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社区层面的健康干预措施在新冠疫情后时代至关重要:来自非洲积极主动的公共卫生政策干预措施的经验教训。

Community-Level Health Interventions are Crucial in the Post-COVID-19 Era: Lessons from Africa's Proactive Public Health Policy Interventions.

作者信息

Ahen Frederick

机构信息

Faculty of Social Sciences and Business Studies, Business School, University of Eastern Finland, Yliopistonranta 1, 70210 Kuopio, Finland.

出版信息

Humanist Manag J. 2022;7(3):369-390. doi: 10.1007/s41463-022-00127-3. Epub 2022 Jun 28.

Abstract

Measured against the gloomy pre-COVID-19 predictions, Africa has fared far better than most regions in managing the pandemic. This much, however, has received less attention. This paper answers the question: how have the new rituals of self determination in public health affected the successful management of COVID-19 in Africa, and how can the continent and the rest of the world build on such models/lessons in the post-pandemic era? I employ emancipatory theorising in reviewing literature on approaches to governance of COVID-19. The rationale is to empower the grassroots and to accentuate the urgency for a decolonized local ownership of the governance of all public health crises. I argue that while traditional international cooperation is necessary for additional resource and expertise from the global North for sustainable health, the political will of Southern governments remains fundamental for any extraordinary success due to its grassroots/community orientation towards non-pharmaceutical interventions and initial pre-emptive rituals. The novelty in this paper is that it lays bare the ignored African responses and lessons and reveals how to harness protective communitarian ethos in solving future crises. The paper further provides population health as an 'immune system' policy framework for explaining and predicting how a scientific and human-centrered grassroots leadership can yield optimal outcomes in any future crisis.

摘要

与新冠疫情前悲观的预测相比,非洲在应对这场大流行病方面的表现远优于大多数地区。然而,这一点却很少受到关注。本文回答了以下问题:公共卫生领域新的自我决定仪式如何影响了非洲对新冠疫情的成功应对,以及在大流行后的时代,非洲大陆和世界其他地区如何借鉴这些模式/经验教训?我运用解放理论来回顾关于新冠疫情治理方法的文献。其基本原理是增强基层力量,并强调对所有公共卫生危机治理进行非殖民化的地方自主掌控的紧迫性。我认为,虽然传统的国际合作对于从全球北方获取额外资源和专业知识以实现可持续健康是必要的,但南方政府的政治意愿对于任何非凡的成功仍然至关重要,因为其基层/社区对非药物干预和最初的先发制仪式有着导向作用。本文的新颖之处在于它揭示了被忽视的非洲应对措施和经验教训,并展示了如何利用保护性的社群精神来解决未来的危机。本文还提供了人口健康作为一个“免疫系统”政策框架,用于解释和预测以科学和以人为本的基层领导力如何在未来任何危机中产生最佳结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b26c/9243776/483a79e7d904/41463_2022_127_Fig1_HTML.jpg

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