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在千年发展目标之后的情景下延续2015年后的健康议程步伐:发展中国家的预计路线图。

Sustaining the stride of health agenda beyond 2015 in post mdgs scenario: a projected roadmap for the developing countries.

作者信息

Shaikh Babar Tasneem

出版信息

J Ayub Med Coll Abbottabad. 2014 Oct-Dec;26(4):640-3.

Abstract

As the world is reaching toward 2015, the echoes of MDGs are becoming louder. Results with regard to achievements of the targets set globally, show mixed results. Very understandably, the developing countries will miss most of the targets by far, and the attributed reasons are obvious. Dearth of resources-financial and human, evidence for decision making, infrastructure, meaningful collaboration with developed countries, and overall governance of the health sector are some of the pitfalls on 2000-2015 screen. Nonetheless, international commitments are sending positive vibes and message that glass is half full. Countries must keep the pace and sustain the stride of MDGs agenda, with an appraised roadmap, of course. Poverty, natural and man-made disasters, and slow socio-economic development, and some incongruous technologies are the challenges en route. A holistic approach is the need of the time, and therefore this paper presents a strategic framework drawn from the WHO's proposed health systems building blocks, which might, help the developing countries and fragile health systems to turn around the state of affairs.

摘要

随着世界迈向2015年,千年发展目标的呼声越来越高。就全球设定目标的达成情况而言,结果喜忧参半。可以理解的是,发展中国家目前将错过大部分目标,原因显而易见。资源匮乏——资金和人力、决策依据、基础设施、与发达国家的有效合作以及卫生部门的整体治理等,都是2000年至2015年期间面临的一些困境。尽管如此,国际承诺传递出积极的信号,表明情况并非完全糟糕。各国必须跟上步伐,当然要凭借经过评估的路线图,维持千年发展目标议程的势头。贫困、自然和人为灾害、缓慢的社会经济发展以及一些不适用的技术,都是前进道路上的挑战。全面的方法是当务之急,因此本文提出了一个源自世界卫生组织提议的卫生系统构建模块的战略框架,这可能有助于发展中国家和脆弱的卫生系统扭转局面。

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