影响布基纳法索卫生系统中两个政策单位制度化的因素：一项案例研究。
The factors affecting the institutionalisation of two policy units in Burkina Faso's health system: a case study.
作者信息
Zida Andre, Lavis John N, Sewankambo Nelson K, Kouyate Bocar, Moat Kaelan
机构信息
Clinical Epidemiology and Biostatistics Unit, Makerere University College of Health Sciences, PO Box 7072, Kampala, Uganda.
Ministry of Health, 01 PO Box 7009, Ouagadougou 01, Burkina Faso.
出版信息
Health Res Policy Syst. 2017 Jul 17;15(1):62. doi: 10.1186/s12961-017-0228-2.
BACKGROUND
This paper is one of three linked studies that attempts to understand the process of institutionalisation of policy units within Burkina Faso's health system. It examines the relationships between the existence of an institutional framework, data production capacity and other resource availability in the institutionalisation of policy units in health systems. It therefore contributes to our understanding of the dynamics linking the key drivers and indicators of institutionalisation. Additionally, it examines how factors within the managerial setting, including workplace environment, and budgetary and human resource availability, may influence the institutionalisation process.
METHODS
The study used an explanatory qualitative case study approach, examining two policy units in Burkina Faso's Ministry of Health, the first of which had been institutionalised successfully and the other less so. Data were collected from key policymakers, including 13 connected with the first policy unit and 10 with the second, plus two funders. We also conducted a documentary analysis of the National Program for Health Development, two mid-term strategic plans, 230 action plans, eight Ministry of Health state budgets, eight Ministry of Health annual statistics reports, 16 policy unit budgets and published literature.
RESULTS
The framework within which the government gave the policy unit its mandate and policy focus had the strongest effect on the institutionalisation process. Institutionalisation depended on political will, in both the host government and any donors, and the priority given to the policy unit's focus. It was also affected by the leadership of the policy unit managers. These factors were influenced by human resource capacity, and our findings suggest that, for successful institutionalisation in Burkina Faso's health system, policy units need to be given sufficient human resources to achieve their objectives.
CONCLUSION
Policy units' institutionalisation in Burkina Faso's health system depend on the leadership of the unit managers to implement relevant activities, mobilise funding, and recruit and maintain enough human resources, as well as the mandate given by the government.
背景
本文是三项相关研究之一，旨在了解布基纳法索卫生系统内政策单位的制度化进程。它考察了制度框架的存在、数据生产能力以及卫生系统中政策单位制度化过程中的其他资源可用性之间的关系。因此，它有助于我们理解将制度化的关键驱动因素和指标联系起来的动态过程。此外，它还考察了管理环境中的因素，包括工作场所环境、预算和人力资源可用性，可能如何影响制度化进程。
方法
该研究采用解释性定性案例研究方法，考察了布基纳法索卫生部的两个政策单位，其中第一个已成功制度化，另一个则不然。数据收集自关键政策制定者，包括与第一个政策单位相关的13人、与第二个政策单位相关的10人以及两名资助者。我们还对国家卫生发展计划、两项中期战略计划、230项行动计划、卫生部的八份国家预算、卫生部的八份年度统计报告、16份政策单位预算和已发表的文献进行了文献分析。
结果
政府赋予政策单位任务和政策重点的框架对制度化进程影响最大。制度化取决于东道国政府和任何捐助方的政治意愿以及对政策单位重点的重视程度。它还受到政策单位管理者领导力的影响。这些因素受到人力资源能力的影响，我们的研究结果表明，为了在布基纳法索卫生系统中成功实现制度化，政策单位需要获得足够的人力资源以实现其目标。
结论
布基纳法索卫生系统中政策单位的制度化取决于单位管理者的领导力，以实施相关活动、筹集资金、招聘和保留足够的人力资源，以及政府赋予的任务。
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