卢旺达20年后:投资于生命
Agnes Binagwaho1, Paul E Farmer2, Sabin Nsanzimana3
1Ministry of Health, Government of Rwanda, Kigali, Rwanda.
Lancet (London, England)
|April 8, 2014
概括
卢旺达卢旺达卢旺达卢旺达卢旺达卢旺达卢旺达卢旺达
科学领域:
- 全球健康 全球健康
- 卫生政策 卫生政策
- 公共卫生 公共卫生
背景情况:
- 1994年的种族灭绝摧毁了卢旺达的卫生系统和经济.
- 数以百万计的人流离失所,创伤影响了幸存者和基础设施.
研究的目的:
- 反思20多年来卢旺达重建卫生部门的经验教训.
- 检查以公平为导向的政策对健康结果的影响.
主要方法:
- 对政策实施和卫生系统重建进行定性反思.
- 分析国家卫生指标和种族灭绝后的政策转变.
主要成果:
- 显著降低过早死亡率.
- 自上世纪90年代中期以来,预期寿命翻了一番.
- 成功实施以人民为中心的发展和社会凝聚力政策.
结论:
- 卢旺达卫生部门的复苏表明,以公平为重点的国家政策取得了成功.
- 学到的经验教训对于应对未来的医疗保健提供挑战至关重要.
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