Purpose:China has a long history of private school education.Since the founding of the People’s Republic of China,nongovernmental education(private school education)once disappeared from Chinese society until its rev...Purpose:China has a long history of private school education.Since the founding of the People’s Republic of China,nongovernmental education(private school education)once disappeared from Chinese society until its revival following the 3rd Plenary Session of the 11th Central Committee of the Communist Party of China.With its development of more than four decades,nongovernmental education has become an important part of China’s educational system and is vigorously promoting the modernization progress of Chinese education.Design/Approach/Methods:Being different from the overseas private school education,which is mostly funded by donations,China’s nongovernmental education sector has operated on the basis of private capital investments and contributions,with the organizers(contributors)typically expecting economic returns.Marked by the introduction of regulations and policies for nongovernmental education around the year of 2016,China’s nongovernmental education sector officially entered a new era of registration,support,and regulation by category.Findings:The macroscopic policies of China’s nongovernmental education in new era present the following new characters:(Ⅰ)Emphasizing education provision as a public interest and comprehensively strengthening private school leadership;(Ⅱ)managing negative lists and broadening the means by which social forces participate in operating schools;(Ⅲ)implementing preferential policies for private schools through categories based on the principle of being fair but different;(Ⅳ)supporting the development of private schools with the goal of improving education quality;(Ⅴ)standardizing private schools’operating practices in order to promote healthy and orderly development.Originality/Value:The implementing of the new policies on nongovernmental education shall have significant impact on the development and reform of China’s nongovernmental education in the future:(1)The rapid development of nonprofit private schools due to government support;(2)for-profit private schools may face polarization in a fiercely competitive market environment;(3)heavy burden of categorizing and transferring existing stock of schools due to various historical and realistic constraints.展开更多
It was 9 am on Oct 18,2017.The19th National Congress of the Communist Party of China opened at the Great Hall of the People in Beijing.At the same time,Sarah Lande,an American woman in her 70s,was watching the live TV...It was 9 am on Oct 18,2017.The19th National Congress of the Communist Party of China opened at the Great Hall of the People in Beijing.At the same time,Sarah Lande,an American woman in her 70s,was watching the live TV broadcast thousands of miles away in a small town in Iowa.Lande was receiving a delegation of the Shanghai People’s Association for Friendship with Foreign展开更多
Background:National tuberculosis(TB)programs increasingly engage with international non-governmental organizations(INGOs),especially to provide TB care in complex settings where community involvement might be required...Background:National tuberculosis(TB)programs increasingly engage with international non-governmental organizations(INGOs),especially to provide TB care in complex settings where community involvement might be required.In Myanmar,however,there is limited data on how such INGO community-based programs are organized and how effective they are.In this study,we describe four INGO strategies for providing community-based TB care to hard-to-reach populations in Myanmar,and assess their contribution to TB case detection.Methods:We conducted a descriptive study using program data from four INGOs and the National TB Program(NTP)in 2013-2014.For each INGO,we extracted information on its approach and key activities,the number of presumptive TB cases referred and undergoing TB testing,and the number of patients diagnosed with TB and their treatment outcomes.The contribution of INGOs to TB diagnosis in their selected townships was calculated as the proportion of INGO-diagnosed new TB cases out of the total NTP-diagnosed new TB cases in the same townships.Results:All four INGOs implemented community-based TB care in challenging contexts,targeting migrants,post-conflict areas,the urban poor,and other vulnerable populations.Two recruited community volunteers via existing community health volunteers or health structures,one via existing community leaderships,and one directly involved TB infected/affected individuals.Two INGOs compensated volunteers via performance-based financing,and two provided financial and in-kind initiatives.All relied on NTP laboratories for diagnosis and TB drugs,but provided direct observation treatment support and treatment follow-up.A total of 21995 presumptive TB cases were referred for TB diagnosis,with 7383(34%)new TB cases diagnosed and almost all(98%)successfully treated.The four INGOs contributed to the detection of,on average,36%(7383/20663)of the total new TB cases in their respective townships(range:15-52%).Conclusion:Community-based TB care supported by INGOs successfully achieved TB case detection in hard-toreach and vulnerable populations.This is vital to achieving the World Health Organization End TB Strategy targets.Strategies to ensure sustainability of the programs should be explored,including the need for longer-term commitment of INGOs.展开更多
文摘Purpose:China has a long history of private school education.Since the founding of the People’s Republic of China,nongovernmental education(private school education)once disappeared from Chinese society until its revival following the 3rd Plenary Session of the 11th Central Committee of the Communist Party of China.With its development of more than four decades,nongovernmental education has become an important part of China’s educational system and is vigorously promoting the modernization progress of Chinese education.Design/Approach/Methods:Being different from the overseas private school education,which is mostly funded by donations,China’s nongovernmental education sector has operated on the basis of private capital investments and contributions,with the organizers(contributors)typically expecting economic returns.Marked by the introduction of regulations and policies for nongovernmental education around the year of 2016,China’s nongovernmental education sector officially entered a new era of registration,support,and regulation by category.Findings:The macroscopic policies of China’s nongovernmental education in new era present the following new characters:(Ⅰ)Emphasizing education provision as a public interest and comprehensively strengthening private school leadership;(Ⅱ)managing negative lists and broadening the means by which social forces participate in operating schools;(Ⅲ)implementing preferential policies for private schools through categories based on the principle of being fair but different;(Ⅳ)supporting the development of private schools with the goal of improving education quality;(Ⅴ)standardizing private schools’operating practices in order to promote healthy and orderly development.Originality/Value:The implementing of the new policies on nongovernmental education shall have significant impact on the development and reform of China’s nongovernmental education in the future:(1)The rapid development of nonprofit private schools due to government support;(2)for-profit private schools may face polarization in a fiercely competitive market environment;(3)heavy burden of categorizing and transferring existing stock of schools due to various historical and realistic constraints.
文摘It was 9 am on Oct 18,2017.The19th National Congress of the Communist Party of China opened at the Great Hall of the People in Beijing.At the same time,Sarah Lande,an American woman in her 70s,was watching the live TV broadcast thousands of miles away in a small town in Iowa.Lande was receiving a delegation of the Shanghai People’s Association for Friendship with Foreign
基金This study was funded by the Special Program for Research and Training in Tropical Diseases at the World Health Organization(WHO/TDR)Impact Grant given to two TDR alumni from the DMRThe funders had no role in the study design,data collection and analysis,decision to publish,or preparation of the paper.
文摘Background:National tuberculosis(TB)programs increasingly engage with international non-governmental organizations(INGOs),especially to provide TB care in complex settings where community involvement might be required.In Myanmar,however,there is limited data on how such INGO community-based programs are organized and how effective they are.In this study,we describe four INGO strategies for providing community-based TB care to hard-to-reach populations in Myanmar,and assess their contribution to TB case detection.Methods:We conducted a descriptive study using program data from four INGOs and the National TB Program(NTP)in 2013-2014.For each INGO,we extracted information on its approach and key activities,the number of presumptive TB cases referred and undergoing TB testing,and the number of patients diagnosed with TB and their treatment outcomes.The contribution of INGOs to TB diagnosis in their selected townships was calculated as the proportion of INGO-diagnosed new TB cases out of the total NTP-diagnosed new TB cases in the same townships.Results:All four INGOs implemented community-based TB care in challenging contexts,targeting migrants,post-conflict areas,the urban poor,and other vulnerable populations.Two recruited community volunteers via existing community health volunteers or health structures,one via existing community leaderships,and one directly involved TB infected/affected individuals.Two INGOs compensated volunteers via performance-based financing,and two provided financial and in-kind initiatives.All relied on NTP laboratories for diagnosis and TB drugs,but provided direct observation treatment support and treatment follow-up.A total of 21995 presumptive TB cases were referred for TB diagnosis,with 7383(34%)new TB cases diagnosed and almost all(98%)successfully treated.The four INGOs contributed to the detection of,on average,36%(7383/20663)of the total new TB cases in their respective townships(range:15-52%).Conclusion:Community-based TB care supported by INGOs successfully achieved TB case detection in hard-toreach and vulnerable populations.This is vital to achieving the World Health Organization End TB Strategy targets.Strategies to ensure sustainability of the programs should be explored,including the need for longer-term commitment of INGOs.
