Department of Health, UN Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan; Department of Community and Global Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Department of Community and Global Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Lancet. 2018;392(10165):2736-2744. doi: 10.1016/S0140-6736(18)32621-7.
The UN Sustainable Development Goals affirm equality and dignity as essential to the enjoyment of basic human rights, including the right to the highest attainable standard of physical and mental health, which promotes global solidarity among all people, including refugees. The UN Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) has provided support to Palestine refugees in Jordan, Lebanon, Syria, the Gaza Strip, and the West Bank since the 1950s. Today, however, conflict and violence, occupation, high levels of poverty, and other social determinants of health jeopardize the wellbeing of Palestine refugees. Health concerns include non-communicable diseases, mental health conditions, and access to hospital care. Additionally, UNRWA is continuing to face a severe funding crisis. Using a historical and health policy perspective, this Health Policy examines UNRWA strategies that facilitate continuous provision of health-care services for Palestine refugees. Given the increasingly volatile environment faced by this population, a multifaceted international response is needed to enable UNRWA to deliver sustainable services to Palestine refugees and avert further loss of life, dignity, and hope, pending a just and lasting solution to their plight in accordance with applicable international law and UN General Assembly resolutions.
联合国可持续发展目标肯定平等和尊严是享有基本人权的必要条件,包括享有能达到的最高标准身心健康的权利,这促进了所有人之间的全球团结,包括难民。自 20 世纪 50 年代以来,联合国近东巴勒斯坦难民救济和工程处(近东救济工程处)一直在约旦、黎巴嫩、叙利亚、加沙地带和西岸为巴勒斯坦难民提供支持。然而,今天冲突和暴力、占领、高度贫困和其他健康决定因素危及巴勒斯坦难民的福祉。健康问题包括非传染性疾病、心理健康状况和获得医院护理的机会。此外,近东救济工程处继续面临严重的资金危机。本文从历史和卫生政策的角度,探讨了近东救济工程处为巴勒斯坦难民提供持续医疗服务的战略。鉴于这一人群所面临的环境日益动荡,需要采取多方面的国际对策,使近东救济工程处能够向巴勒斯坦难民提供可持续的服务,并避免进一步丧失生命、尊严和希望,同时根据适用的国际法和联合国大会决议,为他们的困境寻求公正和持久的解决办法。