改变我们在饥荒期间解决严重营养不良问题的方法
1Valid International, Oleuffynon, Old Hall, Llanidloes, SY18 6PJ, Powys, UK. steve@validinternational.org
Lancet (London, England)
|August 22, 2001
概括
基于社区的治疗护理提供了一个比传统中心更有效的方法来治疗饥荒期间的严重营养不良. 这种方法改善了覆盖范围,并使社区能够更好地应对危机和恢复.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 人道主义援助 人道主义援助
背景情况:
- 饥荒和粮食不安全仍然是非洲之角的关键问题,需要有效的人道主义救援.
- 目前的营养干预措施,包括治疗性养中心,在紧急情况下经常面临覆盖和影响方面的挑战.
- 饥荒期间的严重营养不良需要高效和有效的治疗策略来降低死亡率.
研究的目的:
- 评估传统治疗性养中心在饥荒情况下的有效性.
- 提议和倡导以社区为基础的治疗护理作为一种补充和潜在的优越方法.
- 探索紧急和发育营养计划之间的连续性.
主要方法:
- 分析饥荒救援行动期间现有治疗食中心的局限性和影响.
- 概念化和描述基于社区的治疗护理的原则和优势.
- 在覆盖范围,效率和社区赋权方面,基于社区的治疗护理与传统的治疗养中心的比较.
主要成果:
- 治疗性养中心经常在设置,覆盖和实现死亡率显著影响方面扎,原因是延迟和有限的范围.
- 在紧急情况下,以社区为基础的治疗护理表明了快速,广泛覆盖和有效治疗严重营养不良的潜力.
- 基于社区的治疗护理赋予社区权力,与传统中心的剥夺权力和资源密集型性质形成鲜明对比.
结论:
- 传统的治疗性养中心通常是不合适的,并且作为治疗饥荒中严重营养不良的唯一方法,效果相反.
- 基于社区的治疗护理对于补充现有干预措施至关重要,确保为严重营养不良的人提供高效和有效的饥荒救济.
- 紧急和发展营养计划之间的连续性,如Hearth模型,对于可持续的人道主义努力至关重要.
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