培养用于初级卫生保健的多部门合作的变革性地方结构:印度部分州的定性见解
Shalini Singh1,2, Emily Miller3, Svea Closser3
1Department of International Health, Johns Hopkins Bloomberg School of Public Health (JHSPH), Baltimore, USA. ssing120@jhu.edu.
BMC health services research
|May 16, 2024
概括
加强印度的多部门合作需要具体的背景战略和赋权的当地领导力. 建议包括中央管理单位,合理化的地区委员会,以及初级卫生保健 (PHC) 实施者的创新培训.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 卫生政策和管理卫生政策和管理
背景情况:
- 多部门合作对于推进初级卫生保健 (PHC) 至关重要,特别是在低收入和中等收入国家 (LMICs).
- 由于能力有限,治理问题以及利益相关方参与不足,印度在中级 (区/子区) 多部门合作方面面临挑战.
- 了解有效的策略,以改善多部门合作在不同的环境中至关重要.
研究的目的:
- 提出具体建议,加强印度的中层管理,以加强多部门合作.
- 提供适用于其他在卫生系统中面临类似挑战的LMICs的见解.
主要方法:
- 与20名不同参与者 (政策制定者,实施者,学者,发展伙伴) 进行了半结构化访谈.
- 有目的的最大变异抽样确保了不同经验和观点的代表性.
- 采访的重点是经验,当前情况,推动因素以及有关利益相关者参与和能力建设的建议.
主要成果:
- 有效的协作取决于环境和力量,在喀拉拉邦,查蒂斯加尔邦和泰米尔纳德邦有成功的例子.
- 适当的医疗系统支持和明确的指导可以在当地实施者中建立信心.
- 主要建议包括建立中央管理单位,合理化地区委员会,扩大区级融合,并开发创新的,以公平为导向的培训计划.
结论:
- 该研究提出了可行的解决方案,以改善当地实施者参与多部门努力.
- 倡导试点和评估创新方法,如区块融合模型和本地领导的合作.
- 强调需要新的培训方法,以培养当地实施人员的基本技能和态度.
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