Shahin Yousef, Kapur Anil, Seita Akhiro
Department of Health, UNRWA, HQ, Jordan.
World Diabetes Foundation (WDF), Denmark.
Diabetes Res Clin Pract. 2015 Apr;108(1):1-6. doi: 10.1016/j.diabres.2015.01.035. Epub 2015 Jan 31.
United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) was established in 1949 and has delivered health care services for over 65 years. The epidemiological transition in disease burden is changing the context in which UNRWA's health programme operates and poses new challenges that require new ways of providing health services. Hypertension and diabetes are two major health problems for Palestine refugees. UNRWA has been providing diabetes and hypertension care since 1992 in its primary health care centres. Of late, through a structured process of care delivery the UNRWA health system is making significant strides in addressing diabetes and hypertension and consequently the nine voluntary global targets as envisaged in the WHO Global Action Plan for the Prevention and Control of NCDs 2013-2020. Given that most developing countries either have no or only rudimentary services for diabetes and hypertension at the primary care level and may face similar resource and capacity constraints, UNRWA's efforts can serve as a model and inspiration to set up similar initiatives.
联合国近东巴勒斯坦难民救济和工程处（近东救济工程处）成立于1949年，提供医疗保健服务已有65年以上。疾病负担方面的流行病学转变正在改变近东救济工程处卫生项目的运作环境，并带来了新挑战，需要采用新的方式提供卫生服务。高血压和糖尿病是巴勒斯坦难民面临的两大主要健康问题。自1992年以来，近东救济工程处在其初级保健中心提供糖尿病和高血压护理。最近，通过结构化的护理提供流程，近东救济工程处卫生系统在应对糖尿病和高血压方面取得了重大进展，从而朝着实现世界卫生组织《2013-2020年预防和控制非传染性疾病全球行动计划》设想的9个自愿性全球目标迈进。鉴于大多数发展中国家在初级保健层面要么没有糖尿病和高血压服务，要么只有基本服务，而且可能面临类似的资源和能力限制，近东救济工程处的努力可以成为设立类似举措的典范和灵感来源。
