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印度喀拉拉邦弱势群体中通过促进社区伙伴关系应对新冠疫情危机——一份简短报告

Response to COVID-19 Crisis with Facilitated Community Partnership among a Vulnerable Population in Kerala, India - A Short Report.

作者信息

Sumitha T S, Thelly Anu Savio, Medona Bessy, Lijimol A S, Rose M Jima, Rajagopal M R

机构信息

Health Action by People, Trivandrum, Kerala, India.

Department of Palliative Medicine, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.

出版信息

Indian J Palliat Care. 2022 Jan-Mar;28(1):115-119. doi: 10.25259/IJPC_62_2021. Epub 2022 Feb 17.

DOI:10.25259/IJPC_62_2021
PMID:35673379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9165449/
Abstract

The unexpected lockdown announced by the Government of India in March 2020 in response to the pandemic left the coastal community in Kerala deprived of not only essential amenities but also healthcare. Some poverty-ridden, over-crowded coastal regions had been declared as critical containment zones with severe restriction of movement, adding to their vulnerability. People with serious health-related suffering (SHS) in this community required urgent relief. A group of educated youth in the community joined hands with a non-governmental organisation specialised in palliative care (PC) services and strived to find the best possible solutions to address the healthcare needs in their community. This paper reports the collaborative activities done during the pandemic in the coastal region and compares the activities with steps proposed by the WHO to develop community-based PC (CBPC). By engaging, empowering, educating, and coordinating a volunteer network and providing the required medical and nursing support, the programme was able to provide needed services to improve the quality of life of 209 patients and their families who would have been left with next-to-no healthcare during the pandemic. We conclude that even in the context of much poverty, delivery of CBPC with the engagement of compassionate people in the community can successfully reduce SHS.

摘要

2020年3月,印度政府为应对疫情宣布了意外的封锁措施,这使得喀拉拉邦的沿海社区不仅被剥夺了基本生活设施,还失去了医疗保健服务。一些贫困且人口密集的沿海地区被宣布为严格管控区,人员流动受到严格限制,这增加了它们的脆弱性。该社区中患有严重健康相关痛苦(SHS)的人们急需救助。社区中的一群受过教育的年轻人与一个专门从事姑息治疗(PC)服务的非政府组织携手合作,努力寻找最佳解决方案以满足社区的医疗保健需求。本文报告了疫情期间在沿海地区开展的合作活动,并将这些活动与世界卫生组织为发展基于社区的姑息治疗(CBPC)所提议的步骤进行了比较。通过参与、赋能、教育和协调志愿者网络,并提供所需的医疗和护理支持,该项目能够为209名患者及其家庭提供所需服务,改善他们的生活质量,而这些患者及其家庭在疫情期间原本几乎得不到任何医疗保健服务。我们得出结论,即使在贫困程度很高的情况下,通过社区中富有同情心的人们的参与来提供CBPC,也能够成功减少SHS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5405/9165449/f1de761fa602/IJPC-28-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5405/9165449/f1de761fa602/IJPC-28-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5405/9165449/f1de761fa602/IJPC-28-115-g001.jpg

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本文引用的文献

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Kerala, India's Front Runner in Novel Coronavirus Disease (COVID-19).印度喀拉拉邦,新型冠状病毒病(COVID-19)的领跑者。
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大家现在能听到我们的声音了吗?全球倡导姑息治疗中的公平问题。
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基于社区的姑息治疗服务评估:来自不同利益相关者的观点
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End-of-life Characteristics of the Elderly: An Assessment of Home-based Palliative Services in Two Panchayats of Kerala.老年人临终特征:喀拉拉邦两个村潘查亚特的居家姑息治疗服务评估
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Future of palliative medicine.姑息医学的未来。
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