Harvard Medical School, Boston, MA, USA.
Geisel School of Medicine, Dartmouth University, Hanover, NH, USA.
Int J Health Policy Manag. 2017 Aug 1;6(8):427-429. doi: 10.15171/ijhpm.2017.56.
The inadequate supply of health workers and demand-side barriers due to clinical practice that heeds too little attention to cultural context are serious obstacles to achieving universal health coverage and the fulfillment of the human rights to health, especially for the poor and vulnerable living in remote rural areas. A number of strategies have been deployed to increase both the supply of healthcare workers and the demand for healthcare services. However, more can be done to improve service delivery as well as mitigate the geographic inequalities that exist in this field. To contribute to overcoming these barriers and increasing access to health services, especially for the most vulnerable, Partners In Health (PIH), a US non-governmental organization specializing in equitable health service delivery, has created the University of Global Health Equity (UGHE) in a remote rural district of Rwanda. The act of building this university in such a rural setting signals a commitment to create opportunities where there have traditionally been few. Furthermore, through its state-of-the-art educational approach in a rural setting and its focus on cultural competency, UGHE is contributing to progress in the quest for equitable access to quality health services.
卫生工作者供应不足以及临床实践中对文化背景关注不足导致的需求方障碍，是实现全民健康覆盖和实现健康权的严重障碍，特别是对生活在偏远农村地区的贫困和弱势群体而言。已经部署了许多策略来增加医疗保健工作者的供应和医疗服务的需求。然而，在改善服务提供以及减轻该领域存在的地理不平等方面，还有更多工作要做。为了帮助克服这些障碍并增加获得卫生服务的机会，特别是为最弱势群体，专门从事公平卫生服务提供的美国非政府组织“全球健康伙伴组织”（Partners In Health，PIH）在卢旺达偏远农村地区创建了全球健康公平大学（University of Global Health Equity，UGHE）。在这样的农村环境中建立这所大学的行为表明了一种承诺，即要在传统上机会很少的地方创造机会。此外，通过在农村环境中采用最先进的教育方法并注重文化能力，UGHE 为公平获得优质卫生服务的努力做出了贡献。
