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智利移民人口的应急准备和响应能力:后疫情时期的观点。

Emergency preparedness and response sensitive of migrant populations in Chile: post-pandemic perspectives.

机构信息

Centro de Salud Global Intercultural, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo y Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile.

Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Universidad San Ignacio de Loyola. Lima, Perú.

出版信息

Medwave. 2024 Mar 13;24(2):e2788. doi: 10.5867/medwave.2024.02.2788.

Abstract

On August 31, 2023, the Chilean government ended the health alert for COVID-19. This milestone invites us to reflect on lessons learned in emergency preparedness and response regarding migrant populations in the country. In this context, three perspectives are presented. The first focuses on avoiding pointing to individual responsibility for non-compliance with prevention measures, as this approach ignores structural and historical inequities. Emergency recommendations should be constructed considering a collective approach and diverse sociocultural and political contexts. The second perspective calls for considering and addressing migration as a social determinant of health. During the pandemic, changes in the governance of migration around the world made migration processes more precarious, with risks to the physical and mental health of migrants, which needs better planning and evidence-based decision-making in future pandemics. The third perspective focuses on promoting intercultural health, as effective communication of contagion risks and preventive measures were hampered among migrant populations with diverse worldviews and interpretations of health and disease processes. Responding to the needs of historically marginalized communities requires establishing ways of life that respect diversity in narratives and everyday practices. Governments and health systems must incorporate migration into their emergency preparedness and response strategies, creating the conditions for optimal compliance.

摘要

2023 年 8 月 31 日,智利政府结束了对 COVID-19 的卫生警报。这一里程碑事件促使我们反思在国家应急准备和应对移民群体方面的经验教训。在此背景下,提出了三个观点。第一个观点是避免将不遵守预防措施的责任归咎于个人,因为这种方法忽略了结构性和历史上的不平等。应急建议应考虑采用集体方法,并考虑到不同的社会文化和政治背景。第二个观点呼吁将移民视为健康的社会决定因素。在大流行期间,全球移民治理的变化使移民过程更加不稳定,移民的身心健康面临风险,这需要在未来的大流行中进行更好的规划和基于证据的决策。第三个观点关注促进跨文化健康,因为在世界观和对健康和疾病过程的解释各不相同的移民群体中,传染病风险和预防措施的有效沟通受到阻碍。满足历史上被边缘化社区的需求需要建立尊重叙述和日常实践多样性的生活方式。政府和卫生系统必须将移民纳入其应急准备和应对战略,为最佳遵守创造条件。

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