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新冠疫情凸显了非洲需要采取包容的方式应对公共卫生突发事件。

COVID-19 Highlights the Need for Inclusive Responses to Public Health Emergencies in Africa.

机构信息

1Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.

2Global Health Policy Unit, University of Edinburgh, Scotland, United Kingdom.

出版信息

Am J Trop Med Hyg. 2020 Dec 15;104(2):449-452. doi: 10.4269/ajtmh.20-1485.

Abstract

COVID-19 is a global public health emergency affecting many countries around the world. Although African governments and other stakeholders are making efforts to contain the pandemic, the outbreak continues to impact human rights and exacerbates inequalities and disparities that are already in existence. The concept of inclusive health focuses on good health and well-being for everyone, and this entails health services that are equitable, affordable, and efficacious. Creating equitable access to mainstream health and healthcare services and ensuring inclusive health responses remain a means of addressing health inequities and disparities. In this article, we argue on the need for inclusive responses to public health emergencies in Africa using COVID-19 as a case example. Africa's response to public health emergencies needs to recognize that for every marginalized/vulnerable group, it is important to strategize to address their particular needs in such a way to surmount any barrier to the right to health. For Africa's public health response to be more inclusive, we therefore need to be more strategic and proactive in reaching out to specific groups and to identify and address their needs. Strengthening the healthcare systems of African countries through increased political will, increased funding to health care, collaboration and cooperation among stakeholders, and effective leadership remains essential in ensuring inclusive responses to health emergencies.

摘要

COVID-19 是一场影响世界许多国家的全球公共卫生紧急事件。尽管非洲政府和其他利益攸关方正在努力控制这一大流行病,但疫情仍在继续影响人权,并加剧现有的不平等和差距。包容性卫生的概念侧重于每个人的良好健康和福祉,这需要公平、负担得起和有效的卫生服务。创造公平获得主流卫生和医疗保健服务的机会,并确保包容性的卫生应对措施仍然是解决卫生不平等和差距的一种手段。在本文中,我们以 COVID-19 为例,就非洲需要采取包容性应对公共卫生紧急事件的问题进行了论证。非洲对公共卫生紧急事件的应对需要认识到,对于每个边缘化/弱势群体,重要的是制定战略,以满足他们的特殊需求,从而克服健康权面临的任何障碍。为了使非洲的公共卫生应对更加包容,我们因此需要更加战略性和前瞻性地接触特定群体,并确定和满足他们的需求。通过增加政治意愿、增加对医疗保健的资金投入、利益攸关方之间的合作与协作以及有效的领导,加强非洲国家的医疗保健系统仍然是确保对卫生紧急情况做出包容性应对的关键。

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