20年後のルワンダ:生命への投資
Agnes Binagwaho1, Paul E Farmer2, Sabin Nsanzimana3
1Ministry of Health, Government of Rwanda, Kigali, Rwanda.
Lancet (London, England)
|April 8, 2014
まとめ
ルワンダ ルワンダ ルワンダ ルワンダ ルワンダ ルワンダ ルワンダ
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 保健政策 保健政策 保健政策
- 公共衛生は公衆衛生である.
背景:
- 1994年のジェノサイドは,ルワンダの保健システムと経済を壊滅させました.
- 何百万人もの人々が避難し,トラウマは生存者とインフラに影響を与えました.
研究 の 目的:
- 20年以上にわたるルワンダの保健部門の再建で得た教訓を振り返る.
- 公平性指向の政策が健康上の成果に与える影響を検証する.
主な方法:
- 政策の実施と保健システムの再構築に関する質的反省.
- 国民保健指標の分析と,ジェノサイド後の政策の転換.
主要な成果:
- 早期死亡率の大幅な減少.
- 1990年代半ばから平均寿命が2倍になった.
- 人を中心とした開発と社会団結政策の成功的な実施.
結論:
- ルワンダの保健部門の回復は,公平に焦点を当てた国家政策の成功を示しています.
- 学んだ教訓は,将来の医療提供の課題に取り組む上で極めて重要です.
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