Gill Zafarullah, Carlough Martha
Columbia University, Mailman School of Public Health, New York, USA.
Int J Gynaecol Obstet. 2008 Aug;102(2):198-202. doi: 10.1016/j.ijgo.2008.04.003. Epub 2008 May 27.
It is unlikely that some low-income countries will achieve Millennium Development Goal 5 (MDG5) unless governments find new approaches. One possibility is through government partnerships with mission hospitals and other faith-based organizations (FBOs), but this would require overcoming historic reservations.
We review the limited literature on mission hospitals and other FBO health services providing maternity care.
The management and the clinical care provided by FBOs are often of higher quality than that provided by government hospitals. Mission hospitals have several advantages including more resources (especially foreign exchange), greater access to expatriate staff especially for training, and more flexibility in hiring and managing staff and in procuring and managing medicines and supplies.
Increased collaboration between governments and mission hospitals, particularly in underserved and rural areas, could improve availability and quality of obstetric services enough to meet MDG5 targets. Delegating responsibilities to mission hospitals, exchanging information, and collaboration in projects and training could accelerate progress toward MDG5. Bilateral and multilateral funding institutions and International NGOs should encourage more effective partnerships between governments and FBOs.
除非政府找到新的方法，否则一些低收入国家不太可能实现千年发展目标5（MDG5）。一种可能性是通过政府与教会医院及其他基于信仰的组织（FBO）建立伙伴关系，但这需要克服以往的顾虑。
我们回顾了关于教会医院及其他FBO提供孕产妇保健服务的有限文献。
FBO提供的管理和临床护理质量往往高于政府医院。教会医院有几个优势，包括更多资源（特别是外汇）、更容易获得外籍工作人员尤其是用于培训的人员，以及在招聘和管理员工以及采购和管理药品及物资方面更具灵活性。
政府与教会医院之间加强合作，特别是在服务不足的农村地区，可以提高产科服务的可及性和质量，足以实现MDG5目标。将责任委托给教会医院、交流信息以及在项目和培训方面开展合作，可以加速实现MDG5的进程。双边和多边资助机构以及国际非政府组织应鼓励政府与FBO之间建立更有效的伙伴关系。
