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残疾问题协调人及跨部门政策实施:赞比亚利益相关者观点的定性研究

Disability Focal Point Persons and Policy Implementation Across Sectors: A Qualitative Examination of Stakeholder Perspectives in Zambia.

作者信息

Cleaver Shaun, Hunt Matthew, Bond Virginia, Lencucha Raphael

机构信息

School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.

Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal (CRIR), Montreal, QC, Canada.

出版信息

Front Public Health. 2020 Sep 15;8:496. doi: 10.3389/fpubh.2020.00496. eCollection 2020.

Abstract

Zambia has created new disability policies and updated existing policies to be consistent with the United Nations Convention on the Rights of Persons with Disabilities. These initiatives require the widespread engagement of ministries and departments to achieve effective policy development and implementation. To pursue widespread engagement, the Government of Zambia developed a structure of disability focal point persons (FPPs). The Zambian disability FPP structure has not yet been explored systematically. To explore disability policy stakeholder perspectives about FPPs as a feature of disability policy development and implementation. We conducted semi-structured interviews with 24 disability policy stakeholders (10 policymakers, 2 researchers, and 12 disability advocates) as part of a larger study about the development and implementation of disability-related policies in Zambia. Interviews were audio recorded and transcribed. Data were analyzed using content analysis. Participants presented FPPs as a promising way to mainstream disability within the government. According to participants, the initial launch of the FPP structure was ineffective, with a lack of clarity about the structure and an initial cohort of FPPs that wielded minimal influence. The FPP structure has since been revised. Participants express promise that the improved second launch will achieve mainstreaming. Zambian disability policy stakeholders describe a disability FPP structure that is different from the models suggested for treaty implementation. Pre-established commitments to mainstreaming among stakeholders might have stimulated interest in following the cyclical development of the disability FPP structure, encouraging a whole-of-government approach to disability policy implementation.

摘要

赞比亚制定了新的残疾政策,并更新了现有政策,使其与《联合国残疾人权利公约》保持一致。这些举措需要各部委广泛参与,以实现有效的政策制定和实施。为推动广泛参与,赞比亚政府建立了残疾问题协调人(FPPs)架构。赞比亚的残疾问题协调人架构尚未得到系统研究。为探讨残疾政策利益相关者对作为残疾政策制定和实施特色的协调人的看法,我们对24名残疾政策利益相关者(10名政策制定者、2名研究人员和12名残疾权益倡导者)进行了半结构化访谈,这是关于赞比亚残疾相关政策制定和实施的一项更大规模研究的一部分。访谈进行了录音和转录。数据采用内容分析法进行分析。参与者认为协调人是将残疾问题纳入政府主流的一种有前景的方式。据参与者称,协调人架构的首次推出效果不佳,架构不明确,首批协调人影响力极小。此后,协调人架构进行了修订。参与者表示,改进后的第二次推出有望实现主流化。赞比亚残疾政策利益相关者描述了一种与条约实施建议模式不同的残疾问题协调人架构。利益相关者预先做出的将残疾问题纳入主流的承诺,可能激发了他们对关注残疾问题协调人架构周期性发展的兴趣,鼓励采取政府整体 approach 来实施残疾政策。

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