Orach Christopher Garimoi, De Brouwere Vincent
Makerere University, Institute of Public Health, P.O. Box 7072, Kampala, Uganda.
Health Policy Plan. 2006 Jan;21(1):53-64. doi: 10.1093/heapol/czj007. Epub 2005 Dec 7.
Refugees are a common feature in Africa and Uganda is no exception. However, Uganda does not have the resources to provide health care to all its own citizens, let alone to refugees. Refugee health services are therefore usually set up and provided separately by international organizations such as the United Nations High Commissioner for Refugees (UNHCR). However, such services often end up being the only available or reliable services in a particular location for both host and refugee populations. Yet the host populations are often denied access to these services because, in theory, other services are being provided by their government. The case study in the West Nile region of Uganda describes how host and refugee services were integrated in an attempt to address the concerns of inequity of access to care for host populations, when reasonably good health services were available to nearby refugee populations. The paper identifies and discusses the challenges encountered and those remaining.
难民在非洲是常见现象，乌干达也不例外。然而，乌干达没有资源为其所有公民提供医疗保健，更不用说为难民提供了。因此，难民医疗服务通常由联合国难民事务高级专员公署（UNHCR）等国际组织单独设立和提供。然而，在特定地点，这些服务往往最终成为当地居民和难民唯一可获得或可靠的服务。然而，当地居民往往被拒绝获得这些服务，因为从理论上讲，他们的政府正在提供其他服务。乌干达西尼罗河地区的案例研究描述了在附近难民群体可获得相当不错的医疗服务时，如何整合当地居民和难民的服务，以解决当地居民在获得医疗服务方面的不公平问题。本文识别并讨论了所遇到的挑战以及仍然存在的挑战。
