Jhpiego, Cape Town, South Africa; Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jhpiego, Baltimore, Maryland, USA.
Int J Tuberc Lung Dis. 2013 Oct;17(10 Suppl 1):15-21. doi: 10.5588/ijtld.13.0356.
The ultimate goal of government health systems is to provide highly effective equitable services that save lives and reduce morbidity and mortality. The pressure to conform to duplicative global and donor initiatives compounds existing challenges to health systems strengthening such as shortages of human resources for health, weak supply chains, inadequate laboratory services and parallel data management systems. This article illustrates how primary health care, as the point of entry into the health care system for the majority of individuals in sub-Saharan Africa, should be strengthened to ensure that individuals and their communities receive essential, holistic care.
政府卫生系统的最终目标是提供高效、公平的服务,以拯救生命,降低发病率和死亡率。为了符合重复的全球和捐助者倡议,这给卫生系统强化带来了更多的挑战,例如卫生人力资源短缺、供应品供应链薄弱、实验室服务不足以及平行的数据管理系统。本文阐述了撒哈拉以南非洲地区大多数人进入医疗保健系统的切入点初级卫生保健,应如何得到加强,以确保个人及其社区得到基本的、全面的护理。