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加纳艾滋病毒/艾滋病治疗和预防的国家-民间社会伙伴关系:探讨与成功和挑战相关的因素。

State-civil society partnerships for HIV/AIDS treatment and prevention in Ghana: exploring factors associated with successes and challenges.

机构信息

Department of Behavioural Sciences, School of Allied Health Sciences, University for Development Studies, P.O. 1883, Tamale, N/R, Ghana.

College of Education, University of Ghana, P.O. Box LG 1181, Legon, Accra, Ghana.

出版信息

BMC Health Serv Res. 2016 Aug 2;16:332. doi: 10.1186/s12913-016-1598-9.

Abstract

BACKGROUND

The past decade has seen an increased number of state-civil society partnerships in the global Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) response of many countries. However, there has been limited research carried out concerning the successes and challenges of these partnerships.

METHODS

In-depth qualitative interviews were conducted with 23 participants from 21 different state-civil society partnerships throughout Ghana including all three major geographical zones (Northern, Middle, and Southern zones) to examine the nature of these partnerships and their positive and negative effects in responding to the national HIV/AIDS epidemic.

RESULTS

Major themes included: 1) commitment by the government and civil society organizations to work cooperatively in order to support the development and implementation of HIV/AIDS interventions in Ghana; 2) the role of civil society organizations in facilitating community mobilization; capacity building; and information, resources and skills exchange to increase the efficiency and effectiveness of these partnerships for HIV prevention and treatment; and 3) significant challenges including funding issues and other structural barriers for these partnerships that need to be addressed moving forward.

CONCLUSIONS

Future research should focus on examining the impact of recommended changes on state-civil partnerships and studying the extent and nature of these partnerships in other countries in order to establish the generalizability of the findings from this study.

摘要

背景

在过去的十年中,许多国家的全球人类免疫缺陷病毒/获得性免疫缺陷综合征(HIV/AIDS)应对措施中,国家-民间社会伙伴关系的数量有所增加。然而,对于这些伙伴关系的成功和挑战,研究有限。

方法

在加纳的 21 个不同的国家-民间社会伙伴关系中,对 23 名参与者进行了深入的定性访谈,包括三个主要地理区域(北部、中部和南部),以考察这些伙伴关系的性质及其在应对国家 HIV/AIDS 流行方面的积极和消极影响。

结果

主要主题包括:1)政府和民间社会组织承诺合作,以支持加纳 HIV/AIDS 干预措施的制定和实施;2)民间社会组织在促进社区动员、能力建设以及信息、资源和技能交流方面的作用,以提高这些伙伴关系在预防和治疗 HIV 方面的效率和效果;3)重大挑战,包括资金问题和其他结构障碍,这些问题需要在前进的过程中得到解决。

结论

未来的研究应侧重于研究建议的变革对国家-民间伙伴关系的影响,并研究其他国家这些伙伴关系的程度和性质,以确定本研究结果的普遍性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ee9/4969658/962b713885fa/12913_2016_1598_Fig1_HTML.jpg

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