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对尼泊尔卫生系统的批判性分析;基于COVID-19应对措施的观点
Bihari Sharan Kuikel1, Archana Shrestha1,2,3, Dong Roman Xu4
1Department of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Dialogues in health
|June 16, 2023
概括
尼泊尔 尼泊尔 尼泊尔 尼泊尔 尼泊尔
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 卫生中的联邦主义.
背景情况:
- 尼泊尔在2015年过渡到联邦制度,建立了三层政府:联邦,省和地方.
- 联邦政府主要领导了COVID-19应对行动,各级政府都面临着挑战.
- 在COVID-19大流行期间分析尼泊尔的卫生系统至关重要.
研究的目的:
- 在COVID-19应对期间,在尼泊尔联邦结构的背景下批判性地分析尼泊尔的卫生系统.
- 了解联邦,省和地方政府在流行病管理中的角色和挑战.
主要方法:
- 通过电话与41名政策制定者,卫生工作者和利益相关者进行了半结构化的深度访谈.
- 数据收集发生在2021年1月至7月期间.
- 采访被录音,转录,并使用感应-演编码方法进行分析.
主要成果:
- COVID-19严重破坏了日常医疗保健,特别是产科服务和免疫接种.
- 主要挑战包括财政和人力资源不足,以及缺乏关键基础设施,如呼吸机和ICU.
- 所有政府层面都发挥了自己的作用,联邦/省级专注于政策,地方专注于实施.
结论:
- 有效的流行病管理需要在所有三级政府之间强有力的协调和信息共享.
- 赋予地方政府权力对于维持尼泊尔联邦卫生系统至关重要.
- 该研究强调需要加强资源配置和基础设施开发,以加强卫生系统的弹性.
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