Country Perspectives on Improving Technical Assistance in the Health Sector
| Autor: | Jeanne Chauffour, Jean-Fidèle Ilunga, Anne LaFond, James Dominion, Célestin Nsibu, Christy Asala, Nkeiru Onuekwusi, Salma Ibrahim Anas-Kolo, Nosa Orobaton, John J.P. Ovuoraye Ajiwohwodoma, Joseph Kasongo, Emilia Klimiuk, Natasha Kanagat, Sylvain Yuma Ramazani, Toto Ezombe, Joseph Sunday, Dyness Kasungami, Gavial Ngambwa, Abimbola Williams, Oleka Maryjane, Melanie Wendland |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Guiding Principles
media_common.quotation_subject Medicine (miscellaneous) Nigeria Biochemistry Genetics and Molecular Biology (miscellaneous) maternal health technical assistance human-centered design Immunology and Microbiology (miscellaneous) Political science Co-creation media_common User-centered design Government business.industry HCD reimagining Health Policy Corporate governance Public Health Environmental and Occupational Health DRC Public relations maternal and child health MCH Accountability Democratic Republic of the Congo MNCH Psychological resilience business maternal neonatal and child health re-imagining Autonomy |
| DOI: | 10.5281/zenodo.5102923 |
| Popis: | Background: This paper presents learnings from the Re-Imagining Technical Assistance for Maternal, Neonatal, and Child Health and Health Systems Strengthening (RTA) project implemented in the Democratic Republic of the Congo and Nigeria from April 2018 to September 2020 by JSI Research & Training Institute, Inc. and Sonder Collective and managed by the Child Health Task Force. The first of RTA’s two phases involved multiple design research activities, such as human-centered design and co-creation, while the second phase focused on secondary analysis of interviews and reports from the design research. This paper explores the limitations of current technical assistance (TA) approaches and maps opportunities to improve how TA is planned and delivered in the health sector. Methods: We analyzed project reports and 68 interviews with TA funders, providers, and consumers to explore in greater detail their perspectives on TA, its characteristics and drawbacks as well as opportunities for improvement. We used qualitative content analysis techniques for this study. Results: The issues surrounding TA included the focus on donor-driven agendas over country priorities, poor accountability between and within TA actors, inadequate skill transfer from TA providers to government TA consumers, an emphasis on quick fixes and short-term thinking, and inadequate governance mechanisms to oversee and manage TA. Consequently, health systems do not achieve the highest levels of resilience and autonomy. Conclusions: Participants in project workshops and interviews called for a transformation in TA centered on a redistribution of power enabling governments to establish their health agendas in keeping with the issues that are of greatest importance to them, followed by collaboration with donors to develop TA interventions. Recommended improvements to the TA landscape in this paper include nine critical shifts, four domains of change, and 20 new guiding principles. |
| Databáze: | OpenAIRE |
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