International Treatment Preparedness Coalition, Johannesburg, South Africa.
Curr HIV/AIDS Rep. 2020 Oct;17(5):415-421. doi: 10.1007/s11904-020-00521-2.
Communities occupy a central position in effective health systems, notably through monitoring of health service quality and by giving recipients of care a voice. Our review identifies community-led monitoring mechanisms and best practices.
Implementation of community-led monitoring mechanisms improved service delivery at facility-level, health system-wide infrastructure and health outcomes among recipients of care. Successful models were community-led, collaborative, continuous and systematic, and incorporated advocacy and community education. Identifying and replicating successful community-led monitoring practices is a key pathway to equitable access to HIV and health services overall.
社区在有效的卫生系统中占据核心地位,特别是通过监测卫生服务质量和赋予医疗服务接受者话语权。我们的综述确定了社区主导的监测机制和最佳实践。
社区主导的监测机制的实施改善了医疗机构的服务提供、卫生系统的基础设施以及医疗服务接受者的健康结果。成功的模式是社区主导的、协作的、持续的和系统的,并结合了宣传和社区教育。确定和复制成功的社区主导的监测实践是实现艾滋病毒和整体卫生服务公平获取的关键途径。