Heartfile, Islamabad, Pakistan.
Lancet. 2013 Jun 29;381(9885):2291-7. doi: 10.1016/S0140-6736(13)60813-2. Epub 2013 May 17.
Pakistan's enormous macroeconomic, internal, and human security challenges coexist alongside the opportunity created by a huge desire for change. With democracy taking root and a new constitutionally ushered era in state governance, The Lancet Series about Pakistan and health focuses on health as a nation-building and social-welfare agenda at a time of unprecedented social upheaval and economic hardships in the country. We call for a unified vision for the goal of universal and equitable health access. We provide recommendations for six objectives for policy and action. Higher political priority for health, increased investments, a combination of targeted and universal approaches, action in terms of the social determinants, institutionalisation of the right organisational network, and frameworks for accountability are crucial for the attainment of the health goals in Pakistan.
巴基斯坦面临着巨大的宏观经济、内部和人类安全挑战，同时也面临着巨大的变革愿望所带来的机遇。随着民主的扎根和国家治理的新宪法时代的到来，《柳叶刀》系列关于巴基斯坦和卫生的文章关注的是在该国面临前所未有的社会动荡和经济困难之际，将健康作为国家建设和社会福利议程的一部分。我们呼吁为普及和公平获得卫生服务的目标制定统一的愿景。我们提出了六项政策和行动目标的建议。提高对健康的政治重视、增加投资、采取有针对性和普遍性的方法相结合、针对社会决定因素采取行动、使权利组织网络制度化以及建立问责框架，对于实现巴基斯坦的卫生目标至关重要。
