Dodge C P
UNICEF, Dhaka, Bangladesh.
Soc Sci Med. 1990;31(6):691-8. doi: 10.1016/0277-9536(90)90251-m.
Civil war disrupted agriculture and trade in Uganda and Sudan. This reduced tax revenues and drained scarce resources away from health budgets to finance increased military expenditures. Hundreds and thousands of people were driven from their homes either as internally displaced people or as refugees. Normal health service delivery systems were broken down forcing doctors, nurses and other health professionals into towns, cities or neighbouring countries in search of peace and employment. Scores of hospitals, health centres and dispensaries were abandoned, destroyed or looted, rendering even the limited physical facilities useless. Preventive public health services such as immunization and provision of potable drinking water were discontinued leaving huge populations susceptible to controllable infectious diseases and epidemics.
内战扰乱了乌干达和苏丹的农业与贸易。这减少了税收收入,使稀缺资源从卫生预算中流失,用于增加军事开支。成千上万的人被迫离开家园,成为境内流离失所者或难民。正常的医疗服务提供系统瓦解,迫使医生、护士和其他卫生专业人员前往城镇、城市或邻国寻求和平与工作。许多医院、保健中心和诊疗所被遗弃、摧毁或抢劫,使即使有限的物质设施也无法使用。诸如免疫接种和提供安全饮用水等预防性公共卫生服务中断,使大量人口易受可控传染病和流行病的影响。