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在 COVID-19 时代,通过全民健康覆盖和社会保护来保障弱势群体的健康。

Safeguarding people living in vulnerable conditions in the COVID-19 era through universal health coverage and social protection.

机构信息

Parliament at the Mexican Congress, Mexico City, Mexico.

UNICEF, Kathmandu, Nepal.

出版信息

Lancet Public Health. 2022 Jan;7(1):e86-e92. doi: 10.1016/S2468-2667(21)00235-8. Epub 2021 Dec 11.

Abstract

The COVID-19 pandemic is unprecedented. The pandemic not only induced a public health crisis, but has led to severe economic, social, and educational crises. Across economies and societies, the distributional consequences of the pandemic have been uneven. Among groups living in vulnerable conditions, the pandemic substantially magnified the inequality gaps, with possible negative implications for these individuals' long-term physical, socioeconomic, and mental wellbeing. This Viewpoint proposes priority, programmatic, and policy recommendations that governments, resource partners, and relevant stakeholders should consider in formulating medium-term to long-term strategies for preventing the spread of COVID-19, addressing the virus's impacts, and decreasing health inequalities. The world is at a never more crucial moment, requiring collaboration and cooperation from all sectors to mitigate the inequality gaps and improve people's health and wellbeing with universal health coverage and social protection, in addition to implementation of the health in all policies approach.

摘要

COVID-19 大流行是前所未有的。这场大流行不仅引发了公共卫生危机,还导致了严重的经济、社会和教育危机。在各国经济和社会中,大流行的分配后果是不均衡的。在生活在脆弱环境中的群体中,大流行大大扩大了不平等差距,这可能对这些人长期的身心健康产生负面影响。本观点提出了优先事项、方案和政策建议,供各国政府、资源伙伴和相关利益攸关方在制定预防 COVID-19 传播、应对该病毒影响和减少健康不平等的中长期战略时考虑。世界正处于一个前所未有的关键时刻,需要所有部门的协作与合作,通过全民健康覆盖和社会保护,以及实施所有政策都重视健康的方针,来减轻不平等差距,改善人民的健康和福祉。

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本文引用的文献

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COVID-19 and Inequalities.新冠疫情与不平等现象
Fisc Stud. 2020 Jun;41(2):291-319. doi: 10.1111/1475-5890.12232. Epub 2020 Jul 14.
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Community participation is crucial in a pandemic.社区参与在大流行中至关重要。
Lancet. 2020 May 30;395(10238):1676-1678. doi: 10.1016/S0140-6736(20)31054-0. Epub 2020 May 4.
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Racism and discrimination in COVID-19 responses.新冠疫情应对中的种族主义与歧视。
Lancet. 2020 Apr 11;395(10231):1194. doi: 10.1016/S0140-6736(20)30792-3. Epub 2020 Apr 1.
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Food Insecurity And Health Outcomes.粮食不安全与健康结果
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