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- Hellden, D., et al.
(författare)
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Interactions between child health and the Sustainable Development Goals - an empirical assessment in Cambodia
- 2021
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Ingår i: Tropical medicine & international health. - : Wiley. - 1360-2276 .- 1365-3156. ; 26, s. 134-134
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- OBJECTIVE With the implementation of the 2030 Agenda and the Sustainable Development Goals (SDGs) there is a need for a framework for understanding how child health is related to other sustainable development outcomes. Cambodia has made great advances in child health and recently adapted the SDGs into the Cambodian Sustainable Development Goals (CSDGs). A systematic assessment of how the SDGs influence child health and vice versa has however been lacking. This study aimed to contribute to such an assessment by considering the interactions between the SDGs and child health in Cambodia.METHODS The participatory semi-quantitative SDG Synergies method was applied in order to systematically assess the interactions. Over a two-day workshop, 29 governmental and non-governmental stakeholders scored 272 interactions between 17 CSDGs where CSDG 3 represented child health on a seven-point scale from strongly restricting (-3) to strongly promoting (+3). From this a cross-impact matrix was derived and network analysis applied to determine first and second-order effects of the interactions with a focus on child health.RESULTS Overall, stakeholders perceived in general that there are promoting interactions between the CSDGs and child health and that CSDG 16 (peace, justice and strong institutions) might have the largest synergistic potential for the achievement of the CSDGs. Stakeholders perceived that progress on child health promotes the achievement of all other goals except for CSDG 15 (life on land) in Cambodia. Conversely, progress on all other goals positively influence child health.CONCLUSIONS The investigation of the interactions surrounding the SDGs and child health in Cambodia provide insights on how complex relationships play out at country level, illuminating critical synergies and trad-offs. This understanding is vital for informing policy coherence and multisectoral partnerships that can accelerate the work towards achieving the 2030 Agenda and the betterment of global child health in Cambodia and beyond.
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- Rawat, Angeli, et al.
(författare)
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The contribution of community health systems to resilience : case study of the response to the 2015 earthquake in Nepal
- 2023
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Ingår i: Journal of Global Health. - : International Society of Global Health. - 2047-2978 .- 2047-2986. ; 13
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Tidskriftsartikel (refereegranskat)abstract
- Background Understanding how to build resilience in health systems is essen-tial to ensuring countries can respond to shocks and has become increasingly important in the context of climate change. The 2015 earthquake in Nepal of-fered an opportunity to capture lessons learned and advance our understanding of resilience. Community members, especially female community health volun-teers (FCHVs), were central to the response. We aimed to describe the successes and challenges with building resilience in community-based health systems after the earthquake response from multiple perspectives within the health system.Methods Key informant interviews and focus group discussions were utilised. Participants included FCHVs, primary healthcare workers, community lead-ers and mothers, district health managers, representatives from the Ministry of Health and Population, multilateral health organisations, bilateral develop-ment partners, local non-governmental organisations, community-based organ-isations, and international non-governmental organisations. We used thematic content analysis to identify emerging themes.Results Seventy-seven people participated in the study in September 2016 from communities (n = 53, 69%), districts (n = 8, 10%), and national levels (n = 16, 21%). Strong coordination, international and national support, and communi-ty engagement and participation were reported as successes of the earthquake response. Challenges included a lack of preparedness and supplies, a lack of earthquake-resistant infrastructure, and the centralisation of the response. FCH-Vs continued to work, despite being victims of the earthquake themselves. Facil-itators of the continuation of the FCHVs' duties included their strong ties with the communities and facilities, international support, and the ability to mobilise existing community resources. Barriers included fear, communities' attitudes, high workloads, large geographic distances, and difficult geography. Participants identified the importance of having strong, connected, and supported commu-nities, adaptable funding and policies, and decentralised decision-making with-in strong health systems. Conclusions Building resilience in community-based health systems must start with strong communities that are prepared, trained, equipped, and empowered. Health systems must be decentralised and adaptable, with strong coordination and leadership. Capable community health workers such as FCHVs were an important part of building resilience during the earthquake. These lessons can assist countries in strengthening decentralised health systems to better respond to a multitude of shocks, while still providing essential health services for com-munities.
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