探索全球卫生合作中的公平:对利比里亚的捐助者和接受者权力动态的定性研究
Brigid E Cakouros1, Johannah Gum2, Defne L Levine2
1Yale University, New Haven, Connecticut, USA brigid.cakouros@yale.edu.
BMJ global health
|March 14, 2024
概括
由于权力不平衡,全球卫生合作往往缺乏公平. 利比里亚的捐助者对财政的控制阻碍了公平的伙伴关系,使依赖和软弱的系统持续存在.
科学领域:
- 全球健康 全球健康
- 健康 公平 卫生 公平
- 国际发展国际发展
背景情况:
- 高资源和低资源环境之间的全球卫生合作面临着层次结构和权力差异的挑战.
- 现有的全球卫生合作中的公平框架尚未完全解决捐助者和接受者的生活经验.
- 利比里亚是一个冲突后和埃博拉后的国家,提供了一个独特的背景来研究这些协作动态.
研究的目的:
- 探索利比里亚全球卫生捐助者和接受者的实践经验.
- 了解这些经验如何促进或阻碍公平合作.
- 确定导致全球卫生伙伴关系权力差异的因素.
主要方法:
- 对关键线人采访的定性分析.
- 纳入不同的观点:利比里亚政府,学术界,外国捐助者,非政府组织和执行伙伴.
- 主题分析侧重于财务控制,问责制和决策过程.
主要成果:
- 确定优先权的权力集中在持有财务控制权的捐助者手中.
- 实施计划通常是为了满足捐助者的期望和指标而设计的.
- 推动不平等的因素包括参与历史,透明度水平和问责制模式.
结论:
- 利比里亚的全球卫生合作以阻碍公平伙伴关系的方式结构化.
- 捐助者的财务所有权限制了受益者的角色,促进了对外部援助的依赖.
- 为了在全球卫生环境中建立公平的决策和权力结构,有意的努力至关重要.
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