Umbhali: UMarijke Wijnroks, UMnyango Wezangaphandle

Inhloso

Eminyakeni emibili ngemva kokuphela kwempi yombango echitha igazi e 1992 e-El Salvador, waqala uhlelo lwezempilo oluxhaswa yi-Netherlands komasipala abayisithupha. Kwakuyiphrojekthi ebizwa ngokuthi i-multi-bi, olwenziwa yiPan American Health Organisation (I-PAHO). Uhlelo belunamagoli amabili:

• ukwakha kabusha ingqalasizinda yezempilo ecekeleke phansi kakhulu ngenxa yempi;
• ukwenza ngcono isimo sezempilo ngokuhlanganyela Ukunakekelwa Kwezempilo Okuyisisekelo (I-PHC) ukulinganisa.

Lolu hlelo futhi luhlose ukufaka isandla ohlelweni lokwakha kabusha nokubuyisana. Impi yayishiye i-El Salvador ihlukaniswe kakhulu. Ngokusekelwe embonweni wokuthi impilo yayiyindawo engathathi hlangothi kwezombusazwe, besifuna ukukhuthaza ukusebenzisana phakathi kukahulumeni nezinhlangano zezenhlalakahle nge-PHC.

Indlela yokwenza

Uhlelo lwethu lwe-PHC lwanaka kakhulu ukuhlela okuya phezulu, ukuhleleka komphakathi nokubamba iqhaza kanye nokubambisana phakathi kwezigaba. Ngaphezu kwalokho, lokhu kungene ngaphandle komthungo kunqubomgomo esemthethweni yoMnyango Wezempilo waseSalvador. Nganginomthwalo wemfanelo wokuqapha nokuhlola, futhi ngalokho futhi nokusungula ucwaningo oluyisisekelo mayelana nesimo sokuqala komasipala. Ngenxa yalokhu besinenkontileka encane kakhulu nosonkontileka: eNyuvesi yase-El Salvador. Isibonelo, besifuna ukubandakanya iNyuvesi - ehlinzekela ukuqeqeshwa kweningi labasebenzi bezempilo baseSalvador - ohlelweni lwethu kanye nomqondo we-PHC., ngenkathi iqinisa amandla ayo ocwaningo. Umuntu engangixhumana naye kwakungu – ubandakanyeke kakhulu futhi ukhuthazekile – umphathi wophiko lwezokwelapha.

Umphumela

Memento Amsterdam 1996 luhambe kahle uhlelo. Kodwa okhethweni lomasipala, iqembu lophiko lwesokudla likangqongqoshe wezempilo lihlulwe kwamaqembu aphikisayo komasipala "bethu" abane kwabayisithupha.. Ungqongqoshe kuvele ukuthi nguyena obhekelele umkhankaso weqembu lakhe kwezepolitiki kulabo masipala kanti ubethungatha imbuzi.. Lokho kwaba ithimba lethu lephrojekthi. Besiyoqhuba inkulumo-ze yamaKhomanisi. Futhi besizofaka ephaketheni imali engaphezulu yesabelomali sohlelo. Ngokungafanele kunjalo, ngoba izivumelwano eziphezudlwana ziyingxenye evamile yezinkontileka nezinhlangano zamazwe ngamazwe njenge-PAHO. Umphumela: ukuxoshwa ngokushesha kwethimba lethu kanye nokuqedwa kwephrojekthi (kwangena 1997). Mina ngokwami ​​ngangena 1998 ukuqala ukusebenza njengengcweti yetimu yezempilo yoMnyango Wezangaphandle eThe Hague. ... isiphetho esingalindelekile Ngo 2009 Ukhetho lwase-El Salvador lwanqotshwa - ngokokuqala ngqa - ngamaqembu angakwesokunxele. Umphumela waba ukushintsha kokuqapha kwezombangazwe phezulu kuhulumeni. Futhi ku 2010 Ngangiqala ngqa selokhu ngahamba 1998 emuva e-El Salvador. Njengenxusa lengculaza, ngahola umkhankaso webhodi le-UNAIDS. Emhlanganweni wami wokuqala eMnyangweni Wezempilo, ngamangala kakhulu lapho ngihlangana nomphathi omdala wophiko lwezokwelapha. Kuvele ukuthi uqokwe njengephini likangqongqoshe obhekelele inqubomgomo yomkhakha. Wangitshela ukuthi uhlelo 'lwethu' lwe-PHC lube umthombo obalulekile wokukhuthaza inqubomgomo entsha yomkhakha. Ungqongqoshe omusha (Umphathi wenyuvesi ngaleso sikhathi) baze bethula ukubambisana phakathi kwezigaba ezingeni likazwelonke.

Izifundo

1. Ukukhethwa komhlinzeki oqeqeshwe kancane ocwaningweni oluyisisekelo kubonakale kuhlakaniphe ngokungenhloso. Akukhona nje ukuthi inyuvesi ikwazile ukuthola isipiliyoni socwaningo, kodwa yaqala inqubo ebalulekile yoshintsho ekucabangeni ngempilo.
2. Izinguquko zangempela zithatha isikhathi eside futhi isisekelo esiqinile se-endogenous sibalulekile
3. Empeleni azikho izindawo 'ezingathathi hlangothi kwezombusazwe'. 'Indlela yethu' ye-PHC yayihambisana ngokugcwele nenqubomgomo yeqembu elibusayo ephepheni. Kodwa wayenezinye izisusa futhi wayefuna ukugcina isimo esasikhona.

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