Sheikh M R
Division of Health Systems and Community Development, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.
East Mediterr Health J. 2000 Jul;6(4):766-74.
Poverty and health are mutually reinforcing and deprivation in one area produces negative effects in the other. Unfortunately at the beginning of the 21st century, the number of people living in absolute poverty continues to rise with grim health consequences. Many studies have clearly established that health is related to and influenced by a complex of environmental, social and economic factors ultimately related to each other. Therefore, actions undertaken outside of the health sector are likely to have effects much greater than those obtained through the health sector alone. Thus, the countries of the World Health Organization Eastern Mediterranean Region have adopted basic development needs to address all the determinants of health collectively through community empowerment in order to transform social lifestyles and enhance human development. This article presents the contribution made by basic development needs in empowering local communities and vulnerable groups to acquire their essential needs through the efficient use of available resources. The assessment surveys of the ongoing programme conducted periodically in different countries have demonstrated significant reduction in poverty levels and improvement in quality of life indices pertaining to a wide range of fields, including health, nutrition and other social sectors.
贫困与健康相互影响,一个领域的匮乏会对另一个领域产生负面影响。不幸的是,在21世纪初,生活在绝对贫困中的人数持续增加,对健康造成了严峻后果。许多研究已明确证实,健康与一系列环境、社会和经济因素相关并受其影响,而这些因素最终相互关联。因此,在卫生部门之外采取的行动可能比仅通过卫生部门取得的效果要大得多。于是,世界卫生组织东地中海区域各国已采用基本发展需求,通过增强社区权能来共同应对所有健康决定因素,以转变社会生活方式并促进人类发展。本文介绍了基本发展需求在增强当地社区和弱势群体权能方面所做的贡献,即通过有效利用现有资源来满足他们的基本需求。在不同国家定期开展的对现行方案的评估调查表明,贫困水平显著降低,与包括健康、营养及其他社会部门在内的广泛领域相关的生活质量指标得到改善。