Gurung G
Save the Children, Nepal Family Health Program, Kathmandu, Nepal.
Nepal Med Coll J. 2009 Sep;11(3):205-6.
Health Facility Operation and Management Committee are supposed to govern all the affairs of local health facilities under decentralization policy. The capacity building of the committee was deemed necessary and thus different stakeholders involved in the capacity building process. All agreed up on the need of capacity building of the committee but there were different school of thoughts on the contents and process of capacity building. Major capacity building inputs included orientations and training to the committee. However the follow up part was not uniform; some organizations conducted periodic reflection meeting, where as many ended up with the training. There were some tangible changes observed by the capacity building inputs. Their priority however was on infrastructure and drug purchase. The changes observed were very short lived and not sustainable. The capacity building was equated with training and an event with low priority on follow up, monitoring and coaching. It was not thought as a process. A concept of complete package of capacity building should have been developed where training component would be only an element of overall capacity building.
卫生设施运营与管理委员会应根据分权政策管理当地卫生设施的所有事务。委员会的能力建设被认为是必要的，因此不同的利益相关者参与了能力建设过程。所有人都认同委员会能力建设的必要性，但在能力建设的内容和过程上存在不同的观点。主要的能力建设投入包括对委员会的培训和指导。然而，后续跟进并不统一；一些组织定期召开反思会议，而许多组织最终只是进行了培训。能力建设投入带来了一些明显的变化。然而，他们的重点是基础设施和药品采购。所观察到的变化非常短暂，无法持续。能力建设被等同于培训，是一个对后续跟进、监测和指导重视程度较低的活动。它没有被视为一个过程。应该制定一个完整的能力建设方案，其中培训部分只是整体能力建设的一个要素。
