摘要
目的对绵竹市、安义县、新安县三市县的控烟工作网络建设进行过程评估,分析网络建设活动中取得的成绩和存在的问题。方法通过文件阅读和知情人访谈了解网络的建设和运转情况,包括使用网络成员的组成、网络成员的发展途径、网络的联系模式描述网络的运作情况,控烟活动的开展情况,评价三市县控烟工作的效果。结果三市县均以各地区项目组人员为中心形成了控烟工作网络框架,在全市(县)和各干预示范区开展了控烟政策的制定、执行和健康教育活动,但均未按计划完成设计的干预活动。与以下因素有关:(1)大部分网络成员均是被动加入的,在控烟工作中缺乏主动参与性,绵竹和新安还存在着挂名成员;(2)对决策层及各政府部门的领导开发不足;(3)联系松散,尚未在各网络成员间建立定期联系和协作机制。结论三市县的控烟工作网络尚处于建设的初级阶段,需要继续开发领导,巩固和发展成员,形成正式的、制度化的、主动参与的控烟工作网络,从而促使其可持续性发展,在烟草控制活动中发挥重要作用。
Objective To analyze the achievements and problems of developing Tobacco Control （TC） network using the process evaluation method in three counties. Methods Approaches including documents review and interviews were applied to investigate the development and practice of the TC network, which would invlove the composition of the network, the approaches to be a network member, and the communication model of the whole network. Meanwhile,the effects of the network were assessed by the implementation of TC programmes in three counties. Results TC network frameworks have been built and the core groups consists of the project staff members in all communities. The TC policy was proposed and enacted, and the health education campaign was implemented in every county and intervention experimental unit, but some intervention activities were not completed according to the schedule, Reasons were various, from the perspective of the TC network, the following would be the major factors： （ 1 ）The majority of the network members were recruited and not motivated to participate the activities. In addition, some of the members were nominal only; （ 2） Advocating decision-makers and the leaders of government agencies were not enough; （ 3）The mutual connections of members were few in each network, and there was no systematic mechanism for organizing members to communicate and cooperate regularly, Conclusion Each of TC networks was at the early stage of network development process in three counties. Therefore, the project staff members should strengthen to advocate government leaders for their supports, recruit and motivate new members in order to develop a formal, systematic and active TC network. When properly tended, the netword would sustain members and work effectively in tobacco control.
出处
《中国公共卫生管理》
2008年第3期302-305,共4页
Chinese Journal of Public Health Management
基金
美国国立卫生研究院Fogarty项目(R01-HL-73699)
关键词
控烟
网络
过程评价
Tobacco control
Network
Process evaluation
