Martins Flavio, Lima Anna, Diep Loan, Cezarino Luciana, Liboni Lara, Tostes Rita, Parikh Priti
Engineering for International Development Centre, The Bartlett School of Sustainable Construction, University College London, London, United Kingdom.
Center for Research in Inflammatory Diseases (CRID), Ribeirão Preto Medical School, University of Sao Paulo - USP, Sao Paulo, Brazil.
Health Policy Open. 2023 Dec;4:100090. doi: 10.1016/j.hpopen.2023.100090. Epub 2023 Feb 23.
The global 2030 Agenda covers a range of interconnected issues which need interdisciplinary and holistic approaches to improve human well-being and protect the natural environment. The COVID-19 pandemic has brought to light critical inequities in society and policy gaps in health services. As highlighted through analyses of the interlinkages among the Sustainable Development Goals (SDGs), connections between human health and well-being and the environment, can help support new policy needs in addressing systemic health crises, including widespread pandemics.
We identify links between the COVID-19 crisis and multiple SDGs in the context of Brazil based on a review of the current literature in the health sector.Findings: We identify synergistic connections between 88 out of 169 SDG targets and COVID-19, notably around themes such as City Environment, Contextual Policies and the value created by improved Information and Technology. Using the context of the Brazilian National Health Service (SUS) highlights recurrent interconnections from the focal point of target 3.8. This includes topics such as challenges for universal healthcare coverage, budget allocation, and universalisation.
The framework developed for supporting policy-making decisions and the design of toolkits for dealing with future health-related emergency scenarios offers a practical solution in the health sector. It is worth noting that progress and action on public health systems and policies must go hand in hand with addressing existing socio-economic vulnerabilities in society. This is vital for tackling future pandemics and simultaneously addressing the SDGs.
2030年全球议程涵盖了一系列相互关联的问题,需要跨学科和整体方法来改善人类福祉并保护自然环境。新冠疫情暴露了社会中的严重不平等以及卫生服务方面的政策差距。正如通过对可持续发展目标(SDGs)之间的相互联系进行分析所强调的那样,人类健康与福祉和环境之间的联系有助于支持应对系统性健康危机(包括广泛的大流行病)的新政策需求。
我们基于对卫生部门当前文献的回顾,确定巴西背景下新冠疫情危机与多个可持续发展目标之间的联系。
我们确定了169个可持续发展目标中的88个目标与新冠疫情之间的协同联系,特别是围绕城市环境、背景政策以及信息和技术改进所创造的价值等主题。以巴西国家卫生服务体系(SUS)为背景突出了从目标3.8的焦点出发反复出现的相互联系。这包括诸如全民医保覆盖面临的挑战、预算分配和普及等主题。
为支持决策制定和设计应对未来与健康相关紧急情况的工具包而制定的框架为卫生部门提供了一个切实可行的解决方案。值得注意的是,公共卫生系统和政策方面的进展与行动必须与解决社会中现有的社会经济脆弱性问题齐头并进。这对于应对未来的大流行病以及同时实现可持续发展目标至关重要。