Reddy K Srinath, Mathur Manu Raj, Negi Sagri, Krishna Bhargav
Public Health Foundation of India, Plot No 47, Sector 44, Institutional Area, Gurgaon - 122002, India.
Public Health Foundation of India, Plot No 47, Sector 44, Institutional Area, Gurgaon - 122002 (India).
Health Policy Plan. 2017 Jun 1;32(5):757-759. doi: 10.1093/heapol/czx006.
Adoption of the Sustainable Development Goals (SDGs) by member states of the United Nations (UN) has set a new agenda for public health action at national and global levels. The changed context calls for a reframing of what constitutes effective leadership in public health, through a construct that reflects the interdependence of leadership at multiple levels across the health system and its partners in other sectors. This is especially important in the context of Low and Middle Income Countries (LMICs) that are facing complex demographic and epidemiological transitions. The health system needs to exercise leadership that effectively mobilises all its resources for maximising health impact, and channels trans-disciplinary learning into well-coordinated multi-sectoral action on the wider determinants of health. Leadership is essential not only at the level of inspirational individuals who can create collective vision and commitment but also at the level of supportive institutions situated in or aligned to the health system. In turn, the health system as a whole has to exercise leadership that advances public health in the framework of sustainable development. This commentary examines the desirable attributes of effective leadership at each of these levels and explores the nature of their inter-dependence.
联合国会员国采纳可持续发展目标（SDGs）为国家和全球层面的公共卫生行动设定了新议程。形势的变化要求重新界定公共卫生领域有效领导力的构成要素，需要构建一种体现卫生系统各级领导力及其在其他部门合作伙伴之间相互依存关系的架构。在面临复杂人口和流行病学转变的低收入和中等收入国家（LMICs）背景下，这一点尤为重要。卫生系统需要发挥领导力，有效调动其所有资源以最大化健康影响，并将跨学科知识转化为协调良好的多部门行动，以应对更广泛的健康决定因素。领导力不仅在能够创造集体愿景和承诺的鼓舞人心的个人层面至关重要，在卫生系统内部或与之协调一致的支持性机构层面也同样重要。反过来，整个卫生系统必须发挥领导力，在可持续发展框架内推动公共卫生事业发展。本评论探讨了这些层面有效领导力的理想特质，并探究了它们相互依存的本质。
