it could reduce the illiteracy rate. The instruments used were positively related to the topic to obtain the needed findings. This set comprises public, private, should not be-for-profit individuals and groups that deliver health services and organizations that support service provision: medical training institutions, health insurance agencies, the pharmaceutical industry. Health service delivery can be presenting from the health system perspective, with inputs, processes, outputs, and outcomes. WHO’re Systems Thinking for Health Systems Strengthening explaining that service delivery includes “effective, safe and quality personal and non-personal health interventions that are providing to those in need, when and where needed (including infrastructure), with minimal waste of resources”. Conclusion: Inputs for a sound health system, the need for health care delivery include financial resources, competent health care staff, adequate physical facil

关键词： Tuberculosis Childbearing Age Women Health Care Diseases Politicians policymakers Effective Safe Quality

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