PDF(Pubmed)
Abstract：
UNASSIGNED: health sector planning and budgeting are concerned with identifying priorities that guide budgetary allocation to improve health outcomes. Engaging the community in this process empowers them to manage their own health. Despite the benefits and the availability of legislation and structures to mainstream community participation, their involvement is minimal and marred with challenges. This study, therefore, aimed to examine the level and perspectives of health managers on community health committees´ (CHC) participation in health sector planning and budgeting.
UNASSIGNED: the study utilized a cross-sectional research design, incorporating both quantitative and qualitative research methods. Study participants were involved in planning and budgeting. Quantitative data were collected from 100% (n=170) of health managers, while qualitative data were gathered from 100% (n=3) of county department of health executives and 94% (n=83) of community health committee members. Descriptive statistics were utilized to analyze quantitative data, while qualitative data were analyzed thematically.
UNASSIGNED: although 87% of the health managers agreed that community health committee participation is beneficial, only 11% of them were satisfied with their participation, and 54% rated CHC participation as low; furthermore, over 50% of health managers disagreed that Community Health Unit (CHUs) have the necessary skills to effectively participate in the process, that adequate budget and time are allocated for CHC participation, and that feedback about the process is provided to them.
UNASSIGNED: the county health department of health should allocate more funds and design sustained capacity-building programs to enhance CHC participation in health sector planning and budgeting.
UNASSIGNED: the study utilized a cross-sectional research design, incorporating both quantitative and qualitative research methods. Study participants were involved in planning and budgeting. Quantitative data were collected from 100% (n=170) of health managers, while qualitative data were gathered from 100% (n=3) of county department of health executives and 94% (n=83) of community health committee members. Descriptive statistics were utilized to analyze quantitative data, while qualitative data were analyzed thematically.
UNASSIGNED: although 87% of the health managers agreed that community health committee participation is beneficial, only 11% of them were satisfied with their participation, and 54% rated CHC participation as low; furthermore, over 50% of health managers disagreed that Community Health Unit (CHUs) have the necessary skills to effectively participate in the process, that adequate budget and time are allocated for CHC participation, and that feedback about the process is provided to them.
UNASSIGNED: the county health department of health should allocate more funds and design sustained capacity-building programs to enhance CHC participation in health sector planning and budgeting.
摘要：
■卫生部门的规划和预算与确定指导预算分配以改善卫生结果的优先事项有关。让社区参与这个过程使他们能够管理自己的健康。尽管立法和结构对主流社区参与有好处和可用性，他们的参与很少，而且充满了挑战。这项研究,因此,旨在研究卫生管理人员对社区卫生委员会（CHC）参与卫生部门规划和预算的水平和观点。
■这项研究采用了横断面研究设计，结合定量和定性研究方法。研究参与者参与了计划和预算。定量数据来自100%(n=170)的健康管理者，而定性数据来自100％（n=3）的县卫生部门高管和94％（n=83）的社区卫生委员会成员。描述性统计被用来分析定量数据，而定性数据则进行了主题分析。
■尽管87%的健康管理者同意社区卫生委员会的参与是有益的，只有11%的人对他们的参与感到满意，54%的人认为CHC参与率较低；此外，超过50％的卫生管理人员不同意社区卫生单位（CHU）具有有效参与该过程的必要技能，为CHC的参与分配了足够的预算和时间，并向他们提供有关该过程的反馈。
县卫生部门应分配更多资金并设计持续的能力建设计划，以加强CHC对卫生部门规划和预算的参与。
■这项研究采用了横断面研究设计，结合定量和定性研究方法。研究参与者参与了计划和预算。定量数据来自100%(n=170)的健康管理者，而定性数据来自100％（n=3）的县卫生部门高管和94％（n=83）的社区卫生委员会成员。描述性统计被用来分析定量数据，而定性数据则进行了主题分析。
■尽管87%的健康管理者同意社区卫生委员会的参与是有益的，只有11%的人对他们的参与感到满意，54%的人认为CHC参与率较低；此外，超过50％的卫生管理人员不同意社区卫生单位（CHU）具有有效参与该过程的必要技能，为CHC的参与分配了足够的预算和时间，并向他们提供有关该过程的反馈。
县卫生部门应分配更多资金并设计持续的能力建设计划，以加强CHC对卫生部门规划和预算的参与。
