低收入和中等收入国家对社区参与决策的制度化: 102个国家卫生部的分析
Olive Cocoman1, Debra Jackson1,2, Harriet Ruysen1
1Department of Infectious Disease Epidemiology and International Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
PLOS global public health
|September 2, 2025
概括
社区参与孕产妇和新生儿健康决策尚未得到充分的制度化. 大多数国家缺乏家长群体的影响力和国家研究,
科学领域:
- 全球卫生政策
- 加强卫生系统
- 社区参与
背景情况:
- 世界卫生大会决议 WHA77.2 (2024) 呼吁加强与健康有关的决策.
- 社区参与的制度化对于可持续和可扩展的卫生系统至关重要.
- 对于社区参与孕产妇和新生儿健康 (MNH) 决策的理解有限.
研究的目的:
- 评估低收入和中等收入国家社区参与MNH决策的制度化.
- 分析通过和执行有关社区参与的MNH建议的进展情况.
- 在不同国家背景下发现社区参与的差距和差异.
主要方法:
- 对来自102个卫生部的MNH调查数据进行二次分析.
- 描述性分析总结了报告中的社区参与活动.
- 数据按收入水平和脆弱/受冲突影响的环境分类,使用拉斯韦尔的政策周期.
主要成果:
- 在MNH的社区参与制度化方面存在重大差距.
- 只有50%的国家将参与纳入国家计划,只有三分之一的国家将参与纳入实施计划.
- 在90%的国家,家长团体缺席或缺乏影响力;国家研究很少被报道.
结论:
- 需要在全民健康政策周期内加强社区参与的制度化.
- 需要明确的指标来跟踪实施,评估进展和问责制.
- 识别出正确的偏差病例可以揭示有效的整合到国家卫生系统的策略.
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