Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27517, USA.
Global Renaissance Enterprises, LLC, Washington, DC, USA.
J Public Health Policy. 2017 May;38(2):257-268. doi: 10.1057/s41271-016-0058-4.
Both the Sustainable Development Goals (SDGs) and the Global Health Security Agenda (GHSA) represent bold initiatives to address systematically gaps in previous efforts to assure that societies can be resilient when confronted with potentially overwhelming threats to health. Despite their obvious differences, and differing criticisms of both, they shift away from vertical (problem- or disease-specific) to horizontal (comprehensive) solutions. Despite the comprehensiveness of the SDGs, they lack a specific target for global health security. The GHSA focuses primarily on infectious diseases and neglects non-communicable diseases and socioeconomic drivers of health. Even though each agenda has limitations and unique challenges, they are complementary. We discuss ways to understand and implement the two agendas synergistically to hasten progress toward a more sustainable and resilient world.
可持续发展目标(SDGs)和全球卫生安全议程(GHSA)都代表了系统地解决以前确保社会在面临可能对健康造成巨大威胁时具有弹性的努力中的差距的大胆举措。尽管它们存在明显的差异,也受到了两者的不同批评,但它们已经从垂直(针对特定问题或疾病)解决方案转变为水平(全面)解决方案。尽管 SDGs 具有全面性,但它们缺乏针对全球卫生安全的具体目标。GHSA 主要关注传染病,而忽略了非传染性疾病和健康的社会经济驱动因素。尽管每个议程都有局限性和独特的挑战,但它们是互补的。我们讨论了以协同方式理解和实施这两个议程的方法,以加快实现更加可持续和有弹性的世界的进展。