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武装冲突对埃塞俄比亚医疗保健和营养服务的影响:一项叙述性综述。

Impacts of Armed Conflicts on Healthcare and Nutrition Services in Ethiopia: A Narrative Review.

作者信息

Ayele Kassahun

机构信息

Department of Food and Nutritional Science Wollega University Nekemte Ethiopia.

出版信息

Public Health Chall. 2025 Aug 9;4(3):e70099. doi: 10.1002/puh2.70099. eCollection 2025 Sep.

Abstract

Armed conflicts in Ethiopia have profoundly impacted healthcare and nutrition services, exacerbating pre-existing vulnerabilities and introducing new challenges. This narrative review synthesizes peer-reviewed literature and reports to offer a comprehensive understanding of the effects of war and conflict on healthcare and nutrition services in Ethiopia. The review included peer-reviewed articles and gray literature published between 2015 and 2025 that focused on healthcare and nutrition services in conflict-affected regions of Ethiopia. The review underscores the geographical barriers, infrastructure damage, and resource constraints that impede access to healthcare facilities and disrupt essential medical services. Maternal and child health services have been particularly affected, with limited antenatal care, increased maternal mortality, and disrupted vaccination programs. The conflict has also precipitated a severe food crisis, characterized by widespread food insecurity and acute malnutrition among children in conflict zones. Displaced populations face heightened risks of disease and malnutrition due to overcrowded conditions, limited access to water and sanitation, and disrupted livelihoods. The review emphasizes the urgent need for humanitarian assistance, including food, water, shelter, and healthcare, to prevent further deterioration of the situation. Collaborative approaches focusing on peacebuilding and health infrastructure investment are essential for restoring services and improving health outcomes. The review aims to inform policymakers, healthcare providers, and humanitarian organizations about the challenges faced by conflict-affected communities and the importance of targeted interventions to address the immediate and long-term needs of these populations.

摘要

埃塞俄比亚的武装冲突对医疗保健和营养服务产生了深远影响,加剧了先前存在的脆弱性,并带来了新的挑战。本叙述性综述综合了同行评审文献和报告,以全面了解战争和冲突对埃塞俄比亚医疗保健和营养服务的影响。该综述纳入了2015年至2025年间发表的关注埃塞俄比亚受冲突影响地区医疗保健和营养服务的同行评审文章和灰色文献。该综述强调了阻碍人们前往医疗设施并扰乱基本医疗服务的地理障碍、基础设施破坏和资源限制。孕产妇和儿童健康服务受到了特别影响,产前护理有限、孕产妇死亡率上升以及疫苗接种计划中断。冲突还引发了严重的粮食危机,其特征是冲突地区儿童普遍粮食不安全和急性营养不良。由于居住环境拥挤、获得水和卫生设施的机会有限以及生计中断,流离失所人口面临更高的疾病和营养不良风险。该综述强调迫切需要人道主义援助,包括食品、水、住所和医疗保健,以防止局势进一步恶化。注重建设和平和卫生基础设施投资的协作方法对于恢复服务和改善健康结果至关重要。该综述旨在让政策制定者、医疗保健提供者和人道主义组织了解受冲突影响社区所面临的挑战,以及针对性干预措施对于满足这些人群近期和长期需求的重要性。

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Armed conflict and treatment interruptions: A systematic review and meta-analysis in Amhara, Ethiopia.
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