Acerra John R, Iskyan Kara, Qureshi Zubair A, Sharma Rahul K
Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Int J Emerg Med. 2009 Jun 5;2(2):77-82. doi: 10.1007/s12245-009-0106-y.
Developing nations have many challenges to the growth of emergency medical systems. This development in Afghanistan is also complicated by many factors that plague post-conflict countries including an unstable political system, poor economy, poor baseline health indices, and ongoing violence. Progress has been made in Afghanistan with the implementation of the Basic Package of Health Service (BPHS) by the Ministry of Public Health in an effort to provide healthcare that would have the most cost-effective impact on common health problems. Trauma and trauma-related disability were both identified as priorities under the BPHS, and efforts have begun to address these problems. Most of the emergency care delivered in Afghanistan is provided by the military sector and non-governmental organizations. Security, lack of infrastructure, economic hardship, difficult access to healthcare facilities, poor healthcare facility conditions, and lack of trained healthcare providers, especially women, are all problems that need to be addressed. The long-term goal of quality healthcare for all Afghan citizens will only be met by a combination of specific goal-oriented projects, foreign aid, domestic responsibility, and time.
发展中国家在紧急医疗系统的发展上面临诸多挑战。阿富汗的这一发展也因许多困扰冲突后国家的因素而变得复杂，这些因素包括不稳定的政治体制、糟糕的经济状况、较差的健康基线指标以及持续的暴力冲突。阿富汗通过公共卫生部实施基本卫生服务包（BPHS）取得了一些进展，旨在提供对常见健康问题具有最具成本效益影响的医疗保健服务。创伤及与创伤相关的残疾均被确定为基本卫生服务包的优先事项，并且已经开始努力解决这些问题。阿富汗提供的大部分急救护理由军事部门和非政府组织负责。安全问题、基础设施匮乏、经济困难、难以获得医疗设施、医疗设施条件差以及缺乏训练有素的医疗服务提供者，尤其是女性医疗服务提供者，都是需要解决的问题。只有通过一系列具体的目标导向项目、外国援助、国内责任以及时间，才能实现为所有阿富汗公民提供优质医疗保健的长期目标。
