Gufue Zenawi Hagos, Haftu Hiluf Kalayou, Alemayehu Yibrah, Tsegay Etsay Weldekidan, Mengesha Meresa Berwo, Dessalegn Berhe
Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.
Tigray Regional Health Bureau, Mekelle, Ethiopia.
Front Public Health. 2024 Apr 5;12:1271028. doi: 10.3389/fpubh.2024.1271028. eCollection 2024.
The war that started on November 4, 2020, in the Tigray region of Northern Ethiopia severely affected the health sector. However, there is no available evidence to suggest the economic damage caused to the public health system because of war-related looting or vandalism. This study was aimed at estimating the cost of war-related looting or vandalism in Tigray's public health system in Northern Ethiopia in 2021.
A provider perspective, a mixed costing method, a retrospective cross-sectional approach, a 50% inflation rate, and a 50 Ethiopian birr equivalent to one United States dollar ($) for the money value were used. The data were analyzed using Microsoft Excel, taking into consideration the Sendai framework indicators.
The total economic cost of the war-related looting or vandalism in monetary terms was more than $3.78 billion, and the damage to the economic value in monetary terms was more than $2.31 billion. Meanwhile, the direct economic loss to the health system in monetary terms was more than $511 million. According to this assessment, 514 (80.6%) health posts, 153 (73.6%) health centers, 16 (80%) primary hospitals, 10 (83.3%) general hospitals, and 2 (100%) specialized hospitals were damaged and/or vandalized either fully or partially due to the war.
This war seriously affected the public health sector in the Tigray region. The Federal Government of Ethiopia, the Ministry of Health of Ethiopia, the Tigrayan Government, the Tigray Regional Health Bureau, and the international community must make efforts to find resources for the revitalization of the damaged, plundered, and vandalized healthcare system.
2020年11月4日在埃塞俄比亚北部提格雷地区爆发的战争严重影响了卫生部门。然而，没有现有证据表明因与战争相关的抢劫或破坏行为给公共卫生系统造成的经济损失。本研究旨在估算2021年埃塞俄比亚北部提格雷地区公共卫生系统中与战争相关的抢劫或破坏行为的成本。
采用提供者视角、混合成本核算方法、回顾性横断面方法、50%的通货膨胀率以及1美元等于50埃塞俄比亚比尔的货币价值换算。使用微软Excel分析数据，并考虑仙台框架指标。
与战争相关的抢劫或破坏行为造成的总经济成本超过37.8亿美元，货币形式的经济价值损失超过23.1亿美元。与此同时，卫生系统的直接经济损失超过5.11亿美元。根据这项评估，514个（80.6%）卫生站、153个（73.6%）卫生中心、16个（80%）一级医院、10个（83.3%）综合医院以及2个（100%）专科医院因战争遭到全部或部分破坏和/或损坏。
这场战争严重影响了提格雷地区的公共卫生部门。埃塞俄比亚联邦政府、埃塞俄比亚卫生部、提格雷政府、提格雷地区卫生局以及国际社会必须努力寻找资源，以振兴受损、被掠夺和被破坏的医疗系统。
