Centre of Excellence for Health Systems and UHC, James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
School of Social Science and Psychology, Western Sydney University, Penrith, New South Wales, Australia.
BMJ Open. 2019 Jul 17;9(7):e024509. doi: 10.1136/bmjopen-2018-024509.
This study was conducted to explore how and whether, the strategic grants made by the Rockefeller Foundation (RF) in different sectors of health systems in the inception phase were able to 'connect the dots' for 'generating a momentum for Universal Health Coverage (UHC)' in the country.
Cross-sectional descriptive study, using document review and qualitative methods.
Bangladesh, 17 UHC-related projects funded by the RF Transforming Health Systems (THS) initiative during 2010-2013.
Available reports of the completed and on-going UHC projects, policy documents of the government relevant to UHC, key-informant interviews and feedback from grant recipients and relevant stakeholders in the policy and practice.
Key policy initiatives undertaken for implementing UHC activities by the government post grants disbursement.
The RF THS grants simultaneously targeted and connected the academia, the public and non-profit development sectors and news media for awareness-building and advocacy on UHC, develop relevant policies and capacity for implementation including evidence generation. This strategy helped relevant stakeholders to come together to discuss and debate the core concepts, scopes and modalities of UHC in an attempt to reach a consensus. Additionally, experiences gained from implementation of the pilot projects helped in identifying possible entry points for initiating UHC activities in a low resource setting like Bangladesh.
During early years of UHC-related activities in Bangladesh, strategic investments of the RF THS initiative played a catalytic role in sensitising and mobilising different constituencies for concerted activities and undertaking necessary first steps. Learnings from this strategy may be of help to countries under similar conditions of 'low resource, apparent commitment, but poor governance,' on their journey towards UHC.
本研究旨在探讨洛克菲勒基金会（RF）在卫生系统不同部门启动阶段的战略赠款如何以及是否能够“连接点”，为该国“全民健康覆盖（UHC）”创造“动力”。
使用文件审查和定性方法的横断面描述性研究。
孟加拉国，RF 转型卫生系统（THS）倡议在 2010-2013 年期间资助的 17 个与 UHC 相关的项目。
已完成和正在进行的 UHC 项目的可用报告、政府与 UHC 相关的政策文件、关键知情人访谈以及赠款接受者和政策及实践中的相关利益相关者的反馈。
政府在赠款发放后为实施 UHC 活动采取的关键政策举措。
RF THS 赠款同时针对学术界、公众和非营利发展部门以及新闻媒体进行宣传和倡导 UHC 的意识建设，制定相关政策和实施能力，包括产生证据。这种策略有助于相关利益攸关方聚集在一起，讨论和辩论 UHC 的核心概念、范围和模式，试图达成共识。此外，从试点项目的实施中获得的经验有助于确定在孟加拉国等资源有限的环境中启动 UHC 活动的可能切入点。
在孟加拉国 UHC 相关活动的早期阶段，RF THS 倡议的战略投资在提高不同利益相关者的敏感性和动员他们进行协调活动以及采取必要的第一步方面发挥了催化作用。在向 UHC 迈进的过程中，资源有限、明显承诺但治理不善的类似条件下的国家可以从这一战略中吸取经验教训。
