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提高尼泊尔和斯里兰卡获得优质计划生育服务的机会:南南学习交流的启示。

Improving access to quality family planning services in Nepal and Sri Lanka: insights from a South-South learning exchange.

机构信息

UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland

NPO- Reproductive, Maternal, Newborn, Child and Adolescent Health, World Health Organization, Colombo, Sri Lanka.

出版信息

BMJ Glob Health. 2022 May;7(5). doi: 10.1136/bmjgh-2022-008691.

DOI:10.1136/bmjgh-2022-008691
PMID:35568397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9109026/
Abstract

Nepal and Sri Lanka ministries of health shared best practices and learnings, in a South-South learning exchange (SSLE) to improve access to quality and rights-based family planning services. The SSLE between the two countries followed a five-step methodology designed by the WHO, under the Family Planning Accelerator project. SSLE between the two countries started in January 2020 and is still continuing. Both countries started implementation of the learnings (step 4) at the time of preparing this manuscript (December 2021). An independent consultant from Sri Lanka carried out an evaluation, to inform future SSLEs. The evaluation included a desk review on SSLE and family planning in both countries and key informant interviews with Sri Lanka Ministries Health, WHO CO, external partners. A final evaluation of the outcomes/impact is planned in December 2022. The SSLE resulted in a systematic cross-country transfer of knowledge and implementation of the learnings. Sri Lanka implemented a web-based system for logistics management of family planning commodities and Nepal commenced implementing integrated family planning services in a decentralised environment using a lifecycle approach to improve postpartum family planning uptake. The success of this SSLE is attributed to the rigorous methodology, country-led designing of the learning agenda and process, extensive communication amongst the teams, a focus on outcomes, commitment and leadership by ministries of health in both countries. Learning and technical assistance needs of countries can be met by SSLE if national contexts, availability of resources are considered.

摘要

尼泊尔和斯里兰卡卫生部在南南学习交流(SSLE)中分享了最佳实践和经验教训,以改善获得优质和基于权利的计划生育服务的机会。这次 SSLE 是在世界卫生组织(WHO)的五步方法论的指导下,在计划生育加速项目下进行的。两国之间的 SSLE 始于 2020 年 1 月,目前仍在继续。在撰写本文稿时(2021 年 12 月),两国都开始实施所学内容(步骤 4)。斯里兰卡的一名独立顾问进行了评估,以为未来的 SSLE 提供信息。评估包括对两国的 SSLE 和计划生育进行案头审查,以及对斯里兰卡卫生部、世卫组织合作中心、外部伙伴的关键知情人进行访谈。计划在 2022 年 12 月对成果/影响进行最终评估。SSLE 导致了知识的系统跨国转移和所学内容的实施。斯里兰卡实施了一个基于网络的计划生育商品物流管理系统,而尼泊尔则开始在分散环境中使用生命周期方法实施综合计划生育服务,以提高产后计划生育的使用率。这次 SSLE 的成功归因于严格的方法、国家主导的学习议程和过程设计、团队之间的广泛沟通、对成果的关注、两国卫生部的承诺和领导力。如果考虑到国家背景和资源的可用性,SSLE 可以满足国家的学习和技术援助需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c77/9109026/0d106b81859e/bmjgh-2022-008691f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c77/9109026/0d106b81859e/bmjgh-2022-008691f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c77/9109026/0d106b81859e/bmjgh-2022-008691f01.jpg

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本文引用的文献

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Correction to: Design and initial implementation of the WHO FP umbrella project- to strengthen contraceptive services in the sub Saharan Africa.对《世卫组织计划生育综合项目的设计与初步实施——加强撒哈拉以南非洲的避孕服务》的更正
Reprod Health. 2017 Nov 6;14(1):145. doi: 10.1186/s12978-017-0406-2.
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Design and initial implementation of the WHO FP umbrella project- to strengthen contraceptive services in the sub Saharan Africa.世界卫生组织计划生育综合项目的设计与初步实施——加强撒哈拉以南非洲地区的避孕服务。
Reprod Health. 2017 Jun 15;14(1):74. doi: 10.1186/s12978-017-0335-0.
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What do you do, partner?
你是做什么工作的,搭档?
Lancet. 1996 Jul 27;348(9022):211-2. doi: 10.1016/s0140-6736(05)65542-0.