McKenzie Andrew, Sokpo Emmanuel, Ager Alastair
Health Partners International , Cape Town, South Africa.
Health Partners International , Abuja, Nigeria.
J Public Health Afr. 2014 Nov 14;5(2):381. doi: 10.4081/jphia.2014.381. eCollection 2014 Jun 29.
The Partnership for Reviving Routine Immunization in Northern Nigeria - Maternal, Newborn and Child Health initiative supports efforts by the government of Nigeria to bridge primary health care (PHC) policies and services at three levels of government: federal, state and local. The paper suggests that understandings informed by complexity theory and complex adaptive systems have been helpful in shaping policy and programme design across these levels. To illustrate this, three initiatives are explored: , enhancing access to funding provided by the Global Alliance for Vaccines and Immunization, and strengthening the midwives service scheme. These initiatives have demonstrated how concepts and experience developed at subnational level can influence national policy and practice, and how work at subnational levels can add value to nationally conceived and nationally driven plans for PHC.
尼日利亚北部恢复常规免疫-孕产妇、新生儿和儿童健康伙伴关系倡议支持尼日利亚政府在联邦、州和地方三级政府层面衔接初级卫生保健（PHC）政策与服务的努力。本文表明，受复杂性理论和复杂适应系统启发的理解有助于在这些层面塑造政策和项目设计。为说明这一点，探讨了三项举措：，增加获得全球疫苗免疫联盟提供资金的机会，以及加强助产士服务计划。这些举措展示了在国家以下层面形成的概念和经验如何能够影响国家政策和实践，以及国家以下层面的工作如何能够为国家构想和推动的初级卫生保健计划增添价值。
