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在 COVID-19 大流行期间,采用创新方法增强卫生系统的弹性:来自选定英联邦国家的案例研究。

The use of innovative approaches to strengthen health system resilience during the COVID-19 pandemic: case studies from selected Commonwealth countries.

机构信息

Commonwealth Secretariat, London, United Kingdom.

Ministry of Health, Community Development, Gender, Elderly and Children (Tanzania), Dar es Salaam, Tanzania.

出版信息

Front Public Health. 2023 Apr 27;11:1115415. doi: 10.3389/fpubh.2023.1115415. eCollection 2023.

Abstract

This article is part of the Research Topic 'Health Systems Recovery in the Context of COVID-19 and Protracted Conflict'. The COVID-19 pandemic has exposed the vulnerabilities and limitations of many health systems and underscored the need for strengthening health system resilience to make and sustain progress toward Universal Health Coverage (UHC), global health security and healthier populations in tandem. In response to the COVID-19 pandemic, Commonwealth countries have been practicing a combination of innovative integrated approaches and actions to build health systems resilience. This includes utilizing digital tools, improvements in all-hazard emergency risk management, developing multisectoral partnerships, strengthening surveillance and community engagement. These interventions have been instrumental in strengthening national COVID-19 responses and can contribute to the evidence-base for increasing country investment into health systems resilience, particularly as we look toward COVID-19 recovery. This paper gives perspectives of five Commonwealth countries and their overall responses to the pandemic, highlighting practical firsthand experiences in the field. The countries included in this paper are Guyana, Malawi, Rwanda, Sri Lanka, and Tanzania. Given the diversity within the Commonwealth both in terms of geographical location and state of development, this publication can serve as a useful reference for countries as they prepare their health systems to better absorb the shocks that may emerge in future emergencies.

摘要

本文是“COVID-19 和长期冲突背景下的卫生系统恢复”研究专题的一部分。COVID-19 大流行暴露了许多卫生系统的脆弱性和局限性,并强调需要加强卫生系统的弹性,以同步实现全民健康覆盖(UHC)、全球卫生安全和更健康人口的目标。为应对 COVID-19 大流行,英联邦国家一直在采取一系列创新的综合方法和行动来增强卫生系统的弹性。其中包括利用数字工具、改进全灾害应急风险管理、发展多部门伙伴关系、加强监测和社区参与。这些干预措施对于加强国家 COVID-19 应对措施至关重要,并可为增加国家对卫生系统弹性的投资提供证据基础,特别是在我们展望 COVID-19 恢复之际。本文介绍了英联邦五个国家的观点及其对大流行的总体应对措施,重点介绍了实地的实际第一手经验。本文所涉及的国家包括圭亚那、马拉维、卢旺达、斯里兰卡和坦桑尼亚。鉴于英联邦在地理位置和发展状况方面的多样性,本出版物可以为各国在准备卫生系统以更好地应对未来紧急情况可能出现的冲击时提供有用的参考。

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