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Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric 英文参考文献.docVIP

Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric 英文参考文献.doc

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Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric 英文参考文献

PolicyForum GlobalHealthActorsClaimToSupportHealthSystem Strengthening—IsThisRealityorRhetoric? BrunoMarchal*,AnnaCavalli,GuyKegels DepartmentofPublicHealth,InstituteofTropicalMedicine–Antwerp,Antwerp,Belgium ‘‘HealthSystem Strengthening’’:ANew Buzzword Methods SummaryPoints N Theterms‘‘globalhealthinitiative’’and ‘‘globalhealthpartnership’’aremuchused but ill defined. They cover very different groups of actors [5]. In this paper, we discuss international initiatives and key agencies working in the domain of HSS. Acknowledging their different nature, we use in this paper the term global health actor(GHA)forreasonsofsimplicity. In order to document the views, defini- tions,andstrategiesofGHAs,weinitiated our literature review by searching GHA Websitesforkeystrategicdocuments.The aim of the review wasnot tobeinclusive, buttouncoverkeyexamplesfromthewide rangeofactorsandHSSinterventions.We thensearchedPubMedandGoogleScholar using key words including ‘‘health system strengthening’’, ‘‘global health initiatives’’, and ‘‘vertical programmes’’. Through re- peatedsnowballing,otherdocumentswere identified, including grey literature. We used a form of concept mapping [6] (see also/wiki/Concept_ map) to identify key constructs used by GHAs and compared these constructs with their actual health interventions. A more detailed section on methodology is presented in Text S1. Health system strengthening (HSS), the new buzzword in dis- cussions about international health, is in danger of becoming acontainerconceptthatisusedto labelverydifferentinterventions. The recent explosion in the number of global health initiatives has dramatically changed the landscape of public health and international aid. During an initial honeymoon period, these initiatives start- N Manyglobalhealthinitiativesand ed implementing their disease-specific agencies (which we term ‘‘global health actors’’) claim that their activitiessupportHSS. activities in low-income countries. But the honeymoon is ove

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