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苏丹的公共卫生:危机中的优先事项、挑战及恢复力途径

Public health in Sudan: priorities, challenges, and pathways to resilience in crisis.

作者信息

Alsoukhni Majd A, Aziz Muna Ibrahim Abdel, Qosa Haytham, Bani Ibrahim, Omar Maye, Elhassan Muntasir Mohammed Osman, Abbas Haitham Bashier, Khader Yousef, Al-Gunaid Magid, Al Nsour Mohannad

机构信息

The Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan.

Public Health Department, Salford City Council, Salford, United Kingdom.

出版信息

Front Public Health. 2025 Aug 12;13:1647917. doi: 10.3389/fpubh.2025.1647917. eCollection 2025.

Abstract

In April 2023, the armed conflict erupted in Sudan, exacerbating the ongoing crisis with widespread violence, health system collapse, and outbreaks of vaccine-preventable, vector-borne, and water-borne diseases. Despite these devastating consequences, the international response has been inadequate, requiring urgent advocacy for increased global support. During the EMPHNET 8th Regional Conference (September 15-18, 2024), a 2-hour forum, "Public Health in Sudan: Priorities and Solutions," brought together a moderator and six distinguished speakers to discuss critical aspects of the health crisis. The forum addressed four key areas: the health and humanitarian needs in Sudan, strategies for building a resilient health system, the role of multisectoral coordination and integrated policies, and the contributions of local and international actors in crisis response and resource mobilization. Key recommendations emphasized strengthening supply chains, decentralizing resources, and fostering multisectoral collaboration to address health determinants and optimize response efforts. Building health system resilience through training, capacity development, and community-based health solutions was identified as critical. The panel also advocated for sustained, conflict-sensitive funding mechanisms and preventive care to improve public health in Sudan. In conclusion, the discussions highlight the importance of integrating health system resilience into recovery plans and fostering strong partnerships to ensure a health system that is adaptable, inclusive, and sustainable. By addressing immediate needs and preparing for future crises, Sudan can build a robust healthcare system capable of withstanding prolonged challenges.

摘要

2023年4月,苏丹爆发武装冲突,暴力事件蔓延、卫生系统崩溃以及疫苗可预防疾病、媒介传播疾病和水源性疾病爆发,使当前危机进一步恶化。尽管造成了这些灾难性后果,但国际社会的应对却不够充分,急需大力倡导增加全球支持。在东地中海公共卫生网络第八次区域会议(2024年9月15日至18日)期间,一个名为“苏丹的公共卫生:优先事项与解决方案”的两小时论坛汇聚了一名主持人和六位杰出演讲者,共同探讨卫生危机的关键方面。该论坛涉及四个关键领域:苏丹的卫生和人道主义需求、建设有韧性的卫生系统的战略、多部门协调和综合政策的作用,以及地方和国际行为体在危机应对和资源调动方面的贡献。主要建议强调加强供应链、资源下放以及促进多部门合作,以解决健康决定因素并优化应对措施。通过培训、能力建设和基于社区的卫生解决方案来建设卫生系统韧性被视为至关重要。该小组还倡导建立持续的、对冲突敏感的筹资机制以及预防保健,以改善苏丹的公共卫生状况。总之,讨论突出了将卫生系统韧性纳入恢复计划以及建立强有力伙伴关系的重要性,以确保建立一个具有适应性、包容性和可持续性的卫生系统。通过满足当前需求并为未来危机做好准备,苏丹能够建立一个强大的医疗保健系统,有能力应对长期挑战。

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