2015-16年叙利亚卫生保健的攻击:实时报告工具的结果
Mohamed Elamein1, Hilary Bower2, Camilo Valderrama1
1WHO Gaziantep Field Office, Gaziantep, Turkey.
Lancet (London, England)
|June 13, 2017
概括
一个针对叙利亚卫生保健的新系统记录了2016年的402起袭击事件和938起伤亡事件. 这种可信的数据收集方法可以帮助执行保护冲突地区卫生服务的国际人道主义法.
科学领域:
- 全球健康
- 人道主义法
- 解决冲突
背景情况:
- 收集有关战区卫生服务暴力的数据是具有挑战性的, 但对于了解违反国际人道主义法的情况至关重要.
- 叙利亚从2015年11月开始实施了一项名为"监测针对医疗保健的暴力行为" (MVH) 的新系统,以检测和验证对医疗保健服务的攻击.
研究的目的:
- 描述一个用于在冲突地区检测和验证对医疗服务的攻击的新系统.
- 评估暴力对医疗服务,工作人员和患者的影响.
- 为执行国际人道主义法提供可靠的数据.
主要方法:
- 监测针对医疗保健的暴力 (MVH) 预警网络涉及叙利亚的卫生集群组织.
- 通过WhatsApp和匿名在线工具收到警报, 现场工作人员进行采访以验证.
- 数据被三角化并与卫生集群合作伙伴和外部组织进行匹配以验证事件,确保数据可信度.
主要成果:
- 在2015年11月至2016年12月期间,有402起事件造成938人伤亡 (261人死亡,677人受伤).
- 5岁以下的儿童死亡率最高 (39%),24%的受害者是卫生工作者.
- 空中轰炸是主要的攻击方式,有44%的医院和5%的初级保健诊所受到攻击;创伤护理服务是不成比例的目标.
结论:
- MVH系统产生了可靠的匿名数据,解决了双重计数和偏见的自我报告.
- 这种工具可以在各种冲突地区部署.
- 可靠的数据对于证明违反保护医疗保健的国际法和阻止未来的攻击至关重要.
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