关键词: Health Education Health policy International health services

Mesh : Humans Global Health Developing Countries Interviews as Topic International Cooperation Qualitative Research Cooperative Behavior

来  源:   DOI:10.1136/bmjopen-2023-076475   PDF(Pubmed)

Abstract:
BACKGROUND: Effective global health partnerships can strengthen and improve health and healthcare systems across the world; however, establishing and maintaining effective partnerships can be challenging. Principles of Partnerships have been developed to improve the quality and effectiveness of health partnerships. It is unclear how principles are enacted in practice, and current research has not always included the voices of low-income and middle-income country partners. This study aimed to explore how The Tropical Health and Education Trust\'s nine Principles of Partnership are enacted in practice, from the points of view of partners from low-income, middle-income and high-income countries, to help improve partnerships\' quality and sustainability.
METHODS: People who had been a part of previous and/or ongoing health partnerships were interviewed virtually. Participants were purposefully sampled and interviews were conducted using an appreciative inquiry approach. Audio recordings were transcribed and deductive framework analysis was conducted.
RESULTS: 13 participants from 8 partnerships were interviewed. Six participants were based in the low-income or middle-income countries and seven in the UK. Key findings identified strategies that enacted \'successful\' and \'effective\' partnerships within the Principles of Partnerships. These included practical techniques such as hiring a project manager, managing expectations and openly sharing information about the team\'s expertise and aspirations. Other strategies included the importance of consulting behavioural science to ensure the partnerships consider longevity and sustainability of the partnership.
CONCLUSIONS: Core principles to effective partnerships do not work in isolation of each other; they are intertwined and are complimentary to support equitable partnerships. Good communication and relationships built on trust which allow all partners to contribute equally throughout the project are core foundations for sustainable partnerships. Recommendations for established and future partnerships include embedding behavioural scientists/psychologists to support change to improve the quality and sustainability of health partnerships.
摘要:
背景:有效的全球卫生伙伴关系可以加强和改善世界各地的卫生和医疗系统;然而,建立和维持有效的伙伴关系可能具有挑战性。已经制定了伙伴关系原则,以提高卫生伙伴关系的质量和效力。在实践中如何制定原则尚不清楚,目前的研究并不总是包括低收入和中等收入国家合作伙伴的声音。本研究旨在探讨热带健康与教育信托的九项合作原则在实践中是如何制定的,从低收入合伙人的角度来看,中等收入和高收入国家,帮助提高伙伴关系的质量和可持续性。
方法:参加过以前和/或正在进行的健康合作伙伴关系的人进行了虚拟访谈。有目的地对参与者进行抽样,并使用赞赏的询问方法进行访谈。转录录音并进行演绎框架分析。
结果:对来自8个伙伴关系的13名参与者进行了访谈。六名参与者来自低收入或中等收入国家,七名来自英国。主要调查结果确定了在《伙伴关系原则》中制定“成功”和“有效”伙伴关系的战略。其中包括诸如雇用项目经理之类的实用技术,管理期望并公开分享有关团队专业知识和抱负的信息。其他战略包括咨询行为科学以确保伙伴关系考虑伙伴关系的寿命和可持续性的重要性。
结论:有效伙伴关系的核心原则不是相互孤立的;它们相互交织,是相辅相成的,以支持公平的伙伴关系。建立在信任基础上的良好沟通和关系,使所有合作伙伴在整个项目中都能平等地做出贡献,是可持续伙伴关系的核心基础。对已建立和未来伙伴关系的建议包括让行为科学家/心理学家支持变革,以提高卫生伙伴关系的质量和可持续性。
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