Herrick Clare, Brooks Andrew
Department of Geography, King's College London.
Med Anthropol Q. 2018 Dec;32(4):520-538. doi: 10.1111/maq.12462. Epub 2018 Aug 16.
Global health partnerships (GHPs) are the conceptual cousin of partnerships in the development sphere. Since their emergence in the 1990s, the GHP mode of working and funding has mainly been applied to single-disease, vertical interventions. However, GHPs are increasingly being used to enact Health Systems Strengthening and to address the global health worker shortage. In contrast to other critical explorations of GHPs, we explore in this article how the fact, act, and aspiration of binding different actors together around the ideology and modes of partnership working produces the perpetual state of being in a bind. This is an original analytical framework drawing on research in Sierra Leone and London. We offer new insights into the ways in which GHPs function and are experienced, showing that along with the successes of partnership work, such arrangements are often and unavoidably tense, uncomfortable, and a source of frustration and angst.
全球卫生伙伴关系（GHPs）是发展领域伙伴关系的概念近亲。自20世纪90年代出现以来，全球卫生伙伴关系的工作和资助模式主要应用于单一疾病的垂直干预措施。然而，全球卫生伙伴关系越来越多地被用于加强卫生系统以及解决全球卫生工作者短缺问题。与对全球卫生伙伴关系的其他重要探讨不同，我们在本文中探究围绕伙伴关系工作的理念和模式将不同行为体联合在一起的事实、行为和愿望是如何导致一种持续的两难境地的。这是一个基于在塞拉利昂和伦敦的研究得出的原创分析框架。我们对全球卫生伙伴关系的运作方式及人们的体验提供了新的见解，表明除了伙伴关系工作取得的成功之外，此类安排往往不可避免地存在紧张、不适，是挫折和焦虑的根源。
