了解武装冲突对健康结果的影响：以尼泊尔为例。
Understanding effects of armed conflict on health outcomes: the case of Nepal.
机构信息
Section of Population Health, School of Medicine and Dentistry, AB 25, 2ZD, University of Aberdeen, Scotland, UK.
出版信息
Confl Health. 2010 Dec 1;4:20. doi: 10.1186/1752-1505-4-20.
OBJECTIVE
There is abundance of literature on adverse effects of conflict on the health of the population. In contrast to this, sporadic data in Nepal claim improvements in most of the health indicators during the decade-long armed conflict (1996-2006). However, systematic information to support or reject this claim is scant. This study reviews Nepal's key health indicators before and after the violent conflict and explores the possible factors facilitating the progress.
METHODS
A secondary analysis has been conducted of two demographic health surveys-Nepal Family Health Survey (NFHS) 1996 and Nepal Demographic and Health Survey (NDHS) 2006; the latter was supplemented by a study carried out by the Nepal Health Research Council in 2006.
RESULTS
The data show Nepal has made progress in 16 out of 19 health indicators which are part of the Millennium Development Goals whilst three indicators have remained static. Our analysis suggests a number of conflict and non-conflict factors which may have led to this success.
CONCLUSION
The lessons learnt from Nepal could be replicable elsewhere in conflict and post-conflict environments. A nationwide large-scale empirical study is needed to further assess the determinants of Nepal's success in the health sector at a time the country experienced a decade of armed conflict.
目的
关于冲突对民众健康的不良影响，已有大量文献记载。相比之下，在尼泊尔，仅有的一些零星数据声称，在长达十年的武装冲突（1996-2006 年）期间，大多数健康指标都有所改善。然而，支持或否定这一说法的系统信息却很少。本研究回顾了尼泊尔在暴力冲突前后的主要健康指标，并探讨了促进这一进展的可能因素。
方法
对两项人口健康调查进行了二次分析——尼泊尔家庭健康调查（NFHS）1996 年和尼泊尔人口与健康调查（NDHS）2006 年；后者由尼泊尔健康研究委员会于 2006 年进行的一项研究进行了补充。
结果
数据显示，在作为千年发展目标一部分的 19 项健康指标中，尼泊尔有 16 项取得了进展，而有 3 项指标保持不变。我们的分析表明，有一些冲突和非冲突因素可能导致了这一成功。
结论
尼泊尔从中吸取的经验教训在冲突和冲突后环境中可能具有可复制性。在这个国家经历了十年武装冲突的时期，需要进行全国范围内的大规模实证研究，以进一步评估尼泊尔在卫生部门取得成功的决定因素。
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