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也门冲突地区的医疗保健可及性:聚焦战略与解决方案的全面综述

Healthcare accessibility in Yemen's conflict zones: comprehensive review focused on strategies and solutions.

作者信息

Salem Ahmed, Rosen Aiman, Alharazi Iman, Gamallat Yaser, Aldbyani Aamer, Amer Bushra, Chimpandu Namoonga

机构信息

Department of Biological and Biochemical Sciences, University of Pardubice, Pardubice, 53210, Czech Republic.

Space for Research Initiative, 128 City Road, London, EC1V 2NX, UK.

出版信息

Confl Health. 2025 Jul 14;19(1):42. doi: 10.1186/s13031-025-00685-x.

Abstract

The nine-year ongoing conflict in Yemen accumulated humanitarian crisis, and severely struggling healthcare system. In the current review, we are trying here to elucidate the many perspective areas where the conflict in Yemen has made it harder to access medical care, emphasizing how the war has negatively affected medical infrastructure, caused a severe shortage of medical supplies, and obstructed access to or the ability to receive medical services. We conducted a comprehensive search across reports from in-ground working organizations like UN, MSF, ICRC, and official authorial channels, including local organizations as well to illustrate how the conflict-induced challenges have drastically limited access to essential services, as well as literature repositories (PubMed MEDLINE, Scopus, Web of Science). Then, data were thematically presented.Our data suggest urgent and thoughtful long-term solutions, including the need of economic support, reconstructing healthcare infrastructure through coordinated efforts, and setting up safe supply lines to ensure a steady flow of medical resources particularly in intensive war zones where mobile clinics could serve as an alternative. Additionally, we highlight the importance of supporting and incentivizing the healthcare workforce to prevent further depletion through training programs that include professional and practical skills and ensuring safe transport to and from medical facilities for both patients and healthcare personnel. Moreover, we recommend implementing targeted programs to improve access to quality healthcare for disproportionately affected populations, guaranteeing access to medical treatment as a right and not a privilege, and most significantly, ensuring that the medical facilities are not targeted. Therefore, these focused recommendations aim to guide policymakers, international donors, and on-ground NGOs in restoring healthcare access and improving the quality of life for millions of Yemenis.

摘要

也门长达九年的冲突积累了人道主义危机,使本就艰难挣扎的医疗体系雪上加霜。在本次综述中,我们试图阐明也门冲突在诸多方面使得医疗服务获取变得更加困难,着重强调战争如何对医疗基础设施产生负面影响、导致医疗用品严重短缺,以及阻碍医疗服务的获取或接受医疗服务的能力。我们全面检索了联合国、无国界医生组织、红十字国际委员会等实地工作组织的报告以及官方权威渠道,包括当地组织的报告,以说明冲突引发的挑战如何极大地限制了基本服务的获取,同时还检索了文献库(PubMed MEDLINE、Scopus、科学网)。然后,对数据进行了主题呈现。我们的数据表明需要采取紧急且周全的长期解决方案,包括提供经济支持的必要性、通过协同努力重建医疗基础设施,以及建立安全的供应线以确保医疗资源稳定供应,特别是在移动诊所可作为替代方案的激烈战区。此外,我们强调支持和激励医疗人员的重要性,通过包括专业和实践技能的培训项目防止人员进一步流失,并确保患者和医疗人员往返医疗设施的安全运输。此外,我们建议实施针对性项目,以改善受影响尤为严重人群获得优质医疗服务的机会,保障医疗救治是一项权利而非特权,最重要的是,确保医疗设施不成为攻击目标。因此,这些重点建议旨在指导政策制定者、国际捐助者和实地非政府组织恢复医疗服务获取并改善数百万也门人生活质量。

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