Community Health Impact Coalition, New York, New York, USA
Department of Health System Design and Global Health, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
BMJ Glob Health. 2020 Jun;5(6). doi: 10.1136/bmjgh-2020-002550.
COVID-19 disproportionately affects the poor and vulnerable. Community health workers are poised to play a pivotal role in fighting the pandemic, especially in countries with less resilient health systems. Drawing from practitioner expertise across four WHO regions, this article outlines the targeted actions needed at different stages of the pandemic to achieve the following goals: (1) PROTECT healthcare workers, (2) INTERRUPT the virus, (3) MAINTAIN existing healthcare services while surging their capacity, and (4) SHIELD the most vulnerable from socioeconomic shocks. While decisive action must be taken now to blunt the impact of the pandemic in countries likely to be hit the hardest, many of the investments in the supply chain, compensation, dedicated supervision, continuous training and performance management necessary for rapid community response in a pandemic are the same as those required to achieve universal healthcare and prevent the next epidemic.
COVID-19 对贫困和弱势群体的影响更大。社区卫生工作者将在抗击这一大流行病方面发挥关键作用，特别是在卫生系统弹性较低的国家。本文借鉴了来自世卫组织四个区域的从业者的专业知识，概述了在大流行的不同阶段需要采取的有针对性的行动，以实现以下目标：(1) 保护医护人员，(2) 阻断病毒，(3) 在扩大能力的同时维持现有医疗服务，(4) 保护最弱势群体免受社会经济冲击。虽然现在必须采取果断行动，以减轻大流行对可能受影响最严重国家的影响，但在大流行中为快速社区应对而在供应链、补偿、专门监督、持续培训和绩效管理方面进行的许多投资，与实现全民医保和预防下一次大流行病所需的投资相同。
