Follow-up on commitments at the Third Global Forum on Human Resources for Health: Indonesia, Sudan, Tanzania "A commitment is a promise, a promise is a debt"
Follow-up on commitments at the Third Global Forum on Human Resources for Health: Indonesia, Sudan, Tanzania "A commitment is a promise, a promise is a debt"
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DOI：
10.1186/s12960-016-0112-0
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发表时间：
2016-04-26
影响因子：
4.5
通讯作者：
Cometto, Giorgio
中科院分区：
文献类型：
--
作者：
Dussault, Gilles;Badr, Elsheikh;Cometto, Giorgio
本研究旨在评估印度尼西亚、苏丹和坦桑尼亚为履行其在2013年11月第三届全球卫生人力资源论坛（HRH）上作出的卫生人力承诺而采取的行动。这项研究是通过调查已发表的英文文献和灰色文献，以及与相关部委和机构直接接触的实地调查进行的。结果表明，这三个国家实施了干预措施，将其承诺转化为行动。这三个国家的承诺重点是改善卫生工作者的可得性、地理可及性、教育质量和工作表现。执行累西腓承诺主要需要在中央一级采取主动行动，例如通过新的立法或发展认可机制。本研究表明，当政策文件明确承认并记录人力资源问题，当利益相关者参与政策变化的制定和实施，以及当外部支持可用时，行动更有可能发生。累西腓论坛似乎为推进卫生人力资源政策议程创造了机会，这三个国家卫生人力发展的倡导者利用了这一机会。
This study sought to assess actions which Indonesia, Sudan, and Tanzania took to implement the health workforce commitments they made at the Third Global Forum on Human Resources for Health (HRH) in November 2013. The study was conducted through a survey of published and gray literature in English and field research consisting of direct contacts with relevant ministries and agencies. Results show that the three countries implemented interventions to translate their commitments into actions. The three countries focused their commitments on improving the availability, geographical accessibility, quality of education, and performance of health workers. The implementation of the Recife commitments primarily entailed initiatives at the central level, such as the adoption of new legislation or the development of accreditation mechanisms. This study shows that action is more likely to take place when policy documents explicitly recognize and document HRH problems, when stakeholders are involved in the formulation and the implementation of policy changes, and when external support is available. The Recife Forum appears to have created an opportunity to advance the HRH policy agenda, and advocates of health workforce development in these three countries took advantage of it.