津巴布韦国家与非政府组织在提供卫生服务方面的合作——以无国界医生组织抗逆转录病毒治疗项目为例。

The Interface between the State and NGOs in Delivering Health Services in Zimbabwe-A Case of the MSF ART Programme.

机构信息

Population and Health Research Entity, North-West University, Mafikeng 2735, South Africa.

Africa Centre for HIV/Aids Management, Stellenbosch University, Stellenbosch 7602, South Africa.

出版信息

Int J Environ Res Public Health. 2023 Dec 3;20(23):7137. doi: 10.3390/ijerph20237137.

DOI:10.3390/ijerph20237137

PMID:38063567

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10706040/

Abstract

An over-reliance on donor funding for HIV/AIDS healthcare services remains a concern in Africa. This study, therefore, explores the partnership between the Zimbabwean government and an international non-governmental organisation in delivering HIV/AIDS healthcare services. An interpretivist paradigm and descriptive phenomenological design were used to elicit the opinions, perceptions, and experiences of forty purposively sampled key informants. Thematic analysis was employed using ATLAS.ti version 7.1.4 to analyse the data. The differences in terms of policies, structures, and administrative issues between the partners identified challenges in the implementation of the programme. This was demonstrated through the reversal of the gains attained in prevention, care, and treatment. This raises concerns for increased risk of defaulters, drug resistance, and deaths. Therefore, the partners in this endeavour should negotiate an aligned approach for the efficient delivery of HIV/AIDS healthcare services.

摘要

在非洲，过度依赖捐赠资金来提供艾滋病医疗服务仍然是一个令人关注的问题。因此，本研究探讨了津巴布韦政府与一个国际非政府组织在提供艾滋病医疗服务方面的伙伴关系。本研究采用解释主义范式和描述性现象学设计，以征求四十名有针对性抽样的主要知情者的意见、看法和经验。采用 ATLAS.ti 版本 7.1.4 对数据进行主题分析。合作伙伴之间在政策、结构和行政问题方面的差异给方案的实施带来了挑战。这表现在预防、护理和治疗方面所取得的成果出现了逆转。这增加了违约、耐药和死亡的风险。因此，在这方面的合作伙伴应该协商一种一致的方法，以有效提供艾滋病医疗服务。