メキシコからマリ:健康政策とシステム研究における進展
Sara Bennett1, Taghreed Adam, Christina Zarowsky
1Alliance for Health Policy and Systems Research, WHO, Geneva, Switzerland.
Lancet (London, England)
|November 6, 2008
まとめ
保健政策・システム研究 (HPSR) の資金調達は,主に国際的ソースから増加しました. しかし,資金の分散と国家能力の欠如は,特に低所得国では,HPSRの開発を妨げています.
科学分野:
- グローバル・ヘルス・ポリシー
- 医療システム研究 医療システム研究
- 研究能力開発研究能力開発
背景:
- 2004年のメキシコの閣僚サミットでは,健康政策とシステム研究 (HPSR) の資金不足と無視が強調されました.
- このサミットでは,資金調達を増やし,国家機関能力を高め,研究への投資をターゲットにすることを要求した.
研究 の 目的:
- 2004年のメキシコサミット以降のHPSRの進化を評価する.
- HPSRの資金調達と能力の進展と持続的な課題を特定する,特に低所得および中所得国.
主な方法:
- 会議の議論と公表された報告書の分析.
- 低・中所得国の研究資金提供者および組織からの利用可能なデータのレビュー.
主要な成果:
- 国際的および二国間機関によって推進されたHPSRの資金調達は増加し,医療システムへのより大きな関心を反映しています.
- 能力開発は,小規模な助成金と資金提供者の調整不良によって妨げられ,高所得国と低所得国間の大きな格差につながっています.
- 国内能力の欠如は,HPSRの進歩の主要な制約である.
結論:
- メキシコサミットからの勧告は,引き続き関連性があります.
- 進歩を加速するには,持続的な勢いが必要であり,マリの閣僚フォーラムのようなイニシアチブが例を示しています.
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