Marubuci: Marijke Wijnroks, Ma'aikatar Harkokin Waje

Nufin

Shekaru biyu bayan kawo karshen yakin basasa a kasar 1992 in El Salvador, ya fara shirin kiwon lafiya wanda Netherlands ta tallafa a gundumomi shida. Wani aikin da ake kira Multi-bi project, Hukumar Lafiya ta Pan American ta gudanar (PAHO). Shirin yana da burin biyu:

• sake gina ababen more rayuwa na kiwon lafiya da yaki ya yi wa illa sosai;
• inganta yanayin kiwon lafiya ta hanyar kula da lafiya matakin farko (PHC) kusanci.

Shirin ya kuma yi nufin bayar da gudunmowa ga tsarin sake ginawa da sulhuntawa. Yaƙin ya bar El Salvador sosai. Bisa ra'ayin cewa kiwon lafiya yanki ne na siyasa, muna son inganta haɗin gwiwa tsakanin gwamnati da ƙungiyoyin zamantakewa ta hanyar PHC.

The m

Shirin mu na PHC ya mai da hankali sosai ga tsara ƙasa, don ƙungiyoyin al'umma da haɗin kai da kuma haɗin gwiwar tsakanin sassan. Haka kuma, wannan ya dace daidai da manufofin Ma'aikatar Lafiya ta Salvadoran. Ni ne ke da alhakin sa ido da kimantawa, sabili da haka kuma don kafa wani bincike na asali game da halin da aka fara a cikin kananan hukumomi. Domin wannan mun sane da ɗan kwangilar da mafi ƙarancin gogewa: Jami'ar El Salvador. Misali, muna son shigar da Jami'ar - wacce ta ba da horo ga yawancin ma'aikatan kiwon lafiya na Salvadoran - a cikin shirinmu da kuma a cikin tunanin PHC., yayin da yake ƙarfafa ƙarfin bincikensa. Wanda nake tuntuba shine – mai matukar hannu da kwazo – shugaban tsangayar likitanci.

Sakamakon

Idan ze yiwu 1996 shirin yayi kyau. Amma a zaben kananan hukumomi, jam'iyyar dama ta ministan lafiya ta sha kaye a hannun 'yan adawa na hagu a hudu daga cikin "mu" kananan hukumomi shida.. Wazirin ya zama shi ne ke da alhakin yakin neman zabe na jam’iyyarsa a wadannan kananan hukumomin kuma yana neman tada zaune tsaye.. Wannan ya zama ƙungiyar aikin mu. Da mun aiwatar da farfagandar gurguzu. Kuma da ma mun sa aljihun kasafin kudin shirin. Zalunci ba shakka, saboda yarjejeniyoyin kan kari wani ma'auni ne na kwangiloli tare da kungiyoyi masu yawa kamar PAHO. Sakamakon: sallamar tawagarmu nan take da kuma kammala aikin (ya tsaya a ciki 1997). Ni kaina na fita 1998 yin aiki a matsayin ƙwararren jigo na kiwon lafiya na Ma'aikatar Harkokin Waje a Hague. … Ƙarshen da ba a zata ba 2009 zaben El Salvador ya kasance - a karon farko - jam'iyyun hagu ne suka lashe. Sakamakon ya kasance canjin siyasa na gadi a saman gwamnati. Kuma a cikin 2010 Na shiga a karon farko tun tafiyara 1998 dawo El Salvador. A matsayina na jakadan kanjamau, na jagoranci tawagar hukumar UNAIDS. A tarona na farko a ma’aikatar lafiya, na yi mamakin haduwa da tsohon shugaban tsangayar likitocin. Ya zama mataimakin minista mai kula da manufofin sashe. Ya gaya mani cewa shirin namu na PHC ya kasance muhimmin tushe na zaburarwa ga sabbin manufofin sashe. Sabon minista (Shugaban jami'a a lokacin) ya ma bullo da hadin gwiwa tsakanin sassan a matakin kasa.

Darussan

1. Zaɓin mafi ƙarancin ƙwararrun mai bada don binciken tushe ya zama mai haske ba da niyya ba. Ba wai kawai jami'a ta iya samun ƙwarewar bincike ba, amma ya fara wani muhimmin tsari na canji a tunanin lafiya.
2. Canje-canje na gaske yana ɗaukar lokaci mai tsawo kuma ingantaccen tushe mai mahimmanci yana da mahimmanci
3. A zahiri babu yankunan 'siyasa tsakani'. Hanyarmu ta PHC ta yi daidai da manufofin jam'iyya mai mulki a kan takarda. Amma yana da wasu dalilai kuma yana so ya kiyaye matsayin.

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