Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania;
Department of Paediatric and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
Pediatrics. 2017 Oct;140(4). doi: 10.1542/peds.2016-3823. Epub 2017 Sep 20.
Child mortality remains a global health challenge and has resulted in demand for expanding the global child health (GCH) workforce over the last 3 decades. Institutional partnerships are the cornerstone of sustainable education, research, clinical service, and advocacy for GCH. When successful, partnerships can become self-sustaining and support development of much-needed training programs in resource-constrained settings. Conversely, poorly conceptualized, constructed, or maintained partnerships may inadvertently contribute to the deterioration of health systems. In this comprehensive, literature-based, expert consensus review we present a definition of partnerships for GCH, review their genesis, evolution, and scope, describe participating organizations, and highlight benefits and challenges associated with GCH partnerships. Additionally, we suggest a framework for applying sound ethical and public health principles for GCH that includes 7 guiding principles and 4 core practices along with a structure for evaluating GCH partnerships. Finally, we highlight current knowledge gaps to stimulate further work in these areas. With awareness of the potential benefits and challenges of GCH partnerships, as well as shared dedication to guiding principles and core practices, GCH partnerships hold vast potential to positively impact child health.
儿童死亡率仍然是全球卫生面临的一个挑战，在过去 30 年中，全球儿童健康（GCH）劳动力需求不断扩大。机构伙伴关系是可持续教育、研究、临床服务和倡导全球儿童健康的基石。当合作伙伴关系成功时，它们可以自我维持，并支持在资源有限的环境中发展急需的培训计划。相反，构思、构建或维护不佳的合作伙伴关系可能会无意中导致卫生系统恶化。在这份全面的、基于文献的专家共识综述中，我们提出了一个 GCH 伙伴关系的定义，回顾了它们的起源、演变和范围，描述了参与的组织，并强调了与 GCH 伙伴关系相关的利益和挑战。此外，我们提出了一个应用良好的伦理和公共卫生原则的框架，其中包括 7 个指导原则和 4 个核心实践，以及一个评估 GCH 伙伴关系的结构。最后，我们强调了当前的知识差距，以激发这些领域的进一步工作。通过了解 GCH 伙伴关系的潜在利益和挑战，以及对指导原则和核心实践的共同承诺，GCH 伙伴关系有可能对儿童健康产生积极影响。
