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新自由主义对非洲经济、健康结果和福祉的影响:一个概念性论证。

The implications of Neoliberalism on African economies, health outcomes and wellbeing: a conceptual argument.

作者信息

Gatwiri Kathomi, Amboko Julians, Okolla Darius

机构信息

1Southern Cross University, Southern Cross Drive, Locked Mail Bag, Coolangatta, 4225 Australia.

Nation Media Group, Nairobi, Kenya.

出版信息

Soc Theory Health. 2020;18(1):86-101. doi: 10.1057/s41285-019-00111-2. Epub 2019 Jun 26.

Abstract

Not only did the 2015 Ebola Outbreak in West African countries leave the whole of the sub-Saharan region with a sense of uncertainty and panic, it was also a stress test to Africa's and the wider world's capacity to respond to and mitigate humanitarian crises in the twenty-first century. One plausible conclusion drawn from the spread and impact of the pandemic is that the pace of health infrastructure development in sub-Saharan Africa has lagged behind its population and economic growth posted in the last decade (2003-2013). An exhaustive audit of health infrastructure and remedial measures is, therefore, critical in navigating Africa to sustainable growth and development in the next decade. For the next charge of growth and development to not only be robust but also more sustainable and resilient to major emergencies (such as Ebola), there is a need to edify the state of healthcare across the continent to ensure the optimisation of the human resource and to redress the gap aggravated by loss of human-hours due to poor health.

摘要

2015年西非国家爆发的埃博拉疫情,不仅让整个撒哈拉以南地区陷入了不确定和恐慌之中,也是对非洲乃至更广泛世界在21世纪应对和缓解人道主义危机能力的一次压力测试。从这场疫情的传播和影响中得出的一个合理结论是,撒哈拉以南非洲地区卫生基础设施的发展速度落后于过去十年(2003 - 2013年)的人口增长和经济增长。因此,对卫生基础设施进行全面审计并采取补救措施,对于引领非洲在下一个十年实现可持续增长和发展至关重要。为了使下一轮增长和发展不仅强劲有力,而且更具可持续性,并能更好地抵御重大紧急情况(如埃博拉疫情),有必要改善整个非洲大陆的医疗保健状况,以确保人力资源的优化,并弥补因健康状况不佳导致的工时损失所加剧的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7223727/b2a18c01abfc/41285_2019_111_Fig1_HTML.jpg

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