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Reinforcing locally led solutions for universal health coverage: a logic model with applications in Benin Namibia and Uganda

机译:加强局部LED解决方案以实现通用健康覆盖:贝宁纳米比亚和乌干达的应用逻辑模型

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摘要

Development assistance for health programmes is often characterised as donor-led models with minimal country ownership and limited sustainability. This article presents new ways for low-income and middle-income countries to gain more control of their development assistance programming as they move towards universal health coverage (UHC). We base our findings on the experience of the African Collaborative for Health Financing Solutions (ACS), an innovative US Agency for International Development-funded project. The ACS project stems from the premise that the global health community can more effectively support UHC processes in countries if development partners change three long-standing paradigms: (1) time-limited projects to enhancing long-lasting processes, (2) fly-in/fly-out development support to leveraging and strengthening local and regional expertise and (3) static knowledge creation to supporting practical and co-developed resources that enhance learning and capture implementation experience. We assume that development partners can facilitate progress towards UHC if interventions follow five action steps, including (1) align to country demand, (2) provide evidence-based and tailored health financing technical support, (3) respond to knowledge and learnings throughout activity design and implementation, (4) foster multi-stakeholder collaboration and ownership and (5) strengthen accountability mechanisms. Since 2017, the ACS project has applied these five action steps in its implementing countries, including Benin, Namibia and Uganda. This article shares with the global health community preliminary achievements of implementing a unique, challenging but promising experience.
机译:健康计划的发展援助通常被称为捐助者LED模型,拥有最小的国家所有权和有限的可持续性。本文提出了低收入和中等收入国家的新方法,以便更多地控制其发展援助规划,因为它们走向普遍的健康覆盖率(UHC)。我们根据国际发展资助项目创新的美国卫生融资解决方案(ACS)的非洲协作的经验基础。 ACS项目源于全球卫生界可以更有效地支持各国的UHC进程,如果开发伙伴更改三个长期的范式:(1)增长持久流程的时间有限的项目,(2)Fly-In /飞出发展支持利用和加强当地和区域专业知识和(3)静态知识创造,以支持加强学习和捕获实施经验的实用和共同开发的资源。我们假设发展伙伴可以促进UHC的进展,如果干预措施遵循五个行动步骤,包括(1)与国家需求对齐,(2)提供基于证据和量身定制的卫生融资技术支持,(3)回应整个活动的知识和学习设计与实施,(4)促进多利益相关方协作和所有权和(5)加强问责机制。自2017年以来,ACS项目已在其实施国家实施这五个行动步骤,包括贝宁,纳米比亚和乌干达。本文股份符合全球卫生界的初步成就,实施独特,挑战但有前途的经验。

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