Cargando…
Country perspectives on improving technical assistance in the health sector
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 & Trainin...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
F1000 Research Limited
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8847213/ https://www.ncbi.nlm.nih.gov/pubmed/35224453 http://dx.doi.org/10.12688/gatesopenres.13248.1 |
_version_ | 1784652004111417344 |
---|---|
author | Kanagat, Natasha Chauffour, Jeanne Ilunga, Jean-Fidèle Yuma Ramazani, Sylvain Ovuoraye Ajiwohwodoma, John J.P. Ibrahim Anas-Kolo, Salma Maryjane, Oleka Onuekwusi, Nkeiru Ezombe, Toto Dominion, James Sunday, Joseph Kasongo, Joseph Ngambwa, Gavial Asala, Christy Nsibu, Célestin Williams, Abimbola Wendland, Melanie Klimiuk, Emilia LaFond, Anne Orobaton, Nosa Kasungami, Dyness |
author_facet | Kanagat, Natasha Chauffour, Jeanne Ilunga, Jean-Fidèle Yuma Ramazani, Sylvain Ovuoraye Ajiwohwodoma, John J.P. Ibrahim Anas-Kolo, Salma Maryjane, Oleka Onuekwusi, Nkeiru Ezombe, Toto Dominion, James Sunday, Joseph Kasongo, Joseph Ngambwa, Gavial Asala, Christy Nsibu, Célestin Williams, Abimbola Wendland, Melanie Klimiuk, Emilia LaFond, Anne Orobaton, Nosa Kasungami, Dyness |
author_sort | Kanagat, Natasha |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8847213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | F1000 Research Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-88472132022-02-25 Country perspectives on improving technical assistance in the health sector Kanagat, Natasha Chauffour, Jeanne Ilunga, Jean-Fidèle Yuma Ramazani, Sylvain Ovuoraye Ajiwohwodoma, John J.P. Ibrahim Anas-Kolo, Salma Maryjane, Oleka Onuekwusi, Nkeiru Ezombe, Toto Dominion, James Sunday, Joseph Kasongo, Joseph Ngambwa, Gavial Asala, Christy Nsibu, Célestin Williams, Abimbola Wendland, Melanie Klimiuk, Emilia LaFond, Anne Orobaton, Nosa Kasungami, Dyness Gates Open Res Research Article 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. F1000 Research Limited 2021-08-24 /pmc/articles/PMC8847213/ /pubmed/35224453 http://dx.doi.org/10.12688/gatesopenres.13248.1 Text en Copyright: © 2021 Kanagat N et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kanagat, Natasha Chauffour, Jeanne Ilunga, Jean-Fidèle Yuma Ramazani, Sylvain Ovuoraye Ajiwohwodoma, John J.P. Ibrahim Anas-Kolo, Salma Maryjane, Oleka Onuekwusi, Nkeiru Ezombe, Toto Dominion, James Sunday, Joseph Kasongo, Joseph Ngambwa, Gavial Asala, Christy Nsibu, Célestin Williams, Abimbola Wendland, Melanie Klimiuk, Emilia LaFond, Anne Orobaton, Nosa Kasungami, Dyness Country perspectives on improving technical assistance in the health sector |
title | Country perspectives on improving technical assistance in the health sector |
title_full | Country perspectives on improving technical assistance in the health sector |
title_fullStr | Country perspectives on improving technical assistance in the health sector |
title_full_unstemmed | Country perspectives on improving technical assistance in the health sector |
title_short | Country perspectives on improving technical assistance in the health sector |
title_sort | country perspectives on improving technical assistance in the health sector |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8847213/ https://www.ncbi.nlm.nih.gov/pubmed/35224453 http://dx.doi.org/10.12688/gatesopenres.13248.1 |
work_keys_str_mv | AT kanagatnatasha countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT chauffourjeanne countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT ilungajeanfidele countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT yumaramazanisylvain countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT ovuorayeajiwohwodomajohnjp countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT ibrahimanaskolosalma countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT maryjaneoleka countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT onuekwusinkeiru countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT ezombetoto countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT dominionjames countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT sundayjoseph countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT kasongojoseph countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT ngambwagavial countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT asalachristy countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT nsibucelestin countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT williamsabimbola countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT wendlandmelanie countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT klimiukemilia countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT lafondanne countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT orobatonnosa countryperspectivesonimprovingtechnicalassistanceinthehealthsector AT kasungamidyness countryperspectivesonimprovingtechnicalassistanceinthehealthsector |