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阿曼公共卫生服务在 COVID-19 大流行中的挑战与机遇:为更美好的未来吸取教训。

Challenges and Opportunities for Public Health Service in Oman From the COVID-19 Pandemic: Learning Lessons for a Better Future.

机构信息

Directorate General for Disease Surveillance and Control, Ministry of Health, Muscat, Oman.

出版信息

Front Public Health. 2021 Dec 9;9:770946. doi: 10.3389/fpubh.2021.770946. eCollection 2021.

Abstract

Despite the apparent challenges inflicted by COVID-19 globally, the pandemic provided an opportunity to utilize and expand existing public health capacities for a more adaptive and resilient system during and after each wave of the disease. This paper provides a narrative review of Oman's public health response to the COVID-19 pandemic from January 2020 to July 2021, and the challenges it faced for a more rapid and efficient response. The review demonstrates that the three main pillars influencing the direction of the pandemic and aiding the control are Oman's unified governmental leadership, the move to expand the capacity of the health care system at all levels, and community partnership in all stages of the response including the COVID-19 vaccination campaign. The opportunities identified during response stages in the harmonization of the multisectoral response, streamlining communication channels, addressing vulnerable communities (dormitories, residences at border regions), and providing professional technical leadership provide an excellent precursor for expediting the transformation of Oman's health care system to one with a multisectoral holistic approach. Some of the major challenges faced are the shortage of the public health cadre, lack of a fully integrated digital platform for surveillance, and the scarcity of experts in risk communication and community engagement. A future health system where the center for diseases surveillance and control acts as a nucleus for multisectoral expertise and leadership, which includes community representatives, is crucial to attain optimum health. The destruction inflicted by this prolong COVID-19 pandemic at all levels of human life had valued the importance of investing on preventive and preparedness strategies.

摘要

尽管 COVID-19 在全球范围内造成了明显的挑战,但这场大流行提供了一个机会,可以在疾病的每一波中利用和扩大现有的公共卫生能力,以建立一个更具适应性和弹性的系统。本文对阿曼从 2020 年 1 月至 2021 年 7 月应对 COVID-19 大流行的公共卫生措施进行了叙述性回顾,并探讨了在更快速和有效的应对措施方面所面临的挑战。该回顾表明,影响大流行方向并有助于控制的三个主要支柱是阿曼统一的政府领导、向各级医疗保健系统扩大能力的举措,以及在包括 COVID-19 疫苗接种运动在内的应对各个阶段的社区伙伴关系。在协调多部门应对措施、简化沟通渠道、解决弱势社区(宿舍、边境地区的住所)以及提供专业技术领导力等应对阶段中确定的机会,为加快阿曼医疗保健系统向多部门整体方法的转变提供了极好的前提。所面临的一些主要挑战是公共卫生人员短缺、缺乏完全集成的监测数字平台,以及缺乏风险沟通和社区参与方面的专家。未来的卫生系统中,疾病监测和控制中心作为多部门专业知识和领导力的核心,包括社区代表,对于实现最佳健康至关重要。这场 COVID-19 大流行在人类生活的各个层面造成的破坏,凸显了投资于预防和准备策略的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ed/8695806/2d0dc0583b29/fpubh-09-770946-g0001.jpg

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