通过利益关方的协调,修订卫生服务的基本包,索马里
Mohamed A Jama1, Reza Majdzadeh2, Teri Reynolds3
1Ministry of Health and Human Services, Federal Government of Somalia, Corso Somalia Street, P.O. Box 22, Shangani, Mogadishu, Somalia.
Bulletin of the World Health Organization
|November 14, 2023
概括
索马里通过利益相关方的合作,修订了其基本卫生服务包. 这种包容性方法优先考虑了具有成本效益和高影响力的服务,以改善所有公民平等获得医疗保健的机会.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 公共卫生政策 公共卫生政策
背景情况:
- 索马里卫生部门面临着分散,财务约束和监管缺陷,阻碍了公平的基本卫生服务提供.
- 多个利益相关者,包括联邦卫生部,众多的发展合作伙伴,和一个重要的私营部门,在索马里的健康环境中运作.
- 据估计,公共支出占索马里卫生支出总额的17%.
研究的目的:
- 修订卫生服务的基本套餐,以确保利益相关方的支持,并与可用的财务和技术资源保持一致.
- 促进卫生部门各方利益相关者之间的协作和共识.
主要方法:
- 联邦卫生部在2020年启动了修订过程,邀请关键利益相关者参与.
- 分发了一份概念说明,概述了修订的范围,目的,时间表和预期的贡献.
- 利益相关者根据技术专长和对索马里卫生部门的了解提名了代表.
主要成果:
- 经过长达18个月的修订过程,卫生部与发展伙伴之间达成了协议.
- 确定了对具有高影响力的,具有成本效益的服务的优先考虑,并制定了逐步实现全套计划的战略.
- 实施战略包括卫生系统的能力和运营现实,特别是在安全问题严重的地区.
结论:
- 包容性,协作和透明度对于成功修订基本卫生服务套餐至关重要.
- 建立共识和重点调整代表着朝着实现索马里人民平等和全面医疗保健的重大进展.
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