Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions.
Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions.
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DOI：
10.1186/s12992-015-0090-3
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发表时间：
2015-02-12
影响因子：
10.8
通讯作者：
Van Damme W
中科院分区：
文献类型：
--
作者：
Swanson RC;Atun R;Best A;Betigeri A;de Campos F;Chunharas S;Collins T;Currie G;Jan S;McCoy D;Omaswa F;Sanders D;Sundararaman T;Van Damme W
本文认为，全球卫生议程往往以牺牲国家和社区卫生系统的长期能力建设为代价，优先考虑短期的全球利益。加强卫生系统运动需要重点发展地方组织和机构的能力，以影响这些组织与地方和国际利益攸关方的互动方式。虽然机构可以使组织，他们往往适用的要求，走的道路，可以扼杀学习和发展。全球卫生行动者已经认识到支持地方组织开展HSS活动的重要性。然而，这一认识尚未充分转化为影响供资和做法的实际政策。虽然没有一个单一的方法，HSS可以统一适用于所有情况下，一些信息出现在本文中使用的案例研究，通过复杂的适应系统透镜的成功的卫生系统的经验。有两个关键信息值得特别注意：捐助者和受援组织需要作为平等伙伴开展工作，低收入国家需要强有力的分散领导。在千年发展目标之后，世界日益充满活力和相互依存，这就要求采取新的工作方式，以建立地方组织能力的复杂适应系统透镜和办法为基础，改善全球卫生。
This paper argues that the global health agenda tends to privilege short-term global interests at the expense of long-term capacity building within national and community health systems. The Health Systems Strengthening (HSS) movement needs to focus on developing the capacity of local organizations and the institutions that influence how such organizations interact with local and international stakeholders. While institutions can enable organizations, they too often apply requirements to follow paths that can stifle learning and development. Global health actors have recognized the importance of supporting local organizations in HSS activities. However, this recognition has yet to translate adequately into actual policies to influence funding and practice. While there is not a single approach to HSS that can be uniformly applied to all contexts, several messages emerge from the experience of successful health systems presented in this paper using case studies through a complex adaptive systems lens. Two key messages deserve special attention: the need for donors and recipient organizations to work as equal partners, and the need for strong and diffuse leadership in low-income countries. An increasingly dynamic and interdependent post-Millennium Development Goals (post-MDG) world requires new ways of working to improve global health, underpinned by a complex adaptive systems lens and approaches that build local organizational capacity.
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影响因子：
15.8
作者：
Swanson RC;Bongiovanni A;Bradley E;Murugan V;Sundewall J;Betigeri A;Nyonator F;Cattaneo A;Harless B;Ostrovsky A;Labonté R
通讯作者：
Labonté R
DOI：
10.2471/blt.05.026922
发表时间：
2006-08-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Chunharas, Somsak
通讯作者：
Chunharas, Somsak
影响因子：
5.4
作者：
Currie, Graeme;Dingwall, Robert;Waring, Justin
通讯作者：
Waring, Justin
影响因子：
--
作者：
Hercot, D.;Keugoung, B.;Van Damme, W.
通讯作者：
Van Damme, W.
影响因子：
3.3
作者：
Mathauer, Inke;Carrin, Guy
通讯作者：
Carrin, Guy