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从中非共和国的健康信息挑战中汲取经验:记录健康与人道主义需求需要全新方法。

Learning from health information challenges in the Central African Republic: where documenting health and humanitarian needs requires fresh approaches.

作者信息

Kuehne Anna, Roberts Leslie

机构信息

Médecins Sans Frontières, Berlin, Germany.

Médecins Sans Frontières, London, UK.

出版信息

Confl Health. 2021 Sep 16;15(1):68. doi: 10.1186/s13031-021-00405-1.

DOI:10.1186/s13031-021-00405-1
PMID:34530880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8444360/
Abstract

The Central African Republic (CAR) is one of the world's poorest and most fragile countries. Maybe there is no nation on the planet where the official health statistics are so poor. Evidence presented in this Conflict and Health themed collection to document humanitarian needs in CAR, suggests that UN statistics dramatically under-estimate the birth and death rates in conflict settings. To be current and valid, health indicator data in violent settings require more frequent measurement, more triangulation and granular exploration, and creative approaches based on few assumptions. In a world increasingly dependent on model driven data-data often inaccurate in conflict settings-we hope that this collection will allow those service providers and researchers operating in CAR to share their work and help us better learn how to learn. We particularly invite research from professionals working in CAR that documents humanitarian needs and presents indicators of population health where official estimates might not articulate the true extent of the health crisis.

摘要

中非共和国是世界上最贫穷、最脆弱的国家之一。地球上可能没有哪个国家的官方卫生统计数据如此糟糕。本以“冲突与健康”为主题的文集所呈现的证据,旨在记录中非共和国的人道主义需求,表明联合国的统计数据严重低估了冲突地区的出生率和死亡率。要使暴力环境中的健康指标数据保持最新且有效,就需要更频繁地进行测量、更多的三角测量和详细探究,以及基于极少假设的创新方法。在一个越来越依赖模型驱动数据的世界里——而这些数据在冲突环境中往往不准确——我们希望本文集能让那些在中非共和国开展工作的服务提供者和研究人员分享他们的工作,并帮助我们更好地学习如何去了解情况。我们特别邀请在中非共和国工作的专业人员进行研究,记录人道主义需求,并呈现官方估计可能无法明确健康危机真实程度的人口健康指标。

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引用本文的文献

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Cross-sectional survey in Central African Republic finds mortality 4-times higher than UN statistics: how can we not know the Central African Republic is in such an acute humanitarian crisis?在中非共和国进行的横断面调查发现,该国死亡率比联合国统计数据高出四倍:我们怎么会不知道中非共和国正处于如此严重的人道主义危机之中呢?
Confl Health. 2023 Apr 18;17(1):21. doi: 10.1186/s13031-023-00514-z.

本文引用的文献

1
Mortality beyond emergency threshold in a silent crisis- results from a population-based mortality survey in Ouaka prefecture, Central African Republic, 2020.无声危机中超出紧急阈值的死亡率——2020年中非共和国瓦卡省基于人群的死亡率调查结果
Confl Health. 2021 Jun 30;15(1):50. doi: 10.1186/s13031-021-00385-2.
2
Surveys about attended births appear to be deceptive in CAR: are the population saying what they think NGO's want to hear?在中非共和国,关于有人照料的分娩情况的调查似乎具有欺骗性:民众所说的是他们认为非政府组织想听的内容吗?
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Association of exposure to violence and potential traumatic events with self-reported physical and mental health status in the Central African Republic.中非共和国暴力和潜在创伤事件暴露与自我报告身心健康状况的关联。
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