作者
Washington Onyango-Ouma, Rose Laisser, Musiba Mbilima, Margaret Araoye, Patricia Pittman, Irene Agyepong, Mairo Zakari, Sharon Fonn, Marcel Tanner, Carol Vlassoff
发表日期
2001/6/1
期刊
Health policy and planning
卷号
16
期号
suppl_1
页码范围
24-32
出版商
Oxford University Press
简介
This paper presents the findings of a multi-centre study assessing the impact of Health Workers for Change (HWFC) workshops in seven different primary care sites, based on the common core protocol described in this paper. The paper discusses a common methodology used by the studies, consisting of a triangulation of qualitative and quantitative methods. Such methodologies are inherently complex as they require comparisons across systems, sites and procedures. The studies were conducted in six sites in Africa and one site in Argentina. Generally, the intervention resulted either in positive change or in no change, except in the area of staff relationships where conflicts were more frequent after the intervention than before. This may reflect a willingness to confront problems or contentious issues. Implementing the HWFC workshops improved provider–client relations, facility level functioning and aspects of …
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W Onyango-Ouma, R Laisser, M Mbilima, M Araoye… - Health policy and planning, 2001