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巴基斯坦自然灾害中的生殖健康危机:行动呼吁。

Reproductive health crisis amidst a natural disaster in Pakistan: A call to action.

作者信息

Waseem Summaiyya, Ahmed Syed Hassan, Ahmed Khabab Abbasher Hussien Mohamed, Shaikh Taha Gul, Ullah Irfan

机构信息

Dow University of Health Sciences, Karachi, Pakistan.

Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

出版信息

Womens Health (Lond). 2025 Jan-Dec;21:17455057251344725. doi: 10.1177/17455057251344725. Epub 2025 Jun 6.

DOI:10.1177/17455057251344725
PMID:40478606
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144374/
Abstract

In 2022, Pakistan and the South Asian region experienced unprecedented natural disasters. The country was devastated by severe floods caused by unusually high monsoon rains and river overflows. The Pakistani government reported that at least 80 districts nationwide were impacted, leading to the loss of one million homes, over 1000 fatalities, and 1600 injuries. The floods left no one unaffected, but vulnerable groups, such as pregnant women and adolescent girls, suffered the most. The United Nations Population Fund estimates that at least 650,000 pregnant women were trapped following the flood crisis, while 73,000 women required urgent obstetric treatment due to impending deliveries. The United Nations Population Fund responded by distributing 7411 newborn baby kits, 8311 menstruation kits, and 6412 clean delivery kits on an emergency basis. In response to the crisis, global leaders convened at the 76th World Health Assembly in Geneva, committing to enhancing healthcare resilience. These commitments present a critical opportunity for Pakistan to strengthen its reproductive healthcare system, improve disaster preparedness, and integrate climate adaptation policies into its health sector. Furthermore, in October 2022, Pakistan announced its National Adaptation Plan to address climate change and mitigate the impact of future disasters. Given the devastating effects of the floods on maternal and reproductive health, immediate and sustained action is required to fortify Pakistan's healthcare infrastructure, enhance emergency response measures, and ensure reproductive health services are accessible to all affected communities.

摘要

2022年,巴基斯坦和南亚地区遭遇了前所未有的自然灾害。该国遭受了异常强烈的季风降雨和河流泛滥引发的严重洪水侵袭。巴基斯坦政府报告称,全国至少80个地区受到影响,导致100万所房屋受损、1000多人死亡以及1600人受伤。洪水使无人幸免,但孕妇和少女等弱势群体受灾最为严重。联合国人口基金估计,洪灾危机发生后,至少65万名孕妇被困,7.3万名妇女因即将分娩而需要紧急产科治疗。联合国人口基金作出回应,紧急分发了7411套新生儿用品包、8311套经期用品包和6412套清洁分娩用品包。为应对这场危机,全球领导人在日内瓦举行的第76届世界卫生大会上齐聚一堂,承诺增强医疗系统的复原力。这些承诺为巴基斯坦提供了一个关键契机,以加强其生殖健康保健系统、改善灾害防范能力,并将气候适应政策纳入其卫生部门。此外,2022年10月,巴基斯坦宣布了其应对气候变化和减轻未来灾害影响的国家适应计划。鉴于洪水对孕产妇和生殖健康造成的毁灭性影响,需要立即采取持续行动,以加强巴基斯坦的医疗基础设施、强化应急响应措施,并确保所有受影响社区都能获得生殖健康服务。

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本文引用的文献

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Understanding Challenges Women Face in Flood-Affected Areas to Access Sexual and Reproductive Health Services: A Rapid Assessment from a Disaster-Torn Pakistan.了解受灾妇女获得性健康和生殖健康服务面临的挑战:来自巴基斯坦灾区的快速评估。
Biomed Res Int. 2024 Apr 1;2024:1113634. doi: 10.1155/2024/1113634. eCollection 2024.
2
Building resilience for sexual and reproductive health at the community level: learning from three crisis-affected provinces in Pakistan.在社区层面建立性健康和生殖健康的韧性:从巴基斯坦三个受危机影响的省份中学习。
BMJ Glob Health. 2022 Sep;7(9). doi: 10.1136/bmjgh-2022-009251.
3
Shortage of essential antimicrobials: a major challenge to global health security.基本抗菌药物短缺:对全球卫生安全的重大挑战。
BMJ Glob Health. 2021 Nov;6(11). doi: 10.1136/bmjgh-2021-006961.
4
Why are the Pakistani maternal, fetal and newborn outcomes so poor compared to other low and middle-income countries?与其他中低收入国家相比,为什么巴基斯坦的孕产妇、胎儿和新生儿结局如此糟糕?
Reprod Health. 2020 Dec 17;17(Suppl 3):190. doi: 10.1186/s12978-020-01023-5.
5
Reproductive, maternal, newborn, and child health in Pakistan: challenges and opportunities.巴基斯坦的生殖、孕产妇、新生儿和儿童健康:挑战与机遇。
Lancet. 2013 Jun 22;381(9884):2207-18. doi: 10.1016/S0140-6736(12)61999-0. Epub 2013 May 17.