Multiplying Health Gains: The critical role of capacity-building within health promotion programs
Multiplying Health Gains: The critical role of capacity-building within health promotion programs
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DOI：
10.1016/s0168-8510(96)00847-0
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发表时间：
1997-01-01
期刊：
影响因子：
3.3
通讯作者：
Jordens, C
中科院分区：
文献类型：
--
作者：
Hawe, P;Noort, M;Jordens, C
人口的健康结果是三个因素的产物：（1）干预措施效果的大小;（2）干预措施在人口中的覆盖范围或渗透程度;（3）效果的可持续性。最后一个因素至关重要。近年来，许多健康促进工作者已将工作重点从直接人口群体或感兴趣的环境转移到让其他卫生工作者和其他组织负责并更有能力开展健康促进计划、维护这些计划并启动其他计划。健康促进工作者的“能力建设”，以提高系统延长和增加健康影响的能力，因此代表了任何特定健康促进方案所提供的健康结果的“增值”维度。不过，短期而言，除非我们制订具体的措施，否则很难评估其价值。目前，在促进健康的文献中，“能力建设”一词的概念和评估方法各有不同。在制定可用于方案规划和方案评价的可靠的能力建设指标时，需要考虑到这一点。这些工作将在供资期结束时为卫生决策者提供有关方案潜力的信息，除了有关方案对卫生结果影响的通常信息外，还可以将其纳入资源分配决策。通过计划潜力，我们意味着获得更大和更广泛的健康收益的能力。
Health outcomes in populations are the product of three factors: (1) the size of effect of the intervention; (2) the reach or penetration of an intervention into a population and (3) the sustainability of the effect. The last factor is crucial. In recent years, many health promotion workers have moved the focus of their efforts away from the immediate population group or environment of interest towards making other health workers and other organisations responsible for, and more capable of, conducting health promotion programs, maintaining those programs and initiating others. 'Capacity-building' by health promotion workers, to enhance the capacity of the system to prolong and multiply health effects thus represents a 'value added' dimension to the health outcomes offered by any particular health promotion program.The value of this activity will become apparent in the long term, with methods to detect multiple types of health outcomes. But in the short term its value will be difficult to assess unless we devise specific measures to detect it. At present the term 'capacity-building' is conceptualised and assessed in different ways in the health promotion literature. Development of reliable indicators of capacity-building which could be used both in program planning and in program evaluation will need to take this into account. Such work will provide health-decision makers with information about program potential at the conclusion of the funding period, which could be factored into resource allocation decisions, in addition to the usual information about a program's impact on health outcomes. By program potential, we mean ability to reap greater and wider health gains.