援助のジレンマ:カンボジア 1992年-2002年
1The Lancet, 32 Jamestown Road, London NW1 7BY, UK.
Lancet (London, England)
|September 21, 2002
まとめ
国際援助は,貧困と紛争の余波と闘っているカンボジアの保健医療を大幅に改善していない. 努力にもかかわらず,病気と限られた資源はクメール人に対して挑戦を続ける.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 国際開発国際開発
- 公衆衛生政策 公共衛生政策
背景:
- カンボジアは,貧困,紛争の歴史,広範囲にわたる地雷汚染など,重大な課題に直面しています.
- 自給自足の農業は人口の80%の主要な生計であり,米が主な作物である.
- 高乳児死亡率 (89.4/1000) と小児死亡率 (12%が5歳未満) は,健康状態が悪いことを示している.
研究 の 目的:
- カンボジアの医療サービスに対する10年間の国際援助の影響を評価する.
- クメール人の健康を改善するための医療援助プロジェクトの有効性を評価する.
主な方法:
- 2002年4月のカンボジア訪問に基づく質的評価.
- 10年ぶりの4回目の訪問で,医療援助プロジェクトと医療の現状を観察した.
主要な成果:
- 国際的介入が10年続いたにも関わらず,病気と貧困は,カンボジア人の大半の生活の側面を定義し続けています.
- クメール人の保健医療の提供は,限られた改善を遂げている.
結論:
- 国際援助の努力は,カンボジアの医療へのアクセスや成果を大幅に改善していない.
- 医療における継続的な課題は,さらなる評価と潜在的に改訂された援助戦略を必要とします.
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