管理从外部援助过渡:跨国学习如何维持有效覆盖率
Zubin Cyrus Shroff, Susan P Sparkes1,2, Ligia Paina3
1World Health Organization, Department of Health Financing and Economics, World Health Organization, Avenue Appia 20, Geneva 1211, Switzerland.
Health policy and planning
|January 22, 2024
概括
在捐助者资助结束后,维持卫生服务需要将倡议纳入国内系统. 有利的经济和政治环境,透明的过渡和强有力的治理是继续医疗覆盖的关键.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 国际发展国际发展
背景情况:
- 低收入和中等收入国家往往依赖外部援助来为卫生融资.
- 在外部资金停止的情况下,捐助者过渡对持续的医疗服务覆盖面构成挑战.
- 了解能够持续提供服务的因素,以获得捐赠后的支持,对于卫生政策至关重要.
研究的目的:
- 分析医疗融资中捐助者转型的过程和结果.
- 确定与以前由捐助者支持的卫生干预措施的持续覆盖率相关的因素.
- 提供有关外部援助结构的证据,以确保医疗服务的长期可持续性.
主要方法:
- 在四个国家 (中国,格鲁吉亚,斯里兰卡和乌干达) 的捐赠者转型的比较分析.
- 在政策参与者,流程,倡议内容和政治经济背景中确定了16个因素.
- 在国家卫生系统内对整合战略的定性评估.
主要成果:
- 有利的经济和政治环境有助于在国内优先考虑卫生干预措施.
- 清晰和透明的过渡过程与更顺的过渡有关.
- 有效地将捐助者支持的倡议纳入治理,融资和服务提供是可持续发展的关键.
- 确定的具体因素包括长期结构改革,联合融资政策,工资规模调整和社区参与.
结论:
- 捐赠者过渡需要战略规划,以确保持续的医疗服务覆盖.
- 将捐助者资助的倡议整合到国内卫生系统中,对于长期成功至关重要.
- 捐助者和国家政策制定者都必须合作,以优化外部援助,以持续加强卫生系统.
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