乌干达卫生和环境卫生项目中的可持续性挑战:一个机构的视角
Mahadih Kyambade1, Rogers Mwesigwa2, Kassim Alinda3
1Department of Leadership and Governance, Makerere University Business School, Kampala, Uganda.
International journal of health care quality assurance
|December 30, 2025
概括
乌干达卫生和卫生设施项目的可持续性受到分散的治理,弱弱的问责制和有限的当地所有权的阻碍. 解决这些系统性问题需要更强的机构协调和社区参与,以获得持久的影响.
科学领域:
- 公共卫生 公共卫生
- 发展研究 发展研究 研究
- 机构理论 机构理论
背景情况:
- 乌干达的卫生和环境卫生部门面临着持续的可持续性挑战,尽管有大量的投资和政策支持.
- 全球对改善卫生和卫生设施的承诺并没有转化为该地区的长期项目成功.
研究的目的:
- 调查乌干达卫生和环境卫生项目缺乏可持续性的根本原因.
- 分析导致这些项目无法实现长期影响的系统因素.
主要方法:
- 使用制度理论进行定性研究设计.
- 对包括项目经理,政府官员,非政府组织工作人员,卫生检查员和社区动员者在内的各种利益相关者进行了21次半结构化采访.
- 使用NVivo软件进行的主题数据分析.
主要成果:
- 分散的治理,政策一致性差,短期的捐助者资金周期阻碍了体制调整.
- 社区自主度低,反机制不足,捐助者与当地社区之间的权力不平衡削弱了问责制.
- 领导力缺陷,腐败和技术能力不足进一步侵蚀了项目的弹性和可持续性.
结论:
- 将项目纳入国家机构框架对于可持续性至关重要.
- 加强当地问责机制和加强道德和技术领导力至关重要.
- 捐助者和政策制定者必须优先考虑长期学习,参与式方法和可持续的当地融资模式.
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