University of Global Health Equity, Kigali, RW.
University of Michigan, Ann Arbor, Michigan, USA.
Ann Glob Health. 2021 Apr 23;87(1):42. doi: 10.5334/aogh.3209.
The Covid-19 pandemic has exposed critical inequities in global healthcare supply chains and the need for these systems to be analyzed and reoriented with an equity lens. Implementation research methodology can guide the use of evidence-based interventions to re-orient health supply chains towards equity and optimize health outcomes. Using this approach, private and public sector entities can adapt their strategies to focus not just on efficiency and cost savings but ensuring that vulnerable populations have access to essential medications, vaccines, and supplies. Findings can inform regulations that address supply chain inequities at the global level, strengthen existing systems to fill structural gaps at the national level, and address contextual challenges at the subnational level. This methodology can help account for historical practices from prior health initiatives, identify contemporary barriers and facilitators for positive change, and have applicability to the Covid-19 pandemic and ongoing vaccine distribution efforts. An implementation research approach is critical in equipping health supply chains with a path for more resilient and equitable distribution of necessary supplies, vaccines, and delivery of care.
新冠疫情暴露出全球医疗供应链中的重大不平等问题，需要用公平视角来分析和调整这些系统。实施研究方法可以指导使用基于证据的干预措施，使医疗供应链向公平方向调整，并优化健康结果。通过这种方法，私营和公共部门实体可以调整其战略，不仅关注效率和成本节约，还要确保弱势群体能够获得基本药物、疫苗和用品。研究结果可以为解决全球供应链不平等问题的法规提供信息，加强国家层面的现有系统以填补结构性差距，并解决国家以下各级的具体挑战。这种方法可以帮助考虑之前卫生举措的历史实践，确定有利于积极变革的当前障碍和促进因素，并适用于新冠疫情和正在进行的疫苗分发工作。实施研究方法对于使医疗供应链具备更有弹性和公平地分配必要用品、疫苗和提供护理的能力至关重要。
