Cliff J, Noormahomed A R
Community Health Department, Faculty of Medicine, Universidade Eduardo Mondlane, Maputo, Mozambique.
Soc Sci Med. 1993 Apr;36(7):843-8. doi: 10.1016/0277-9536(93)90076-g.
Since 1982, South African destabilization of Mozambique has caused children's health to deteriorate. Destabilization has functioned through support of a surrogate movement and economic pressure. Attacks on economic and civilian targets have included the health services, leading to closure of 48% of the primary health care network. The war has caused displacement of over 3,000,000 persons and an estimated 494,000 excess childhood deaths between 1981 and 1988. An estimated 200,000 children have been separated from their families or orphaned; many children have also witnessed atrocities and suffered violence. A deepening economic crisis has been followed by an economic structural adjustment programme. Responses to the war include changes in vaccination strategy and programmes to reunite families and heal psychological trauma.
自1982年以来,南非对莫桑比克的破坏稳定行为致使儿童健康状况恶化。破坏稳定的手段包括支持一个代理运动以及施加经济压力。对经济和民用目标的袭击包括针对医疗卫生服务机构,导致48%的初级卫生保健网络关闭。这场战争致使300多万人流离失所,在1981年至1988年间估计有49.4万儿童过早死亡。据估计,20万儿童与家人离散或成为孤儿;许多儿童还目睹了暴行并遭受暴力侵害。在经济危机不断加深之后实施了一项经济结构调整计划。针对这场战争采取的应对措施包括改变疫苗接种策略以及实施让家庭团聚和治愈心理创伤的方案。