Burnham Gilbert M, Rowley Elizabeth A, Ovberedjo Martins O
Johns Hopkins Bloomberg, School of Public Health, USA.
Disasters. 2003 Mar;27(1):54-71. doi: 10.1111/1467-7717.00219.
In an emergency, the international community responds to the immediate health needs of refugees through the establishment of action-oriented, life-saving services. Healthcare delivery is often managed with limited, if any, coordination with local health management structures. In situations where refugees remain in the host country for many years, sustainability issues inevitably arise. Refugee-hosting governments may ultimately be called upon to assume the management and funding of refugee services. Planning for service integration, while protecting against declines in service quality, is a challenge in the typically resource-poor host environments. This paper discusses these issues by presenting the experience of the West Nile districts in northern Uganda, and describes quality design as a relevant planning methodology. Quality design is a systematic planning approach that documents and directly incorporates the service users' self-defined expectations and needs.
在紧急情况下，国际社会通过建立注重行动、拯救生命的服务来满足难民的紧迫健康需求。医疗服务的提供往往在与当地卫生管理结构协调有限（甚至没有协调）的情况下进行。在难民在东道国停留多年的情况下，可持续性问题不可避免地会出现。最终可能会要求接纳难民的政府承担难民服务的管理和资金。在资源通常匮乏的东道国环境中，在规划服务整合的同时防止服务质量下降是一项挑战。本文通过介绍乌干达北部西尼罗河地区的经验来讨论这些问题，并将质量设计描述为一种相关的规划方法。质量设计是一种系统的规划方法，它记录并直接纳入服务使用者自行定义的期望和需求。
