在资源有限的环境中加强青少年健康领域公私伙伴关系的关键建议：在蒙古、缅甸和菲律宾开展的形成性定性调查。
Key recommendations to strengthen public-private partnership for adolescent health in resource constrained settings: Formative qualitative inquiry in Mongolia, Myanmar and the Philippines.
作者信息
Azzopardi Peter S, Hennegan Julie, Prabhu Shirley Mark, Dagva Bolorchimeg, Balibago Mx Mar, Htin Pa Pa Win, Swe Zay Yar, Kennedy Elissa C
机构信息
Global Adolescent Health Group, Maternal Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Adolescent health and wellbeing program, Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, Australia.
出版信息
Lancet Reg Health West Pac. 2021 Aug 5;15:100242. doi: 10.1016/j.lanwpc.2021.100242. eCollection 2021 Oct.
BACKGROUND
Public health services can be inaccessible for adolescents. The private sector provides many services, but often in parallel to the public sector. This study aimed to understand current private sector engagement in adolescent health service delivery and develop recommendations to strengthen partnerships.
METHODS
The study focussed on Mongolia, Myanmar and the Philippines. An initial participatory workshop in each country was followed by semi-structured key-informant interviews (32 in total) with public and private sector actors and adolescents to explore: perceptions of the public and private sectors, strengths and challenges, existing models of partnership, and insights for successful public-private partnership (PPP). Interview transcripts were analysed thematically, with findings and recommendations verified through a second workshop in Mongolia and the Philippines.
FINDINGS
The private sector already plays a significant role in adolescent health care, and stakeholders reported a genuine willingness for partnership. Strengthened PPP was identified as necessary to improve service accessibility and quality for adolescents, unburden the public sector and introduce new technologies, with advantages for the private sector including improved access to training and resources, and an enhanced public image. Recommendations for strengthened PPP included the need to establish the foundations for partnership, clearly define roles and co-ordinate stakeholders, ensure capacity and sustainability, and monitor and evaluate efforts.
INTERPRETATION
This is the first comprehensive study of public-private partnership for adolescent health in the Asia Pacific region. It identifies stakeholders are willing for stronger partnerships and the benefits this partnership will bring. We define eight key recommendations to enable this partnership across sectors.
背景
青少年难以获得公共卫生服务。私营部门提供许多服务，但通常与公共部门并行。本研究旨在了解当前私营部门在青少年卫生服务提供方面的参与情况，并提出加强伙伴关系的建议。
方法
该研究聚焦于蒙古、缅甸和菲律宾。每个国家首先举办了一次参与式研讨会，随后对公共和私营部门行为者以及青少年进行了32次半结构化关键信息访谈，以探讨：公共和私营部门的看法、优势与挑战、现有的伙伴关系模式以及成功的公私伙伴关系（PPP）的见解。对访谈记录进行了主题分析，并通过在蒙古和菲律宾举办的第二次研讨会对研究结果和建议进行了验证。
结果
私营部门已经在青少年医疗保健中发挥着重要作用，利益相关者表示真心愿意建立伙伴关系。加强公私伙伴关系被认为是提高青少年服务可及性和质量、减轻公共部门负担以及引入新技术的必要条件，对私营部门的好处包括更容易获得培训和资源，以及提升公众形象。加强公私伙伴关系的建议包括需要建立伙伴关系的基础、明确界定角色并协调利益相关者、确保能力和可持续性，以及监测和评估工作。
解读
这是亚太地区首次对青少年卫生公私伙伴关系进行的全面研究。它确定了利益相关者愿意建立更强有力的伙伴关系以及这种伙伴关系将带来的好处。我们定义了八项关键建议，以促成跨部门的这种伙伴关系。
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