背景:在孟加拉国,为了应对确保充足的卫生人力资源(HRH)的挑战,政府于2017年开始为HRH管理实施数字工具。然而,有证据表明,在中低收入国家将这些工具制度化受到政策方面的阻碍,如实施战略和不良的监管框架。因此,我们旨在探讨当前政策环境中可能促进和挑战该工具在孟加拉国实施的因素。
方法:我们使用定性内容分析法对孟加拉国卫生部门与ICT实施和人力资源管理有关的政策进行了审查。已经确定了十项政策,广泛阅读以确定共同的主题和模式。开发了一个文档分析矩阵来综合和帮助解释研究结果。
结果:关于主持人,在制定具体目标方面,强有力的上游承诺反映在政策内容中,目标,时间线,和预算分配。然而,缺乏明确的监测战略和利益相关者参与的程度并不明确,最终为阻碍下游实施创造机会。此外,利益相关者之间的有效协调以及不同的HRH和ICT政策可以得到加强。
结论:研究结果支持当前的论述,即国家承诺在将ICT纳入卫生服务中起着至关重要的作用。然而,明确的监测战略以及部际和部内政策协调至关重要。
BACKGROUND: In Bangladesh, to address the challenges of ensuring adequate human resources for health (HRH), the government began implementing a digital tool for HRH management in 2017. However, evidence suggests institutionalizing such tools in low-and-middle-income countries is impeded by policy aspects like implementation strategy and poor regulatory framework. Therefore, we aimed to explore factors in the current policy landscape that might facilitate and challenge the implementation of the tool in Bangladesh.
METHODS: We conducted a review of policies related to ICT implementation and human resources management in the health sector in Bangladesh using qualitative content analysis method. Ten policies have been identified, and extensive reading was done to ascertain common themes and patterns. A document analysis matrix was developed to synthesize and help interpret the findings.
RESULTS: Regarding facilitators, strong upstream level commitments were reflected in the content of policies in terms of setting out specific objectives, targets, timelines, and budget allocation. However, the lack of explicit monitoring strategy and extent of stakeholders\' engagement was not well-defined, ultimately creating chances for impeding downstream implementation. In addition, effective coordination among stakeholders and different HRH and ICT policies could be strengthened.
CONCLUSIONS: Findings support the current discourse that national commitment plays a vital role in the integration of ICTs in health services. However, well-defined monitoring strategy and inter-ministry and intra-ministry policy coordination are crucial.