NDLI: Analysis of a theory of change to evaluate the Health Care-Associated Infection Prevention Program (HAI) in Colombia

Content Provider	Springer Nature : BioMed Central
Author	Núñez, Lina Patricia Camacho Martinez, Gino Montenegro Gallo, Erika Giraldo
Abstract	Background Healthcare-associated infections affect the safety of patients, health personnel, and families and generate expenses for health systems. The Theory of Change allows us to evaluate the strengths and weaknesses of a program, hoping to achieve change and improve its design. The objective was to analyze the change theory underpinning the actions proposed by the Program for the Prevention of Healthcare-Associated Infections (HAI) in Colombia. Methods The research used a case study. The case is the implementation of this program in the Colombian context. A documentary review of the Patient Safety Policy and the prevention, surveillance, and control of HAI events from 2006 to 2020 was conducted. Subsequently, semi-structured interviews were conducted with the actors who designed the patient safety policy and the HAI program. Of these, two had the role of national political and administrative authorities; one participated in the design of the guidelines for the implementation of the patient safety policy, and the other in the design of the IAAS program. Likewise, two academics and researchers, one who contributed to the design of the patient safety policy and the other who played a fundamental role in the development of the IAAS program, each of them contributing significantly to the advancement of their respective areas. Qualitative content analysis was used to analyze the data. Data processing, coding, grouping into categories, and network construction were performed in the Atlas Ti 23 program and represented as a theory of change diagram. Results The results show that the desired impacts of the program are to reduce the incidence of HAI, improve the quality of life of patients, and their families, and improve the country's General Social Security Health System. Among the long-term results identified are the strengthening of the prevention and control of HAI, adjusting regulations, strengthening surveillance, implementing actions for the prevention and control of HAI, and improving the knowledge and skills of health personnel to contain these events. Five preconditions and 14 strategies were identified. Finally, four assumptions were identified that potentially influence the achievement of the program's results. Conclusions The analyzed theory integrates the elements of a theory of change, explaining how this type of intervention works to generate changes and prevent these infections associated with health care, which is the expected impact. However, strategies and indicators were identified that were not incorporated, and that are needed to assess the impact of these interventions. The study allows us to advance in the development of the design and evaluation of HAI programs, supporting them in a theory of change as a guide to detect failures during their implementation for their improvement.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-024-12072-y.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-024-12072-y
Journal	BMC Health Services Research
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-03-27
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Infections Theory Model Prevention and control Public Health Surveillance Theory of change
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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