阻力与革新：卫生部门改革与柬埔寨国家结核病防治规划
Resistance and renewal: health sector reform and Cambodia's national tuberculosis programme.
作者信息
Hill Peter S, Tan Eang Mao
机构信息
International Health, School of Population Health, University of Queensland, Herston, Australia.
出版信息
Bull World Health Organ. 2007 Aug;85(8):631-6. doi: 10.2471/blt.06.036822.
Abstract
Following the destruction of Cambodia's health infrastructure during the Khmer Rouge period (1975-1979) and the subsequent decade of United Nations sanctions, international development assistance has focused on reconstructing the country's health system. The recognition of Cambodia's heavy burden of tuberculosis (TB) and the lapse of TB control strategies during the transition to democracy prompted the national tuberculosis programme's relaunch in the mid-1990s as WHO-backed health sector reforms were introduced. This paper examines the conflicts that arose between health reforms and TB control programmes due to their different operating paradigms. It also discusses how these tensions were resolved during introduction of the DOTS strategy for TB treatment.
摘要
在红色高棉时期（1975 - 1979年）柬埔寨的卫生基础设施遭到破坏，随后又经历了十年联合国制裁，国际发展援助聚焦于该国卫生系统的重建。认识到柬埔寨结核病负担沉重，且在向民主过渡期间结核病控制策略出现断层，促使国家结核病规划于20世纪90年代中期重新启动，当时正值引入由世界卫生组织支持的卫生部门改革之际。本文探讨了由于卫生改革和结核病控制项目的不同运作模式而产生的冲突。还讨论了在引入结核病直接观察短程治疗（DOTS）策略过程中，这些矛盾是如何得到解决的。
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