Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Trans R Soc Trop Med Hyg. 2020 Apr 8;114(4):229-231. doi: 10.1093/trstmh/traa004.
Primary healthcare (PHC) meets the needs of people's health throughout their lives and empowers individuals and communities to oversee their own health. Most of the community-based activities currently undertaken in PHC in sub-Saharan Africa (SSA) address child and maternal health. Non-communicable diseases are now major causes of morbidity and premature mortality in SSA. In this paper, I propose the formal integration of community-based, non-communicable disease prevention and early detection into PHC activities. I offer practical suggestions on how this can be achieved to ensure a continuum of care.
初级卫生保健（PHC）满足了人们一生中的健康需求，并使个人和社区能够监督自己的健康。目前在撒哈拉以南非洲（SSA）的 PHC 中开展的大部分基于社区的活动都针对儿童和孕产妇健康。非传染性疾病现在是 SSA 发病率和过早死亡率的主要原因。在本文中，我建议将基于社区的非传染性疾病预防和早期发现正式纳入 PHC 活动。我就如何实现这一目标提出了切实可行的建议，以确保医疗服务的连续性。
