Ekie Jesus, Ekie Tresor
Humanics Group, Dakar, Senegal.
J Public Health Afr. 2022 May 24;13(1):2168. doi: 10.4081/jphia.2022.2168.
Previous health and natural disasters have all had a significant impact on human life. However, there is a consensus that the technological advances of our time would have allowed us to better understand and respond to these situations in a more holistic manner. Early Warning and Health Emergency Surveillance technologies are therefore more than essential for improved proactivity. While in developed countries, their implementation is facilitated by the existence of proven mechanisms, this is not often the case in low and middle-income countries. Our practical experience in deploying Early Warning and Health Emergency Surveillance systems in resource-constrained environments led us to develop and propose an approach that is intended to be effective in the execution of such interventions. When implemented in low and middle-income countries, our approach, which promotes the Bottom-to- Top concept, has succeeded in federating and strengthening all the forces in the public, private and international development sectors around the implementation of these crucial technologies for better emergency management, especially in health. Engaging all stakeholders, developing an inclusive modus operandi, promoting a sustainable strategy, and effectively empowering recipients in a coordinated manner is the recipe for the successful implementation of such technologies in low and middle-income countries.
以往的健康和自然灾害都对人类生活产生了重大影响。然而，人们一致认为，我们这个时代的技术进步本可以让我们以更全面的方式更好地理解并应对这些情况。因此，早期预警和健康应急监测技术对于提高主动性至关重要。在发达国家，已证实的机制有助于这些技术的实施，但在低收入和中等收入国家情况往往并非如此。我们在资源有限的环境中部署早期预警和健康应急监测系统的实践经验促使我们开发并提出一种方法，旨在有效执行此类干预措施。在低收入和中等收入国家实施时，我们促进自下而上理念的方法成功联合并加强了公共、私营和国际发展部门围绕实施这些关键技术以实现更好的应急管理（尤其是卫生领域）的所有力量。让所有利益攸关方参与进来、制定包容性的运作方式、推行可持续战略并以协调一致的方式有效增强接受方的能力，是在低收入和中等收入国家成功实施此类技术的秘诀。
