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首页> 外文期刊>Health Policy and Development >The village health team strategy is a 'Most Innovative Community Practice' award winner: the experience OFA village volunteer programme in Yumbe District, Uganda
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The village health team strategy is a 'Most Innovative Community Practice' award winner: the experience OFA village volunteer programme in Yumbe District, Uganda

机译：乡村卫生团队战略获得“最创新社区实践”奖：乌干达Yumbe区的OFA乡村志愿者计划

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摘要

Community participation in health has been an elusive concept since the days of the Alma Ata Declaration. Many faltering steps have been taken towards genuine community participation only to be retraced because the programmes were either ill-conceived or derailed by the loss of the spirit of voluntarism. In Yumbe District of north-western Uganda, Village Health Teams (VHT) have been established in line with the national strategy for community involvement in health. The Yumbe VHT programme has won an award for innovative support to strengthening decentralisation. This paper reviews aspects of the programme outlining its successes and challenges. Its success has been mainly due to integration of pre-existing volunteer cadres, intersectoral approach to the monitoring of the teams and involvement of the community in the selection of the top-up team members. Its challenges include the relatively young age of the majority of the volunteers and the likely loss of financial support for the activities of the volunteers. The paper concludes that the VHT programme is a delicate venture requiring both programme support through intersectoral inputs to the Community Action Plans developed by communities and sociological approaches to educate the communities to support the VHT for its sustainability.
机译：自《阿拉木图宣言》问世以来，社区参与健康一直是一个难以捉摸的概念。为使真正的社区参与而采取了许多步履蹒跚的步骤，但由于这些方案要么由于缺乏志愿精神，要么由于失去自愿精神而脱轨，因此被撤回。在乌干达西北部的翁贝区，根据国家社区参与健康战略，成立了乡村健康小组（VHT）。 Yumbe VHT计划因对加强权力下放的创新支持而获奖。本文回顾了该计划的各个方面，概述了该计划的成功与挑战。它的成功主要归因于现有志愿干部的整合，部门间监督团队的方法以及社区参与选拔补充性团队成员。它面临的挑战包括大多数志愿者的年龄相对较小，以及可能失去对志愿者活动的经济支持。本文的结论是，VHT计划是一项微妙的事业，需要通过社区对社区制定的社区行动计划的部门间投入和社会学方法来教育计划，以通过社区支持VHT的可持续性来提供计划支持。

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