Berry Elliot M, Nitzan Dorit, Kussmann Martin
Braun School of Public Health, Faculty of Medicine, Hebrew University -Hadassah Medical School, Jerusalem, Israel.
School of Public Health, Ben Gurion University of the Negev, Beersheba, Israel.
Isr J Health Policy Res. 2025 Jun 10;14(1):34. doi: 10.1186/s13584-025-00700-9.
Poverty, conflict and war are the most prominent reasons for food insecurity worldwide including for the population of Gaza since October 7, 2023. It has been shown that at least during the seven-month period between January and July, 2024, an adequate supply of food was delivered to Gaza. However, a distinction must be made between food availability (entering Gaza), and food accessibility (food supply actually reached at the household level). The latter was apparently controlled by Hamas; and there are no reliable data available on the actual distribution of food. A prerequisite for achieving a better "day after" for the population of Gaza depends on achieving a permanent end to the hostilities between Hamas and other Gazan militants with Israel. That must be a top priority for policymakers. Nonetheless, understanding the elements involved in the planning for a successful "day after" can begin now. We know that most of the population needs housing, as well as sufficient, adequate and accessible food, water, energy sources, adequate health services for acute and chronic medical and surgical conditions, mental health, and preventive care. In this article, we focus on planning for food and nutrition security for the "day after," a process that will require actions along the six dimensions of food security- availability, accessibility, utilization, stability, sustainability, and agency. We outline these dimensions and their necessary components.
贫困、冲突和战争是全球粮食不安全的最主要原因,包括自2023年10月7日以来加沙地带的民众。事实表明,至少在2024年1月至7月这七个月期间,有充足的食物被运往加沙。然而,必须区分食物供应(进入加沙)和食物可及性(实际送达家庭层面的食物供应)。后者显然由哈马斯控制;且没有关于食物实际分配的可靠数据。为加沙民众实现更好的“战后”局面的一个前提条件是永久结束哈马斯与加沙其他武装分子同以色列之间的敌对行动。这必须是政策制定者的首要任务。尽管如此,现在就可以开始了解成功“战后”规划所涉及的要素。我们知道,大多数民众需要住房,以及充足、可及的食物、水、能源、针对急慢性医疗和外科病症的足够医疗服务、心理健康服务和预防保健。在本文中,我们专注于为“战后”规划粮食和营养安全,这一过程需要沿着粮食安全的六个维度采取行动——供应、可及性、利用、稳定性、可持续性和能动性。我们概述了这些维度及其必要组成部分。