| LDR | | 02658nmm uu200421 4500 |
| 001 | | 000000332442 |
| 005 | | 20240805170810 |
| 008 | | 181129s2018 |||||||||||||||||c||eng d |
| 020 | |
▼a 9780438034228 |
| 035 | |
▼a (MiAaPQ)AAI10786388 |
| 035 | |
▼a (MiAaPQ)unc:17587 |
| 040 | |
▼a MiAaPQ
▼c MiAaPQ
▼d 248032 |
| 082 | 0 |
▼a 614 |
| 100 | 1 |
▼a Simpson, Evan. |
| 245 | 10 |
▼a Assessing the Organizational Readiness of the Zambia Ministry of Health to Adopt a New Immunization Supply Chain Distribution System. |
| 260 | |
▼a [S.l.] :
▼b The University of North Carolina at Chapel Hill.,
▼c 2018 |
| 260 | 1 |
▼a Ann Arbor :
▼b ProQuest Dissertations & Theses,
▼c 2018 |
| 300 | |
▼a 122 p. |
| 500 | |
▼a Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B. |
| 500 | |
▼a Adviser: John E. Paul. |
| 502 | 1 |
▼a Thesis (Dr.P.H.)--The University of North Carolina at Chapel Hill, 2018. |
| 520 | |
▼a In 1974 the World Health Organization launched the Expanded Program on Immunization (EPI) with the goal of vaccinating all children. To implement the EPI, a standardized in-country immunization supply chain (iSC) design was developed and impleme |
| 520 | |
▼a Implementation science proposes that organizational readiness for change (ORC)---such as that being proposed to the iSC---is a critical antecedent to the successful adoption of evidence-based programs and the uptake of new systems and innovation |
| 520 | |
▼a Scaccia and colleagues (2015) provide a useful approach to measuring ORC. Their formula consists of determining the relative strengths and weaknesses of three ORC components: (1) motivation for carrying out a program or innovation, (2) general o |
| 520 | |
▼a Using a modified version of Scaccia's theoretical framework for ORC, an assessment was made of the readiness of key EPI staff at district and provincial levels in Zambia to adopt a new iSC distribution system. Using focus groups (n=17) and key i |
| 520 | |
▼a A plan for change is proposed to build greater ORC among EPI staff in Zambia by implementing a demonstration project that builds general capacity and innovation-specific capacity through three objectives: (1) consistent and regular training of f |
| 590 | |
▼a School code: 0153. |
| 650 | 4 |
▼a Public health. |
| 690 | |
▼a 0573 |
| 710 | 20 |
▼a The University of North Carolina at Chapel Hill.
▼b Health Policy and Management. |
| 773 | 0 |
▼t Dissertation Abstracts International
▼g 79-10B(E). |
| 773 | |
▼t Dissertation Abstract International |
| 790 | |
▼a 0153 |
| 791 | |
▼a Dr.P.H. |
| 792 | |
▼a 2018 |
| 793 | |
▼a English |
| 856 | 40 |
▼u http://www.riss.kr/pdu/ddodLink.do?id=T14997350
▼n KERIS |
| 980 | |
▼a 201812
▼f 2019 |
| 990 | |
▼a 관리자 |