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非洲埃博拉疫情后重建转型战略

Rebuilding transformation strategies in post-Ebola epidemics in Africa.

作者信息

Tambo Ernest, Chengho Chryseis F, Ugwu Chidiebere E, Wurie Isatta, Jonhson Jeannetta K, Ngogang Jeanne Y

机构信息

Higher Institute of Health Sciences, Université des Montagnes, Bangangte, Cameroon.

Africa Disease Intelligence and Surveillance, Communication and Response (Africa DISCoR) Institute, Yaoundé, Cameroon.

出版信息

Infect Dis Poverty. 2017 May 10;6(1):71. doi: 10.1186/s40249-017-0278-2.

Abstract

Rebuilding transformation strategies in post-Ebola epidemics in West Africa requires long-term surveillance and strengthening health system preparedness to disease outbreak. This paper assesses reconstruction efforts from socio-cultural, economic and ecological transformation response approaches and strategies in improving sustainable survivors and affected communities livelihood and wellbeing. A comprehensive approach is required in the recovery and rebuilding processes. Investing in rebuilding transformation requires fostering evidence-based and effective engaging new investors partnership strengthening, financing community-based programmes ownership, novel socio-economic innovations strategies and tools against the evolving and future Ebola epidemics. Thus, there should be improved community partnership, health and economic rebuilding programmes to address mistrust and care underutilization, poverty and care access inequity at all levels. Implementing effective post-Ebola national 'One Health' approach coupled with climate change mitigation and adaptations strategies is urgent public health needs aiming at improving the quality healthcare access, delivery trust and uptake in anticipation of EVD immunization program, productivity and emerging economy.

摘要

在西非埃博拉疫情后的重建转型战略需要长期监测,并加强卫生系统对疾病爆发的防范能力。本文从社会文化、经济和生态转型应对方法及战略的角度评估重建工作,以改善幸存者和受影响社区的可持续生计及福祉。在恢复和重建过程中需要采取全面的方法。投资于重建转型需要培养基于证据且有效的新投资者伙伴关系,加强融资,促进社区项目的所有权,采用新颖的社会经济创新战略和工具,以应对不断演变的未来埃博拉疫情。因此,应改善社区伙伴关系、卫生和经济重建计划,以解决各级的不信任和医疗服务利用不足、贫困以及医疗服务获取不平等问题。实施有效的埃博拉后国家“同一健康”方法,同时结合气候变化缓解和适应战略,是紧迫的公共卫生需求,旨在提高医疗服务的质量、可及性、信任度和接受度,以应对埃博拉病毒病免疫计划、生产力和新兴经济。

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