English M
Department of Paediatrics, University of Oxford and Oxford Radcliffe Hospitals Trust, UK.
Arch Dis Child. 2005 Sep;90(9):974-8. doi: 10.1136/adc.2005.074468.
In a previous article in this series, Zulfiquar Bhutta outlined many of the key sociopolitical issues, both national and international, that currently affect the delivery of health care to children in developing countries. The clear summary of our situation is that we are failing to provide even basic health care (both preventive and curative) that could reduce child mortality globally by more than half. Paediatricians, who have perhaps in the past felt they were at the forefront of articulating and promoting a global health agenda, should be challenged by these conclusions. The successful ratification of the United Nations Convention on the Rights of the Child that unequivocally target health was not a finishing line, a goal achieved, but rather a foundation for action. Therefore while researchers might have felt some satisfaction at successes in defining optimum treatment approaches, the pathways to delivering services were, and remain, far from clear. Progress is further complicated by the diverse conditions and obstacles that may be encountered worldwide.
在本系列的上一篇文章中，祖尔菲卡尔·布塔概述了许多当前影响发展中国家儿童医疗保健服务的关键社会政治问题，包括国内和国际层面的问题。我们目前状况的清晰总结是，我们甚至未能提供基本的医疗保健服务（包括预防和治疗），而这些服务本可将全球儿童死亡率降低一半以上。过去，儿科医生或许觉得自己处于阐明和推动全球卫生议程的前沿，但这些结论应促使他们进行反思。明确以健康为目标的《联合国儿童权利公约》的成功批准并非终点，不是一个已实现的目标，而是行动的基础。因此，尽管研究人员可能对在确定最佳治疗方法方面取得的成功感到些许满意，但提供服务的途径过去不清楚，现在依然不明朗。全球可能遇到的各种状况和障碍使进展更加复杂。
