Doshmangir Leila, Sanadghol Arman, Kakemam Edris, Majdzadeh Reza
Department of Health Policy and Management, Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
PLoS One. 2025 Jan 30;20(1):e0315592. doi: 10.1371/journal.pone.0315592. eCollection 2025.
Non-governmental organisations (NGOs) have the potential to make a significant contribution to improving health system goals through the provision of resources, health services and community participation. Therefore, this paper examines the role of NGOs in achieving health system goals, based on the six building blocks of a health system framework, and identifies strategies to enhance NGO involvement in achieving health system goals.
A scoping systematic review methodology was used to map and synthesise the existing literature on the topic, following the latest JBI six-stage framework. Four databases and one search engine including PubMed, Web of Science (ISI), EMBASE, Scopus and Google Scholar were searched from January 2000 to January 2024. The results were synthesised using a directed content analysis approach, and the findings were categorised according to the dimensions of the six building blocks.
NGO involvement in health system goals can effectively address gaps in service delivery, strengthen the health workforce, improve health information systems, increase access to essential medicines, mobilise resources and promote good governance. In addition, six key strategies were identified, including joint planning, policy development, capacity building, resource allocation, developing collaboration, and improving the quality of health care, to enhance NGO participation in achieving health system goals.
NGOs can play a critical role in achieving health system goals, alongside government and other key health stakeholders. Governments need to use evidence-based policies and interventions to support NGOs to realise their potential in achieving health system goals.
非政府组织(NGO)有潜力通过提供资源、卫生服务和促进社区参与,为改善卫生系统目标做出重大贡献。因此,本文基于卫生系统框架的六个组成部分,探讨了非政府组织在实现卫生系统目标中的作用,并确定了增强非政府组织参与实现卫生系统目标的策略。
采用范围界定系统综述方法,按照最新的JBI六阶段框架,对该主题的现有文献进行梳理和综合。检索了四个数据库和一个搜索引擎,包括PubMed、科学网(ISI)、EMBASE、Scopus和谷歌学术,检索时间为2000年1月至2024年1月。采用定向内容分析法对结果进行综合,并根据六个组成部分的维度对研究结果进行分类。
非政府组织参与卫生系统目标能够有效弥补服务提供方面的差距,加强卫生人力,改善卫生信息系统,增加基本药物的可及性,筹集资源并促进良好治理。此外,还确定了六项关键策略,包括联合规划、政策制定、能力建设、资源分配、发展协作以及提高医疗服务质量,以增强非政府组织参与实现卫生系统目标的程度。
非政府组织在与政府及其他主要卫生利益相关方共同实现卫生系统目标方面可发挥关键作用。政府需要运用基于证据的政策和干预措施,支持非政府组织发挥其在实现卫生系统目标方面的潜力。