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多部门合作促进公共卫生。

Multisectoral approach for promoting public health.

机构信息

Senior Advisor, Public Health Foundation of India, Health Systems Support Unit, Gurgaon, Haryana, India.

Senior Programme Manager, Health Systems Unit, PHFI, Institutional Area, Gurgaon, Haryana, India.

出版信息

Indian J Public Health. 2017 Jul-Sep;61(3):163-168. doi: 10.4103/ijph.IJPH_220_17.

Abstract

Multisectoral approach (MSA) refers to deliberate collaboration among various stakeholder groups (e.g., government, civil society, and private sector) and sectors (e.g., health, environment, and economy) to jointly achieve a policy outcome. By engaging multiple sectors, partners can leverage knowledge, expertise, reach, and resources, benefiting from their combined and varied strengths as they work toward the shared goal of producing better health outcomes. Improving public health (PH) is challenging because of the size of its population and wide variation in geography. MSA help in addressing identified health issues in focused way as it helps in pooling the resources and formulating the common objectives. One of the major advantages is optimization of usage of resources by avoiding duplication of inputs and activities which tremendously improve program effectiveness and efficiency. Willingness at the leadership and mandate at the policy level are necessary to plan and execute the successful multisectoral coordination. All the major stakeholders require to share the common vision and perspective. Developing institutional mechanism is utmost requirement as it will standardize the processes of intersectoral coordination (ISC). Creation of PH cadre is strategic move to meet the major health challenges being faced by the health system, and it would be anchor of establishing systematic ISC. There are many national and international examples of MSA applications such as for malaria elimination, tobacco control, HIV/AIDS prevention, Finland's community-based cardiovascular disease prevention project (North Karelia Project), and Singapore's Health Promotion Board. Promotion of MSA within the health system and with other ministries is seen as an important measure for effective implementation and improving efficiency.

摘要

多部门合作(MSA)是指政府、民间社会和私营部门等各利益攸关方群体以及卫生、环境和经济等各部门之间的有意合作,共同实现一项政策成果。通过涉及多个部门,合作伙伴可以利用知识、专业知识、影响力和资源,从他们的联合和多样化优势中受益,共同努力实现改善健康结果的共同目标。由于人口众多,地域差异广泛,改善公共卫生(PH)具有挑战性。MSA 有助于有针对性地解决已确定的健康问题,因为它有助于汇集资源并制定共同目标。其主要优势之一是通过避免投入和活动的重复来优化资源的使用,这极大地提高了项目的效果和效率。在领导层面和政策层面的意愿对于规划和执行成功的多部门协调是必要的。所有主要利益攸关方都需要分享共同的愿景和观点。制定机构机制是最基本的要求,因为它将规范部门间协调(ISC)的流程。建立公共卫生干部队伍是应对卫生系统面临的主要健康挑战的战略举措,也是建立系统的 ISC 的基础。有许多国家和国际多部门合作应用的例子,如疟疾消除、烟草控制、艾滋病毒/艾滋病预防、芬兰基于社区的心血管疾病预防项目(北卡累利阿项目)和新加坡健康促进委员会。在卫生系统内以及与其他部委内推广 MSA 被视为有效实施和提高效率的重要措施。

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