在冲突环境中实施社区医疗计划:记录中非共和国和南苏丹的经验
Faiza Rab1,2,3, Donya Razavi4, Mariam Kone5,6
1Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada. faiza.rab@redcross.ca.
BMC health services research
|July 8, 2023
概括
在中非共和国和南苏丹等冲突地区提供社区医疗服务是可行的. 关键策略包括社区参与,明确的信息传递,以及解决诸如安全和敏捷编程识字等障碍.
科学领域:
- 全球健康 全球健康
- 人道主义援助 人道主义援助
- 冲突地区的公共卫生.
背景情况:
- 为冲突地区的妇女和儿童提供高质量的医疗保健是一个持续的全球挑战.
- 红十字国际委员会 (ICRC) 和加拿大红十字会 (CRC) 在中非共和国 (CAR) 和南苏丹试点开展社区医疗服务.
- 该研究探讨了在武装冲突环境中敏捷编程的可行性,障碍和策略.
研究的目的:
- 评估冲突地区基于社区的综合公共卫生方法的可行性.
- 确定中非共和国和南苏丹有效提供医疗服务的障碍.
- 确定在人道主义环境中适用于特定环境的敏捷编程策略.
主要方法:
- 使用关键信息人采访和焦点小组讨论进行定性研究设计.
- 有目的的抽样包括中非共和国和南苏丹的社区卫生工作者,长老,男性,女性,青少年和计划实施者.
- 数据分析涉及两个独立研究人员的内容分析.
主要成果:
- 可行性取决于明确的信息传递,社区包容性和本地化交付计划.
- 障碍包括安全问题,知识差距,语言和识字问题.
- 缓解策略包括赋予弱势群体权力,并提供特定环境的资源.
结论:
- 一个集成的,以社区为基础的卫生服务提供模式是可行的人道主义组织在冲突地区.
- 敏捷实施需要社区参与,解决不平等问题,谈判安全通道,并考虑后勤限制.
- 将服务提供与当地参与者支持联系起来,对于在冲突环境中提供响应性医疗服务至关重要.
关键词:
敏捷和响应式编程灵活和响应式编程武装冲突是武装冲突.基于社区的卫生服务.社区的参与 社区的参与长时间的冲突.人民币人民币CAH生殖母亲新生儿儿童和青少年健康服务.南苏丹 南苏丹 南苏丹中非共和国 中非共和国更多相关视频
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