Implementation research protocol on the national community health policy in Guinea: A sequential mixed-methods study using a decision space approach.

Autor: Delamou A; African Centre for Excellence (CEA-PCMT), University Gamal Abdel Nasser of Conakry, Conakry, Guinea.; Maferinyah Training and Research Center in Rural Health, Forécariah, Guinea., Grovogui FM; African Centre for Excellence (CEA-PCMT), University Gamal Abdel Nasser of Conakry, Conakry, Guinea.; Maferinyah Training and Research Center in Rural Health, Forécariah, Guinea., Miller L; Results for Development Institute, Washington, D.C., United States of America., Nye A; Results for Development Institute, Washington, D.C., United States of America., Kourouma M; National Directorate of Community Health and Traditional Medicine, Ministry of Health and Public Hygiene, Conakry, Guinea., Kolié D; African Centre for Excellence (CEA-PCMT), University Gamal Abdel Nasser of Conakry, Conakry, Guinea.; Maferinyah Training and Research Center in Rural Health, Forécariah, Guinea., Goumou T; National Directorate of Community Health and Traditional Medicine, Ministry of Health and Public Hygiene, Conakry, Guinea., Bossert TJ; Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Jan 20; Vol. 18 (1), pp. e0280651. Date of Electronic Publication: 2023 Jan 20 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0280651
Abstrakt: The overall goal of this study is to explore the rollout of the community health policy in Guinea in the context of decentralization, and the role of decision space (the decision authority, capacities, and accountability of local officials) in explaining gaps between the policy's conceptualization and actual implementation. The implementation research study will employ a sequential explanatory mixed-methods design. The study will be conducted in 27 communes purposefully selected across the country and include communes where the national community health policy is fully, partially, and not yet being implemented. The quantitative component, based on a survey questionnaire and secondary data, will use ordinary least squares (OLS) multiple regression to compare maternal and child health (MCH) coverage indicators according to the level of policy implementation in the commune. An interrupted time series analysis will be conducted to assess changes in routine MCH service delivery indicators associated with implementation of the community health policy, comparing indicators from one year prior to implementation. OLS regression will be conducted to assess the association between decision space and MCH indicators; all analyses will be carried out in Stata. Findings from the quantitative study will be used to inform the key qualitative questions and areas to explore in greater depth, to develop the interview and focus group guides, and to generate an initial codebook. Qualitative data will be double coded in NVivo by two qualitative analysts, and results generated using thematic analysis. Findings from the quantitative and qualitative components will be integrated and triangulated for interpretation and reporting. Findings and recommendations of this study will inform revisions to the National Community Health Policy to improve its rollout and effectiveness.
Competing Interests: The authors have declared that no competing or conflict interests exist.
(Copyright: © 2023 Delamou et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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