International Centre for Eye Health, Clinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Indian J Ophthalmol. 2012 Sep-Oct;60(5):470-4. doi: 10.4103/0301-4738.100553.
Understanding health systems have now become the priority focus of researchers and policy makers, who have progressively moved away from a project-centred perspectives. The new tendency is to facilitate a convergence between health system developers and disease-specific programme managers in terms of both thinking and action, and to reconcile both approaches: one focusing on integrated health systems and improving the health status of the population and the other aiming at improving access to health care. Eye care interventions particularly in developing countries have generally been vertically implemented (e.g. trachoma, cataract surgeries) often with parallel organizational structures or specialised disease specific services. With the emergence of health system strengthening in health strategies and in the service delivery of interventions there is a need to clarify and examine inputs in terms governance, financing and management. This present paper aims to clarify key concepts in health system strengthening and describe the various components of the framework as applied in eye care interventions.
了解卫生系统现在已成为研究人员和政策制定者的首要关注点，他们已逐渐摆脱以项目为中心的视角。新的趋势是促进卫生系统开发者和特定疾病项目管理者在思维和行动方面的融合，并协调这两种方法：一种方法侧重于综合卫生系统和改善人口健康状况，另一种方法旨在改善获得卫生保健的机会。眼科保健干预措施在发展中国家通常都是垂直实施的（例如沙眼、白内障手术），往往具有平行的组织结构或专门的疾病特定服务。随着卫生系统在卫生战略和干预措施的服务提供方面得到加强，有必要明确和审查治理、融资和管理方面的投入。本文旨在澄清卫生系统加强方面的关键概念，并描述在眼科保健干预措施中应用的框架的各个组成部分。
