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首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Prospects for the sustainability of delivering the Basic Package of Health Services in Afghanistan: a stakeholder analysis
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Prospects for the sustainability of delivering the Basic Package of Health Services in Afghanistan: a stakeholder analysis

机译:阿富汗提供基本卫生服务的可持续性前景:利益相关者分析

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This study explored the readiness of stakeholders in Afghanistan for sustaining delivery of the Basic Package of Health Services (BPHS) without external technical and financial assistance. A stakeholder analysis was applied using qualitative methods. Fifteen stakeholders were purposively drawn from the Afghanistan ministries of public health and finance, political representatives, development partners, nonprofit organizations and public health experts. Data were collected through in-depth interviews with the stakeholders and desk review of pertinent documents. We found that sustainability of the BPHS in Afghanistan is questionable as stakeholders are suboptimally organized to come up with effective alternatives. Uneven ownership and divisive positioning are bottlenecks to the evolution of a realistic continuation plan. Those with the most significant influence are lukewarm, while those who are most supportive have the least influence. Sustainability needs to be tackled at the start in designing the BPHS rather than in the wake of eventual donor withdrawal.
机译:这项研究探讨了阿富汗利益相关者是否愿意在没有外部技术和财政援助的情况下持续提供基本卫生服务。使用定性方法进行了利益相关者分析。目的是从阿富汗公共卫生和财政部,政治代表,发展伙伴,非营利组织和公共卫生专家中选出15个利益相关者。通过与利益相关者的深入访谈和相关文件的案头审查来收集数据。我们发现阿富汗的BPHS的可持续性值得怀疑,因为利益相关者的组织不够理想,无法提出有效的替代方案。不平等的所有权和分歧的定位是现实的延续计划发展的瓶颈。那些影响最大的人不冷不热,而那些支持最大的人影响最小。在设计BPHS时应从一开始就解决可持续性问题,而不是在最终捐赠者退出之后解决这一问题。

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