在捐助者转型的背景下影响持续覆盖的因素:斯里兰卡的经验
Prasadini N Perera1,2, Sarasi N Amarasinghe1, Sachini H Fonseka1
1Institute for Health Policy (IHP), 72, Park Street, Colombo 02, Sri Lanka.
Health policy and planning
|January 23, 2024
概括
斯里兰卡 斯里兰卡 斯里兰卡
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:
- 外部援助显著改善了斯里兰卡的卫生系统和结果.
- 该研究侧重于扩大免疫计划 (EPI) 和抗疟疾运动 (AMC) 捐赠后资助的过渡经验.
- 评估捐助者资助的干预措施的可持续性,并确定过渡促进者和障碍.
研究的目的:
- 评估扩大免疫计划 (EPI) 和抗疟疾运动 (AMC) 捐赠后资金的可持续性.
- 识别促进者和障碍物,以成功过渡的卫生计划.
- 分析外部援助对斯里兰卡卫生系统改善的影响.
主要方法:
- 混合方法方法结合了定量 (覆盖率指标,融资) 和定性 (文件审查,采访) 数据.
- 以沃尔特和吉尔森政策三角框架为指导的定性分析.
- 评估计划覆盖范围和过渡后的财务可持续性.
主要成果:
- 在Gavi资金后,EPI维持了疫苗覆盖率,国内融资弥合了差距.
- 美国航空公司的过渡取得了混合的成功;运营部件 (监督) 过渡良好,但研究和培训落后.
- 促进EPI过渡的因素包括共同融资,整合,采购和管理管辖.
结论:
- 国内融资和强有力的项目管理是维持捐助者资助的健康倡议的关键.
- 虽然EPI成功过渡,但AMC在非运营部件和长期财务可持续性方面面临挑战.
- 斯里兰卡的经验凸显了战略规划对于可持续的健康计划过渡的重要性.
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