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首页> 外文期刊>BMC Health Services Research >NGOs and government partnership for health systems strengthening: A qualitative study presenting viewpoints of government, NGOs and donors in Pakistan
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NGOs and government partnership for health systems strengthening: A qualitative study presenting viewpoints of government, NGOs and donors in Pakistan

机译：非政府组织和政府加强卫生系统的伙伴关系：一项定性研究，介绍了巴基斯坦政府，非政府组织和捐助者的观点

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Background Health systems are expected to serve the population needs in an effective, efficient and equitable manner. Therefore, the importance of strengthening of public, private and community health systems has been emphasized time and again. In most of the developing countries, certain weaknesses and gaps in the government health systems have been hampering the achievement of improved health outcomes. Public sector in Pakistan has been deficient in the capacity to deliver equitable and quality health services and thus has been grossly underutilized. Methods A qualitative study comprising in-depth interviews was conducted capturing the perceptions of the government functionaries, NGO representatives and donor community about the role and position of NGOs in health systems strengthening in Pakistan's context. Analysis of the data was done manually to generate nodes, sub-nodes and themes. Results Since many years, international and local non-governmental organizations (NGOs) have endeavored to fill the gaps in health service delivery, research and advocacy. NGOs have relatively performed better and achieved the results because of the flexible planning and the ability to design population based projects on health education, health promotion, social marketing, community development and advocacy. This paper captures the need and the opportunity of public private partnership in Pakistan and presents a framework for a meaningful engagement of the government and the private and nonprofit NGOs. Conclusion Involving the NGOs for health system strengthening may eventually contribute to create a healthcare system reflecting an increased efficiency, more equity and good governance in the wake of the Millennium Development Goals. Nevertheless, few questions need to be answered and pre-requisites have to be fulfilled before moving on.
机译：背景技术卫生系统有望以有效，高效和公平的方式满足人口需求。因此，一次又一次强调了加强公共，私人和社区卫生系统的重要性。在大多数发展中国家，政府卫生系统中的某些弱点和差距一直在阻碍改善卫生结果的实现。巴基斯坦的公共部门缺乏提供公平和优质保健服务的能力，因此被严重利用不足。方法进行了包括深入访谈在内的定性研究，以了解政府工作人员，非政府组织代表和捐助者对非政府组织在加强巴基斯坦卫生系统中的作用和地位的看法。手动进行数据分析以生成节点，子节点和主题。结果多年来，国际和地方非政府组织（NGOs）努力填补卫生服务提供，研究和宣传方面的空白。由于灵活的规划和设计基于人口的健康教育，健康促进，社会营销，社区发展和倡导项目的能力，非政府组织的表现相对较好并取得了成果。本文抓住了在巴基斯坦建立公私伙伴关系的需求和机会，并提出了政府与私营和非营利性非政府组织进行有意义接触的框架。结论促使非政府组织参与加强卫生系统可能最终有助于建立一个卫生系统，反映出随着千年发展目标的实现，效率，公平性和善治得到了提高。然而，在继续之前，几乎不需要回答任何问题，并且必须满足先决条件。

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