长期危机环境中的卫生系统治理评估:叙利亚西北部
Maher Alaref1,2, Orwa Al-Abdulla3, Zedoun Al Zoubi4
1Research for Health System Strengthening in Northern Syria (R4HSSS), Union for Medical and Relief Organizations, Incili Pinar MAH, 27090, Gaziantep, Turkey. maher75@msn.com.
Health research policy and systems
|August 30, 2023
概括
西北叙利亚的健康治理.
科学领域:
- 公共卫生 公共卫生
- 卫生治理 卫生治理
- 人道主义危机 人道主义危机
背景情况:
- 在叙利亚西北部政府撤军后,为治理和服务提供设立了"中央机构".
- 这些机构现有的治理结构和行政程序可能不成熟或不系统.
- 在长期的人道主义环境中,需要对战略规划和资源利用采取有条不的方法.
研究的目的:
- 评估叙利亚西北部现有卫生治理结构 (中央机构) 的能力.
- 在没有合法政府的情况下,评估治理职能的表现.
- 确定中央机构在多大程度上履行基本的治理角色.
主要方法:
- 根据文献审查和专家讨论,采用了经过调整的治理评估框架.
- 评估了四个关键原则:合法性,问责制和透明度,有效性和效率以及战略愿景.
- 使用了焦点小组讨论和定性/定量数据分析 (NVivo 12,SPSS 22).
主要成果:
- 评估的治理原则得分在"非常差或不活跃"和"公平且需要改进"之间.
- 叙利亚西北部中央机构的治理方法是不发达的,需要系统的发展.
- 确定的主要挑战包括内部机制不佳,规划和协调不足以及缺乏战略愿景.
结论:
- 在长期危机中,人道主义行动者和捐助者必须优先考虑健康治理方法和工具.
- 中央机构需要加强利益相关者协调和战略规划能力.
- 独立的规划委员会对于改善叙利亚西北部的情境治理机制至关重要.
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