Loh Lawrence C, Valdman Olga, Dacso Matthew M
Dalla Lana School of Public Health, University of Toronto, 155 College Street, Sixth Floor, Toronto, ON, M5T 3 M7, Canada.
, The 53rd Week, 151 Kent Avenue, Unit 116, Brooklyn, NY, 11249, USA.
Global Health. 2016 May 2;12(1):15. doi: 10.1186/s12992-016-0155-y.
There is growing concern that short-term experiences in global health experiences (STEGH), undertaken by healthcare providers, trainees, and volunteers from high income countries in lower and middle income countries, risk harming the community by creating a parallel system of care separate from established community development efforts. At the same time, the inclusion of non-traditional actors in health planning has been the basis of the development of many Healthy Community Partnerships (HCP) being rolled out in Canada and the United States. These partnerships aim to bring all stakeholders with a role to play in health to the table to align efforts, goals and programs towards broad community health goals.
This methodology paper reports on the process used in La Romana, Dominican Republic, in applying a modified HCP framework. This project succeeded at bringing visiting STEGH organizations into a coalition with key community partners and supported attempts to embed the work of STEGH within longer-term, established development plans.
In presenting the work and process and lessons learned, the hope is that other communities that encounter significant investment from STEGH groups, and will gain the same benefits that were seen in La Romana with regards to improved information exchange, increased cross-communication between silos, and the integration of STEGH into the work of community partners.
越来越多的人担心,来自高收入国家的医疗保健提供者、受训人员和志愿者在低收入和中等收入国家开展的全球健康短期体验(STEGH),可能会通过创建一个与既定社区发展努力相分离的平行护理系统来损害社区。与此同时,将非传统行为者纳入健康规划一直是加拿大和美国许多正在推行的健康社区伙伴关系(HCP)发展的基础。这些伙伴关系旨在让所有在健康领域发挥作用的利益相关者参与进来,使各方努力、目标和计划与广泛的社区健康目标保持一致。
本方法学论文报告了在多米尼加共和国拉罗马纳应用经修改的HCP框架所采用的过程。该项目成功地将来访的STEGH组织纳入了与关键社区伙伴的联盟,并支持将STEGH的工作纳入长期既定发展计划的尝试。
在介绍这项工作、过程和经验教训时,希望其他遇到STEGH团体大量投资的社区,能够获得与拉罗马纳相同的益处,即在改善信息交流、增加不同部门间的交叉沟通以及将STEGH融入社区伙伴工作方面取得成效。