Leather Andrew, Ismail Edna Adan, Ali Roda, Abdi Yasin Arab, Abby Mohamed Hussein, Gulaid Suleiman Ahmed, Walhad Said Ahmed, Guleid Suleiman, Ervine Ian Maxwell, Lowe-Lauri Malcolm, Parker Michael, Adams Sarah, Datema Marieke, Parry Eldryd
King's College Hospital, London SE5 9RS, UK.
Lancet. 2006 Sep 23;368(9541):1119-25. doi: 10.1016/S0140-6736(06)69047-8.
In 1991, the Somali National Movement fighters recaptured the Somaliland capital city of Hargeisa after a 3-year civil war. The government troops of the dictator General Mohamed Siad Barre fled south, plunging most of Somalia into a state of anarchy that persists to this day. In the north of the region, the redeclaration of independence of Somaliland took place on May 18, 1991. Despite some sporadic civil unrest between 1994 and 1996, and a few tragic killings of members of the international community, the country has enjoyed peace and stability and has an impressive development record. However, Somaliland continues to await international recognition. The civil war resulted in the destruction of most of Somaliland's health-care facilities, compounded by mass migration or death of trained health personnel. Access to good, affordable health care for the average Somali remains greatly compromised. A former medical director of the general hospital of Hargeisa, Abdirahman Ahmed Mohamed, suggested the idea of a link between King's College Hospital in London, UK, and Somaliland. With support from two British colleagues, a fact-finding trip sponsored by the Tropical Health and Education Trust (THET) took place in July, 2000, followed by a needs assessment by a THET programme coordinator. Here, we describe the challenges of health-care reconstruction in Somaliland and the evolving role of the partnership between King's College Hospital, THET, and Somaliland within the context of the growing movement to link UK NHS trusts and teaching institutions with counterparts in developing countries.
1991年，经过3年内战，索马里民族运动武装人员夺回了索马里兰首府哈尔格萨。独裁者穆罕默德·西亚德·巴雷将军的政府军逃往南方，使索马里大部分地区陷入了至今仍持续的无政府状态。1991年5月18日，该地区北部宣布索马里兰重新独立。尽管在1994年至1996年间发生了一些零星的内乱，以及几起针对国际社会成员的悲惨杀戮事件，但该国一直享有和平与稳定，并且有着令人瞩目的发展记录。然而，索马里兰仍在等待国际社会的承认。内战导致索马里兰大部分医疗设施遭到破坏，而受过培训的卫生人员大规模迁移或死亡更是雪上加霜。普通索马里人获得优质且负担得起的医疗服务的机会仍然受到极大影响。哈尔格萨综合医院的前医疗主任阿卜杜勒拉赫曼·艾哈迈德·穆罕默德提出了英国伦敦国王学院医院与索马里兰建立联系的想法。在两名英国同事的支持下，热带卫生与教育信托基金（THET）于2000年7月赞助了一次实情调查之旅，随后由THET项目协调员进行了一次需求评估。在此，我们描述了索马里兰医疗重建面临的挑战，以及在英国国民医疗服务体系（NHS）信托机构和教学机构与发展中国家对应机构建立联系的运动不断发展的背景下，国王学院医院、THET和索马里兰之间伙伴关系不断演变的作用。
