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在加沙大回归游行期间的健康攻击和保护策略:使用世卫组织对医疗保健攻击监测系统的数据进行混合方法研究
Walaa Shehada1, Benjamin Bouquet2, Juliana Nassar2
1WHO, occupied Palestinian territory, Gaza.
Lancet (London, England)
|July 6, 2021
概括
在加沙的回归大游行中, 卫生工作者面临重大暴力事件, 改善保护策略,包括更好的监测和问责制,对于医疗人员的安全至关重要.
科学领域:
- 公共卫生
- 全球卫生安全
- 人道主义医学
背景情况:
- 世卫组织将对医疗保健的攻击定义为在紧急情况下干扰医疗服务的暴力行为.
- 在加沙的回归大游行中,
- 该研究旨在探讨卫生工作者的脆弱性,评估攻击监控系统,并确定GMR期间的保护策略.
研究的目的:
- 在加沙大回归游行期间调查医疗保健工作者的脆弱性.
- 评估系统监控对医疗保健的攻击的有效性和全面性.
- 确定加强医疗保健工作者的保护的战略和干预措施.
主要方法:
- 世界卫生组织对加沙地带2018年3月至2019年12月的卫生保健攻击监测系统 (SSA) 数据的分析.
- 检查攻击类型,伤害机制和事件的人口分布.
- 通过采访和聚焦小组与SSA合作伙伴进行定性数据收集,以了解数据缺口和保护需求.
主要成果:
- 567起确诊事件导致3名卫生工作者死亡,845人受伤;129辆车和7个卫生设施受损.
- 卫生工作者受伤和死亡与巴勒斯坦整体伤亡有中等相关性 (R2=0.54),占总伤亡的2%.
- 质量调查结果显示暴力变得正常化,攻击报告不足,保护装备和协调保护策略存在重大差距.
结论:
- 医疗保健工作者在相当大的个人风险下工作,因此需要与民间保护工作相一致的综合保护策略.
- 需要进行系统性改进,包括加强培训,加强监测,改善协调,加强对医疗保健攻击的问责制.
- 保护医疗人员至关重要,尤其是在占领和民间示威的背景下,需要将攻击文件与问责措施联系起来.
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