間違ったことを正す時間:ナイジェリアの基本的な医療を改善する
1The Lancet, 32 Jamestown Road, London NW1 7BY, UK. salhargreaves@hotmail.com
Lancet (London, England)
|June 22, 2002
まとめ
ナイジェリア ナイジェリア ナイジェリア
科学分野:
- 公衆衛生は公衆衛生である.
- アフリカの保健医療システム
- 保健医療政策について
背景:
- 何十年にもわたる汚職と軍事政権は,ナイジェリアの公共サービスをひどく劣化させました.
- 医療セクターは,資金不足と管理不良が深刻で,何百万人もの人々に影響を及ぼしています.
- 広範囲にわたる無視は,ワクチン接種率が低く,HIV/AIDSなどの病気の治療が不十分であることを示しています.
研究 の 目的:
- 2001年のナイジェリアの医療サービスの状況を評価する.
- 政治的優先順位が公衆衛生に与える影響を強調する.
- 健康成果の改善において,新設の民間政府が直面する課題を検証する.
主な方法:
- 2001年10月に国境なき医師団を訪問した際の直接観察.
- 医療制度の構造と資源配置の分析.
- 垂直プログラムのサービス提供への影響の評価.
主要な成果:
- 政府の医療サービスの大半は機能していない.
- 人口の半分は,通常のワクチン接種を受けていない;350万人のHIV/AIDS患者は,基本的なケアを受けていない.
- 調整とリソースの配分が不十分であるため,医療の効果的な提供が妨げられます.
結論:
- 政治的優先順位は,ナイジェリアの人々の基本的な健康ニーズに取って代わっています.
- ナイジェリアの保健部門は,政府の緊急のコミットメントを必要とする巨大な課題に直面しています.
- その可能性にもかかわらず,ナイジェリアの保健医療システムは,市民に効果的にサービスを提供するために重要な改革を必要としています.
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