Int J Health Serv. 2014;44(2):323-35. doi: 10.2190/HS.44.2.i.
Achieving the United Nations Millennium Development Goals for health will require that programs supporting health in developing countries focus on strengthening national health care systems. However, the dominant neoliberal model of development mandates reduced public spending on health and other social services, often resulting in increased funding for nongovernmental organizations (NGOs) at the expense of support for government systems. East Timor, later Timor-Leste, is an example of a post-crisis country where international NGO efforts were initially critical to providing relief efforts to a traumatized population. Those groups were not prepared to help develop and support a standardized Timorese national health plan, however, and the cost of their support was unsustainable in the long term. In response, local authorities designed and implemented a post-crisis NGO phase-over plan that addressed risks to service disruption and monitored the process. Since then, some NGOs have worked collaboratively with the Ministry of Health to support specific efforts and initiatives under a framework provided by the ministry. Timor-Leste has shown that ministries of health can facilitate an effective transition of NGO support from crisis to development if they are allowed to plan and manage the process.
实现联合国千年发展目标中的卫生目标要求支持发展中国家卫生事业的方案注重加强国家卫生保健系统。然而，占主导地位的新自由主义发展模式要求减少公共卫生和其他社会服务支出，这往往导致非政府组织的供资增加，而政府系统的支持则减少。东帝汶（后更名为东帝汶）就是一个危机后国家的例子，在该国，国际非政府组织的努力最初对于向遭受创伤的民众提供救济至关重要。然而，这些团体没有准备好帮助制定和支持一个标准化的帝汶国家卫生计划，而且从长期来看，他们的支持成本是不可持续的。有鉴于此，地方当局设计并实施了一个危机后非政府组织过渡计划，以应对服务中断的风险，并对该过程进行监测。从那时起，一些非政府组织与卫生部合作，根据卫生部提供的框架，支持特定的努力和倡议。东帝汶表明，如果卫生部能够规划和管理这一过程，它们就可以促进非政府组织支持从危机向发展的有效过渡。
