Theory and practice--a case study of coordination and ownership in the Bangladesh health SWAp.
Theory and practice--a case study of coordination and ownership in the Bangladesh health SWAp.
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DOI：
10.1186/1478-4505-4-5
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发表时间：
2006-05-16
影响因子：
4
通讯作者：
Tomson, Goran
中科院分区：
文献类型：
--
作者：
Sundewall, Jesper;Forsberg, Birger Carl;Tomson, Goran
背景：在过去的十年中，全部门方法（SWAp）模式得到了捐助者的推广，并被一些国家的政府所采用。本研究的目的是了解参与孟加拉国卫生全部门计划的合作伙伴在日常工作中如何定义所有权和协调，并分析这些定义可能产生的影响。 方法：研究对象是孟加拉国政府 2003 年的决策过程。通过参与者观察、访谈和文件审查收集信息。结果：在研究期间，孟加拉国政府决定推翻统一卫生和家庭福利部两个部门的决定。这一决定导致了与发展伙伴的分歧，这对孟加拉国卫生部门主要参与者之间的合作产生了严重影响，导致关系恶化和捐助资金暂停。捐助界本身也存在分歧，导致发展伙伴与孟加拉国政府之间的对话不一致。结论：该案例表明，孟加拉国卫生全部门办法的主要参与者对所有权和协调以及全部门办法的基本方面有不同的解释。只要工作进展顺利，不同的定义不会产生任何问题，但当出现分歧时，就会成为障碍。结论是，发展伙伴应在其工作关系上投入更多精力，并且需要更明确地界定全部门办法内的责任。
BACKGROUND: In the past decade the sector-wide approach (SWAp) model has been promoted by donors and adopted by governments in several countries. The purpose of this study is to look at how partners involved in the health SWAp in Bangladesh define ownership and coordination, in their daily work and to analyse the possible implications of these definitions.METHODOLOGY: The study object was a process of decision-making in the Government of Bangladesh in 2003. Information was collected through participant observations, interviews and document review.RESULTS: During the study period the Government of Bangladesh decided to reverse a decision to unify the two wings of the Ministry of Health and Family Welfare. The decision led to disagreements with development partners, which had serious implications for cooperation between key actors in the Bangladesh health sector leading to deteriorated relationships and suspension of donor funds. The donor community in itself was also in disagreement which led to inconsistencies in the dialogue between the development partners and the Government of Bangladesh.CONCLUSION: The case shows that main actors in the Bangladesh health SWAp interpret ownership and coordination, fundamental aspects of SWAp, differently. As long as work ran smoothly, the different definitions did not create any problems, but when disagreements arose they became an obstacle. It is concluded that partners in development should devote more effort to their working relationships and that responsibilities within a SWAp need to be more clearly delineated.