Kota Nokwanda Thandeka, Raphael Jean L
Baylor College of Medicine Children's Foundation eSwatini, 6 Somhlolo Road, H100 Mbabane, eSwatini.
Baylor College of Medicine, Houston, USA.
Curr Trop Med Rep. 2024 Dec;11(4):208-215. doi: 10.1007/s40475-024-00329-9. Epub 2024 Dec 13.
The purpose of this review is to examine the impact of the Alma-Ata Declaration on global pediatric health disparities, highlighting the potential value of innovative research approaches such as intersectional quantitative studies in broadening our understanding of how the drivers of marginalization and social privilege intertwine to reinforce (or diminish each other) in the development of pediatric health disparity.
Despite the global reach of the Alma-Ata Declaration and decades of its implementation, pediatric health disparities persist, with poorer health outcomes and greater exposure to adverse social contexts borne by children living in low and middle income countries (LMICs).
This paper explores degree to which the Alma-Ata Declaration through its proxy pediatric policy, the Integrated Management of Childhood Illnesses (IMCI), has been able to reduce global pediatric health disparities and suggests the use of intersectional analytical approaches as a means of addressing shortfalls in effectiveness of pediatric health policies.
本综述旨在探讨《阿拉木图宣言》对全球儿童健康差距的影响，强调创新研究方法（如交叉定量研究）在拓宽我们对边缘化和社会特权驱动因素如何相互交织以在儿童健康差距发展中强化（或相互抵消）的理解方面的潜在价值。
尽管《阿拉木图宣言》具有全球影响力且已实施数十年，但儿童健康差距依然存在，低收入和中等收入国家（LMICs）的儿童健康状况较差，且更多地暴露于不利的社会环境中。
本文探讨了《阿拉木图宣言》通过其代理儿童政策——儿童疾病综合管理（IMCI）在多大程度上能够减少全球儿童健康差距，并建议使用交叉分析方法来解决儿童健康政策有效性方面的不足。
