Department of International Health, Faculty of Health, Medicine and Life Sciences, Maastricht University, PO Box 616, NL 6200 MD Maastricht, The Netherlands.
Glob Health Promot. 2010 Jun;17(2 Suppl):6-16. doi: 10.1177/1757975910363923.
This paper describes a project to strengthen the capacity for health promotion in two Provinces in South Africa. The project draws on the key health promotion capacity dimensions of partnership and networking, infrastructure, problem-solving capacity, and knowledge transfer. The project was carried out in a partnership between the Provinces, the Ministry of Health of South Africa, the government of Flanders, Belgium, and the World Health Organization (WHO).
The project aimed to: (i) integrate health promotion into national, Provincial and district level health policy plans (ii) strengthen the health promotion capacity in the two Provinces; and (iii) support the development of tools to monitor and evaluate health promotion interventions.
Starting from a situation analysis and identification of priority health issues and existing actions in each Province, capacity-building workshops were organized for senior participants from various sectors. Community-based health promotion interventions were then planned and implemented in both Provinces.
A systematic evaluation of the project involving an internal audit of project activities and results based on document analysis, site visits, focus groups and interviews with key persons demonstrated that stakeholders in both Provinces saw an increase of capacity in terms of networking, knowledge transfer, problem solving, and to a lesser extent infrastructure. Health promotion had been well integrated in the Provincial health plans, and roll-out processes with local stakeholders had started after the conclusion of the project. The development of tools for monitoring and evaluation of health promotion was less well achieved.
The project illustrates how capacities to deliver health promotion interventions in a developing country can be enhanced through international collaboration. The conceptual model of capacity building that served as a basis for the project provided a useful framework to plan, identify and assess the key components of health promotion capacity in an African context.
本文描述了一个在南非两个省份加强健康促进能力的项目。该项目借鉴了伙伴关系和网络、基础设施、解决问题能力和知识转移等关键健康促进能力维度。该项目由两省、南非卫生部、比利时佛兰德斯政府和世界卫生组织（世卫组织）合作开展。
该项目旨在：（i）将健康促进纳入国家、省级和地区卫生政策计划；（ii）加强两省的健康促进能力；（iii）支持开发监测和评估健康促进干预措施的工具。
从每个省份的情况分析和确定优先卫生问题以及现有行动开始，为来自各个部门的高级参与者组织了能力建设研讨会。然后在两个省份规划和实施了基于社区的健康促进干预措施。
一个系统的项目评估，包括根据文件分析、现场访问、焦点小组和关键人员访谈对项目活动和结果进行内部审计，表明两个省份的利益相关者都认为在网络、知识转移、解决问题方面的能力有所提高，而在基础设施方面的能力提高程度较小。健康促进已很好地融入省级卫生计划，并且在项目结束后已经开始与当地利益相关者展开推广过程。健康促进监测和评估工具的开发进展不太顺利。
该项目说明了如何通过国际合作来增强发展中国家实施健康促进干预措施的能力。该项目所依据的能力建设概念模型提供了一个有用的框架，可用于在非洲背景下规划、确定和评估健康促进能力的关键组成部分。
