Division of Occupational Medicine, Department of Medicine, Faculty of Medicine, The University of Toronto, ON, Canada.
Departments of Population Health and Psychiatry, NYU Langone Health, New York, USA.
J Natl Med Assoc. 2021 Feb;113(1):102-104. doi: 10.1016/j.jnma.2020.07.015. Epub 2020 Aug 26.
According to the Lancet Commission Report on Global Surgery, it was estimated that in 2010 about 16.9 million lives were lost due to the unavailability of Surgical services. It was further calculated that 77.2 million DALYs could simply have been averted by providing basic surgical inspection and triage. Aiding Universal Health Coverage (UHC) through Humanitarian Outreach Services in Resource-Poor Settings is both challenging and difficult to execute. However, to promote and ensure the right to health even by vulnerable groups, the role of global health diplomacy (GHD) and humanitarian diplomacy is pivotal. GHD advances the health of the poor, contribute peacekeeping and promote health security as it is also concerned with the design, and delivery of global health interventions and programs in accordance with diplomatic criteria. The synergistic Humanitarian diplomacy is more focused in persuading decision-makers and opinion leaders to act, at all times, in the interest of vulnerable people and with full respect for our fundamental principles. Since the inclusion of surgical care in the universal basic health care services play a critical role in addressing the rising epidemic of injuries, non-communicable diseases and improving quality of life, there is a great need to address the inequities in pediatric surgical services in resource-poor settings. Hence the successful practice of GHD and humanitarian diplomacy is indispensable for establishing global partnerships, securing funding and strengthening systems to promote cost-effective and essential surgical care to achieve UHC and economic development.
根据柳叶刀全球手术委员会报告，据估计，2010 年，约有 1690 万人因无法获得外科服务而失去生命。进一步计算表明，通过提供基本的外科检查和分诊，本可以避免 7720 万人因缺乏手术而导致的伤残调整生命年（DALY）。在资源匮乏的环境中，通过人道主义援助服务来帮助实现全民健康覆盖（UHC），这既具有挑战性，又难以执行。然而，为了促进和确保弱势群体的健康权，全球卫生外交（GHD）和人道主义外交的作用至关重要。GHD 推动贫困人口的健康，有助于维持和平并促进健康安全，因为它还关注根据外交标准设计和提供全球卫生干预措施和方案。人道主义外交更侧重于说服决策者和意见领袖在任何时候都为弱势群体的利益采取行动，并充分尊重我们的基本原则。由于将外科护理纳入全民基本医疗保健服务中，在解决日益严重的伤害、非传染性疾病和提高生活质量方面发挥了关键作用，因此迫切需要解决资源匮乏环境中儿科外科服务的不平等问题。因此，成功实践 GHD 和人道主义外交对于建立全球伙伴关系、确保资金和加强系统以促进具有成本效益和必要的外科护理，从而实现全民健康覆盖和经济发展是不可或缺的。
