Global Health Policy Institute, San Diego, CA, USA.
Department of Anesthesiology and Division of Infectious Diseases and Global Public Health, School of Medicine, University of California, San Diego, CA, USA.
Int J Health Policy Manag. 2019 Nov 1;8(11):668-671. doi: 10.15171/ijhpm.2019.65.
Corruption in the health sector has been a "dirty secret" in the health policy and international development community, but recent global activities point to a day when it will no longer be neglected as a key determinant of health. To further explore next steps forward, this commentary applies the Kingdon's multiple-streams framework (MSF) to assess what opportunities are available to mobilize the global agenda to combat health corruption. Based on this analysis, it appears that Kingdon's problem, policy, and political streams are coalescing to create a policy window opportunity that can be leveraged based on recent developments in the global health and international development community around corruption. This includes the recent formation of the Global Network on Anti-Corruption, Transparency and Accountability (GNACTA) led by the World Health Organization (WHO), the Global Fund, and the United Nations Development Programme in 2019. It also includes bridging shared goals of addressing corruption in order to make progress towards health-specific goals in the United Nations (UN) Sustainable Development Goals (SDGs) and for achieving universal health coverage.
卫生部门的腐败一直是卫生政策和国际发展界的“肮脏秘密”，但最近的全球活动表明，腐败将不再被忽视，而是作为健康的一个关键决定因素。为了进一步探讨前进的步骤，本评论运用金登的多源流框架（MSF）来评估有哪些机会可以调动全球议程来打击卫生腐败。基于这一分析，似乎金登的问题、政策和政治流正在汇聚，创造了一个政策窗口机会，可以利用全球卫生和国际发展界最近在腐败问题上的发展。其中包括最近由世界卫生组织（世卫组织）、全球基金和联合国开发计划署于 2019 年成立的全球反腐败、透明度和问责制网络（GNACTA）。它还包括为实现联合国（UN）可持续发展目标（SDGs）中具体的健康目标和实现全民健康覆盖而解决腐败问题的共同目标。
