纠正错误的时候到了:改善尼日利亚的基本医疗保健
1The Lancet, 32 Jamestown Road, London NW1 7BY, UK. salhargreaves@hotmail.com
Lancet (London, England)
|June 22, 2002
概括
尼日利亚 尼日利亚 尼日利亚
科学领域:
- 公共卫生 公共卫生
- 非洲卫生系统 非洲卫生系统
- 医疗保健政策 医疗保健政策
背景情况:
- 几十年的腐败和军事统治严重降低了尼日利亚的公共服务.
- 医疗保健部门资金严重不足,管理不善,影响数百万人.
- 广泛的忽视导致疫苗接种率低,对艾滋病毒/艾滋病等疾病的治疗不够.
研究的目的:
- 评估2001年尼日利亚医疗保健服务的状况.
- 突出政治优先事项对公共卫生的影响.
- 检查新民政政府在改善卫生结果方面面临的挑战.
主要方法:
- 在2001年10月访问无国界医生组织期间的直接观察.
- 分析医疗保健系统的结构和资源配置.
- 评估垂直计划对服务提供的影响.
主要成果:
- 政府医疗保健服务在很大程度上是非功能性的.
- 一半的人口缺乏常规疫苗接种;350万有艾滋病毒/艾滋病,没有基本护理.
- 不良的协调和资源分配阻碍了有效的医疗保健服务.
结论:
- 政治优先事项继续取代尼日利亚人民的基本健康需求.
- 尼日利亚的卫生部门面临着巨大的挑战,需要政府的紧急承诺.
- 尽管有潜力,但尼日利亚的医疗保健系统需要进行重大改革,以有效地为其公民服务.
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