Heath I, Haines A, Malenica Z, Oulton J A, Leopando Z, Kaseje D, Addington W W, Giscard D'Estaing O, Tumwine J K, Koivusalo M, Biscoe G, Nickson P, Marusić M, Vuk Pavlović S
Croat Med J. 2000 Mar;41(1):28-31.
The International Poverty and Health Network (IPHN) was created in December 1997 following a series of conferences organized by the World Health Organization, with the aim of integrating health into plans to eradicate poverty. Around 1.3 billion people live on less than US$1 per day. Of the 4.4 billion people in developing countries nearly 60% lack access to sanitation, 30% do not have clean water, 20% have no health care, and 20% do not have enough dietary energy and protein. Even among rich nations there are gross socioeconomic inequalities. Many children are robbed of their physical and mental potential through poverty. Expressed in constant 1963 US dollars, an average Croatian family needed the annual income of US$894 to meet the poverty line in 1960 and US$9,027 in 1995. Accordingly, 9-25% of Croatian households were below the poverty line between 1960 and 1995. The increase in the poverty rate after 1991 was compounded by the war that destroyed almost a third of industrial capacity and infrastructure. Dissipation of the communist economy and inadequate privatization have contributed to the increase in unemployment rate, corruption, and other social ills. IPHN invited Croatian Medical Journal to publish this editorial to help push the issue of poverty up political and medical agendas on a global level. We argue that a factor contributing to the failure of most large-scale programs against poverty to date is the excessive emphasis on material and infrastructure assistance at the expense of spiritual, moral, and intellectual development.
国际贫困与健康网络(IPHN)于1997年12月在世界卫生组织组织的一系列会议之后成立,旨在将健康纳入消除贫困的计划中。约13亿人每天生活费不足1美元。在发展中国家的44亿人口中,近60%无法使用卫生设施,30%没有清洁水源,20%得不到医疗保健,20%没有足够的饮食能量和蛋白质。即使在富国,也存在严重的社会经济不平等现象。许多儿童因贫困而丧失了身心发展潜力。以1963年不变美元计算,1960年克罗地亚一个普通家庭需要894美元的年收入才能达到贫困线,1995年则需要9027美元。因此,在1960年至1995年期间,克罗地亚9%至25%的家庭处于贫困线以下。1991年后贫困率的上升因战争而加剧,战争摧毁了近三分之一的工业产能和基础设施。共产主义经济的瓦解和私有化不足导致了失业率上升、腐败及其他社会问题。IPHN邀请《克罗地亚医学杂志》发表这篇社论,以推动贫困问题在全球层面上进入政治和医疗议程。我们认为,迄今为止,大多数大规模扶贫项目失败的一个因素是过度强调物质和基础设施援助,而牺牲了精神、道德和智力发展。