University of Florida, College of Medicine, Jacksonville, FL, USA.
The Children's Clinic, Long Beach, CA, USA.
Lancet Child Adolesc Health. 2020 Jan;4(1):80-90. doi: 10.1016/S2352-4642(19)30346-3. Epub 2019 Nov 19.
Worldwide challenges to child health and wellbeing are rapidly becoming existential threats to children and childhood. Inequities, armed conflict and violence, nuclear proliferation, forced migration, globalisation, and climate change are among the global issues violating children's rights to optimal survival and development. Child rights-based approaches will be required to enhance the response to the civil-political, social, economic, and cultural determinants of these global child health issues. In this Viewpoint, we present a global agenda for child health and wellbeing as a blueprint for the practice of paediatrics and child health in the domains of clinical care, systems development, and policy formulation. This global agenda is grounded in the principles of rights, justice, and equity and can address the root-cause determinants of health. The 30th anniversary of the UN Convention on the Rights of the Child is a relevant moment to recommit to shared goals for children's health and wellbeing.
全球范围内儿童健康和福祉面临的挑战正迅速成为对儿童和童年的生存威胁。不平等、武装冲突和暴力、核扩散、被迫迁移、全球化和气候变化等全球问题正在侵犯儿童享有最佳生存和发展的权利。需要采取基于儿童权利的方法，以加强应对这些全球儿童健康问题的公民-政治、社会、经济和文化决定因素。在本观点中，我们提出了全球儿童健康和福祉议程，作为儿科学和儿童健康在临床护理、系统发展和政策制定领域的实践蓝图。这一全球议程立足于权利、正义和平等原则，可以解决健康的根本原因决定因素。联合国儿童权利公约》通过 30 周年是再次承诺实现儿童健康和福祉共同目标的一个相关时刻。
