Minister of Health, Kigali, Rwanda. ; Harvard Medical School, Boston, MA, USA. ; Geisel School of Medicine, Dartmouth University, Hanover, NH, USA.
Harvard University, Cambridge, MA, USA.
Int J Health Policy Manag. 2015 Mar 1;4(4):203-5. doi: 10.15171/ijhpm.2015.46. eCollection 2015 Apr.
The world has made a great deal of progress through the Millennium Development Goals (MDGs) to improve the health and well-being of people around the globe, but there remains a long way to go. Here we provide reflections on Rwanda's experience in working to meet the health-related targets of the MDGs. This experience has informed our proposal of five guiding principles that may be useful for countries to consider as the world sets and moves forward with the post-2015 development agenda. These include: 1) advancing concrete and meaningful equity agendas that drive the post-2015 goals; 2) ensuring that goals to meet Universal Health Coverage (UHC) incorporate real efforts to focus on improving quality and not only quantity of care; 3) bolstering education and the internal research capacity within countries so that they can improve local evidence-based policy-making; 4) promoting intersectoral collaboration to achieve goals, and 5) improving collaborations between multilateral agencies - that are helping to monitor and evaluate progress towards the goals that are set - and the countries that are working to achieve improvements in health within their nation and across the world.
通过千年发展目标(MDGs),全球在改善全球人民的健康和福祉方面取得了重大进展,但仍有很长的路要走。在这里,我们对卢旺达在努力实现与 MDG 相关的卫生目标方面的经验进行了反思。这一经验为我们提出了五项指导原则,供各国在制定和推进 2015 年后发展议程时参考。这些原则包括:1)推进具体和有意义的公平议程,推动 2015 年后的目标;2)确保实现全民健康覆盖(UHC)的目标,真正努力关注提高医疗质量,而不仅仅是数量;3)加强国家内部的教育和研究能力,以便能够改善基于本地证据的决策;4)促进实现目标的部门间合作;5)改善多边机构之间的合作,这些机构有助于监测和评估既定目标的进展情况,以及努力在国家内部和全球范围内改善健康状况的国家。