Potter Christopher, Brough Richard
Department of Epidemiology, Statistics and Community Medicine, University of Wales College of Medicine, Cardiff, UK.
Health Policy Plan. 2004 Sep;19(5):336-45. doi: 10.1093/heapol/czh038.
'Capacity building' is the objective of many development programmes and a component of most others. However, satisfactory definitions continue to elude us, and it is widely suspected of being too broad a concept to be useful. Too often it becomes merely a euphemism referring to little more than training. This paper argues that it is more important to address systemic capacity building, identifying a pyramid of nine separate but interdependent components. These form a four-tier hierarchy of capacity building needs: (1) structures, systems and roles, (2) staff and facilities, (3) skills, and (4) tools. Emphasizing systemic capacity building would improve diagnosis of sectoral shortcomings in specific locations, improve project/programme design and monitoring, and lead to more effective use of resources. Based on extensive action research in 25 States, experience from India is presented to illustrate how the concept of the capacity building pyramid has been put to practical use.
“能力建设”是许多发展项目的目标,也是大多数其他项目的一个组成部分。然而,我们仍然没有令人满意的定义,而且人们普遍怀疑它是一个过于宽泛而无用的概念。它常常仅仅成为一个委婉说法,所指不过是培训而已。本文认为,更重要的是解决系统性能力建设问题,确定由九个相互独立但又相互依存的组成部分构成的一个金字塔。这些部分形成了能力建设需求的四级层次结构:(1) 结构、系统和角色,(2) 人员和设施,(3) 技能,以及(4) 工具。强调系统性能力建设将改进对特定地点部门缺陷的诊断,改善项目/计划的设计和监测,并导致更有效地利用资源。基于对25个邦的广泛行动研究,本文介绍了印度的经验,以说明能力建设金字塔的概念是如何付诸实际应用的。