Translations of health sector SWAps - A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh

Translations of health sector SWAps - A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh
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DOI:
10.1016/j.healthpol.2005.06.009
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发表时间:
2006-05-01
期刊:
影响因子:
3.3
通讯作者:
Sahlin-Andersson, K
Sahlin-Andersson, K
中科院分区:
医学3区
文献类型:
--
作者:
Sundewall, J;Sahlin-Andersson, K

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简介:全部门办法是许多双边和多边发展机构日益流行的发展合作办法。虽然关于全部门办法模式本身的出版物很多,但关于如何在实践中应用这一模式的研究仍然有限。这项研究的目的是显示如何翻译全部门办法,因为它是通过在不同的地方设置,它显示了这些翻译如何触发改变的做法在不同的方式。方法:一个三层次的比较研究,示范文本,国家政策和访谈,在乌干达,赞比亚和孟加拉国进行。进行了一项国际文献审查,包括研究文章、顾问报告和政府政策文件。此外,还与政府、发展伙伴和非政府组织的代表共进行了64次访谈。最后,出席并观察了18次国家和地区一级的政策和捐助者会议。此外,有人指出,这三个国家都没有认真努力在国家政策中界定全部门办法。最后,研究表明,发展伙伴在日常实践中对全部门办法的理解各不相同。结论:全部门办法是一个内容不明确的明确标签。全部门办法的含义是受援国政府及其发展伙伴在具体情况下采用全部门办法时,通过积极的翻译过程形成的。采用全部门办法的潜力有限,无法改变如何寻求和实施发展援助的标准,因为每个国家的大部分行政结构仍然是按照以项目为重点的办法形成的。结论是,为了促成变革,发展伙伴不仅必须努力界定全部门办法,而且还必须努力影响全部门办法的背景。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
Introduction: Sector-wide approach, or SWAp, is an increasingly popular approach to development cooperation for many bilateral and multilateral development agencies. While much has been published about the SWAp model itself, there is still limited research conducted on how it is applied in practice. This study aims at showing how the SWAp is translated as it is adopted in different local settings and it shows how these translations trigger changed practice in different ways.Methodology: A three-layered comparative study of exemplary texts, country policies and interviews, was conducted in Uganda, Zambia and Bangladesh. An international literature review, comprising research articles, consultancy reports and government policy documents was undertaken. Also, a total of 64 interviews were conducted with representatives from the government, development partners and NGOs. Finally, 18 policy and donor meetings at national and district levels were attended and observed.Results: The study showed that the definitions of the SWAp model are general and vague in character. Furthermore, it was observed that in all three countries, no serious effort has been made to define SWAp in country policies. Finally, the study revealed that partners in development translate SWAp differently in daily practice. The variations in understandings were found both between and within countries.Conclusions: The SWAp is a clear label with unclear content. The meaning of SWAp is formed by the recipient government and its development partners through an active process of translation as the SWAp is adopted in a specific context. The introduction of the SWAp has limited potential to transform standards for how development aid should be pursued and practiced as much of the administrative structures in each country are still formed in line with a project focused approach. It is concluded that in order to create change, partners in development must work, not only on defining SWAp, but also on influencing the context surrounding the SWAp. (c) 2005 Elsevier Ireland Ltd. All rights reserved.