International Health Policy Program, Ministry of Public Health, Nonthaburi, 11000, Thailand.
Global Health. 2022 Jun 27;18(1):65. doi: 10.1186/s12992-022-00861-1.
Health, social and economic crises triggered by the Coronavirus disease pandemic (COVID-19) can derail progress and achievement of the Sustainable Development Goals. This commentary analyses the complex nexus of multi-dimensional impacts of the pandemic on people, prosperity, planet, partnership and peace. From our analysis, we generate a causal loop diagram explaining these complex pathways and proposed policy recommendations.
Health systems, health and wellbeing of people are directly affected by the pandemic, while impacts on prosperity, education, food security and environment are indirect consequences from pandemic containment, notably social measures, business and school closures and international travel restrictions. The magnitude of impacts is determined by the level of prior vulnerability and inequity in the society, and the effectiveness and timeliness of comprehensive pandemic responses.
To exit the acute phase of the pandemic, equitable access to COVID-19 vaccines by all countries and continued high coverage of face masks and hand hygiene are critical entry points. During recovery, governments should strengthen preparedness based on the One Health approach, rebuild resilient health systems and an equitable society, ensure universal health coverage and social protection mechanisms for all. Governments should review progress and challenges from the pandemic and sustain a commitment to implementing the Sustainable Development Goals.
由冠状病毒病(COVID-19)大流行引发的健康、社会和经济危机可能使可持续发展目标的进展和实现脱轨。本评论分析了大流行对人类、繁荣、地球、伙伴关系和和平多维度影响的复杂关系。根据我们的分析,我们生成了一个因果关系图来解释这些复杂的途径,并提出了政策建议。
卫生系统和人民的健康和福祉直接受到大流行的影响,而对繁荣、教育、粮食安全和环境的影响则是大流行防控的间接后果,特别是社会措施、企业和学校关闭以及国际旅行限制。影响的程度取决于社会先前的脆弱性和不平等程度,以及全面大流行应对的有效性和及时性。
为了走出大流行的急性阶段,所有国家公平获得 COVID-19 疫苗以及继续保持高口罩和手部卫生覆盖率是至关重要的切入点。在复苏期间,政府应基于“同一健康”方法加强准备,重建有弹性的卫生系统和公平的社会,确保全民健康覆盖和为所有人提供社会保护机制。政府应审查大流行带来的进展和挑战,并持续致力于实施可持续发展目标。