通过学校平台,共同实现初级卫生保健和教育目标:为跨部门合作提供融资解决方案
Mackenzie Schiff1, Ayan Jha1, Dawne Walker1
1The Palladium Group, Washington, DC, United States.
Frontiers in public health
|December 13, 2023
概括
卫生和教育部之间有限的合作阻碍了低收入国家的学校健康计划. 提出了联合融资机制,以改善多部门方法,并确保促进健康学校的可持续性.
科学领域:
- 公共卫生 公共卫生
- 教育政策 教育政策
- 加强卫生系统 加强卫生系统
背景情况:
- 卫生和教育部之间的跨部门合作对于改善人口健康和教育成果至关重要,特别是在低收入和中等收入国家.
- 随着COVID-19的流行,人们越来越需要有弹性,国内资助的系统来提供基本服务,如初级医疗保健和教育.
- 部间合作有限,缺乏联合融资机制,阻碍了采用有效的多部门方法,例如健康促进学校 (HPS) 模式.
研究的目的:
- 强调加强卫生部和教育部之间的合作的重要性,以实现互利的成果.
- 确定部间合作的障碍,特别是缺乏联合融资机制.
- 提出实用解决方案,用于资助和维持多部门,以学校为基础的健康和教育倡议.
主要方法:
- 审查有关健康和教育改善之间的相关性证据.
- 分析学校平台在提供综合服务方面的作用.
- 审查来自低收入和中等收入国家的案例研究,以确定部间合作的挑战和机会.
- 开发融资机制的建议.
主要成果:
- 局限的部门间合作是通过学校平台实施综合健康和教育服务的重要障碍.
- 健康促进学校 (HPS) 模式为提供初级医疗保健和教育服务提供了可行的战略,但需要加强合作和可持续融资.
- 案例研究表明,需要扩大部间伙伴关系,以确保这些倡议的长期可持续性,超越外部资金.
结论:
- 建立有效的联合融资机制对于促进部间合作和实现像HPS这样的多部门方法至关重要.
- 提出了两种融资模式:一个成熟的部间联合融资机制和一个固定期合资机制.
- 可持续性需要卫生,教育和财政部的参与,一个共同的行政和财政框架,以及利益相关者的长期承诺.
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