Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon, Lisbon, Portugal.
Department of Epidemiology, National Institute of Health Doctor Ricardo Jorge, Lisbon, Portugal.
Int J Health Plann Manage. 2022 Mar;37(2):643-649. doi: 10.1002/hpm.3389. Epub 2021 Nov 25.
The 2030 Agenda for Sustainable Development highlighted the growing attention to the adequacy of health planning models to sustainable development. A re-reading of the results of a round table debate on "sustainable planning", which took place at the 5th National Congress of Tropical Medicine (Portugal, 2019) under a participant observation strategy, framed by the findings of a "synthesis of better evidence" literature review and cross-referenced with the reflections of different authors and experts about the momentum created by the COVID-19 pandemic, underlined the challenges to sustainable health planning that have emerged and are projected beyond the current pandemic context. Variable perceptions of the term "sustainable health development", leading to the potential loss of their relevance in guiding the elaboration of policies and strategic plans, and the potential higher effectiveness of the participatory approaches of health planning in achieving sustainable health were highlighted in the debate and literature, in general and in public health emergency contexts. Those results gained new relevance during the current COVID-19 pandemic, bringing back to the forefront a reflection of the inadequate planning framework that has usually been used to understand and respond to global health challenges, despite the already existing experience, evidence and support instruments.
《2030 年可持续发展议程》强调了人们越来越关注卫生规划模式是否足以促进可持续发展。通过参与者观察策略,对在第 5 届全国热带医学大会(葡萄牙,2019 年)上举行的“可持续规划”圆桌辩论的结果进行重新解读,该策略以“更好证据综合”文献综述的研究结果为框架,并与不同作者和专家对 COVID-19 大流行所带来的动力的反思进行交叉引用,突显了可持续卫生规划所面临的挑战,这些挑战不仅存在于当前的大流行背景下,而且还会延续到未来。辩论和文献普遍强调,人们对“可持续卫生发展”一词的看法存在差异,这可能导致其在指导政策和战略计划的制定方面失去相关性,而健康规划的参与性方法在实现可持续卫生方面的潜在更高效果也被强调。这些结果在当前的 COVID-19 大流行期间获得了新的关注,重新引发了对通常用于理解和应对全球卫生挑战的规划框架的不足的反思,尽管已经存在经验、证据和支持工具。