Thomason Jane, Kase Pascoe, Ndugwa Nakazinga
School of Population Health, University of Queensland, Brisbane, Australia.
P N G Med J. 2009 Sep-Dec;52(3-4):114-29.
This paper highlights the key changes to the health system over the past 20 years, including the impact of the Organic Law on Provincial Governments and Local-level Governments, the politicization of the system, the changing balance between government and development partners in financing the health system, and the development of a sector-wide approach in the Papua New Guinea health sector. It discusses reform efforts at bureaucratic and regulatory level to address these problems. Key health sector policy issues and lessons learned over the past two decades are highlighted. The paper concludes with an examination of what is needed to 'get back to basics' through mobilizing all health sector partners with the aim of getting the health system delivering improved health outcomes.
本文重点介绍了过去20年卫生系统的关键变化，包括《组织法》对省级政府和地方政府的影响、卫生系统的政治化、政府与发展伙伴在卫生系统融资方面不断变化的平衡，以及巴布亚新几内亚卫生部门全部门办法的发展。本文讨论了在官僚和监管层面为解决这些问题所做的改革努力。重点介绍了过去二十年关键的卫生部门政策问题和经验教训。本文最后探讨了需要采取哪些措施，通过动员卫生部门的所有伙伴 “回归基本面”，以使卫生系统实现更好的健康成果。
