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在被忽视的刚果民主共和国危机中保护最弱势群体的健康。

Protecting the health of the most vulnerable in the overlooked Democratic Republic of Congo crisis.

作者信息

Phiri Sandra S, George Nsikakabasi S, Iseghehi Lucky

机构信息

Youth On Board Organization (YOBO) Blantyre Malawi.

Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College Krakow Poland.

出版信息

Health Sci Rep. 2024 Aug 20;7(8):e70011. doi: 10.1002/hsr2.70011. eCollection 2024 Aug.

Abstract

BACKGROUND AND AIM

The Democratic Republic of Congo (DRC) is facing a humanitarian crisis due to prolonged conflicts, human rights abuses, and gender-based violence. This perspective article aims to discuss the challenges faced by vulnerable populations in the DRC, including the impact of interventions and broader humanitarian strategies.

METHODS

A search on Google Scholar was carried out to identify relevant journal articles. Additionally, relevant reports and data on the DR Congo crisis were sourced from the websites of international and humanitarian organizations including the United Nations High Commissioner for Refugees, World Health Organization, United Nations Office for the Coordination of Humanitarian Affairs, and the Norwegian Refugee Council.

RESULTS

The crisis has led to 6.1 million displaced individuals and 1 million seeking asylum in neighboring countries. Insecurity and displacement further exacerbate the crisis, exacerbating health issues and malnutrition, particularly among women and children. The deterioration of water, sanitation, and hygiene infrastructure in the region facilitates the spread of infectious diseases. The UN has appealed for $8.3 billion in humanitarian assistance in West and Central Africa, including DRC. However, more attention and efforts are needed to curb the menace of the conflict.

CONCLUSIONS

Addressing root causes like political volatility, economic disparity, and social unrest is crucial for sustained health protection. Tailoring humanitarian assistance to the context of conflict is essential, prioritizing mental health support and psychosocial services. Improving access to healthcare is crucial. Addressing food insecurity is essential, involving targeted food assistance programs, improving agricultural practices, and establishing income-generating activities. Sustaining international assistance and investments are needed to address the health needs of the most vulnerable populations.

摘要

背景与目标

由于长期冲突、侵犯人权行为和基于性别的暴力,刚果民主共和国(DRC)正面临一场人道主义危机。这篇观点文章旨在讨论刚果民主共和国弱势群体所面临的挑战,包括干预措施和更广泛的人道主义战略的影响。

方法

在谷歌学术上进行搜索,以识别相关的期刊文章。此外,关于刚果危机的相关报告和数据来自国际和人道主义组织的网站,包括联合国难民事务高级专员公署、世界卫生组织、联合国人道主义事务协调厅和挪威难民理事会。

结果

这场危机已导致610万人流离失所,100万人在邻国寻求庇护。不安全和流离失所进一步加剧了危机,使健康问题和营养不良状况恶化,尤其是妇女和儿童。该地区水、环境卫生和个人卫生基础设施的恶化助长了传染病的传播。联合国已呼吁为包括刚果民主共和国在内的西非和中非提供83亿美元的人道主义援助。然而,需要更多关注和努力来遏制冲突的威胁。

结论

解决政治动荡、经济差距和社会动荡等根本原因对于持续的健康保护至关重要。根据冲突情况调整人道主义援助至关重要,应优先提供心理健康支持和社会心理服务。改善医疗服务的可及性至关重要。解决粮食不安全问题至关重要,这涉及有针对性的粮食援助计划、改善农业做法以及开展创收活动。需要持续的国际援助和投资来满足最脆弱人群的健康需求。

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本文引用的文献

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Humanitarian needs in DR Congo escalating.
Lancet. 2023 Jul 1;402(10395):15. doi: 10.1016/S0140-6736(23)01356-9.
6
COVID-19: The Current Situation in the Democratic Republic of Congo.COVID-19:刚果民主共和国的现状。
Am J Trop Med Hyg. 2020 Dec;103(6):2168-2170. doi: 10.4269/ajtmh.20-1169. Epub 2020 Oct 9.

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