在叙利亚十年的冲突 (2011-19) 中,医疗援助的流离失所:一个探索性分析
Munzer Alkhalil1,2,3,4, Maher Alaref5,6, Abdulkarim Ekzayez7,8
1Research for Health System Strengthening in Northern Syria (R4HSSS), Union for Medical and Relief Organizations, Gaziantep, Turkey. d.monzerk@gmail.com.
BMC public health
|August 16, 2023
概括
叙利亚医疗援助的流离失所是最小的,在危机期间,捐助者优先考虑人道主义援助而不是卫生需求. 对当地社区和国内流离失所者 (IDPs) 来说,加强对健康发展援助的重视至关重要.
科学领域:
- 全球健康 全球健康
- 国际发展国际发展
- 冲突研究 冲突研究
背景情况:
- 自2011年以来,叙利亚一直面临持续的冲突,造成超过874,000人死亡,1370万人流离失所.
- 由于长期的冲突,叙利亚的卫生和人道主义部门严重依赖捐助者援助.
- 本研究调查了2011年至2019年的叙利亚人道主义卫生危机中医疗援助流离失所情况.
研究的目的:
- 审查在叙利亚急性人道主义卫生危机期间医疗援助流离失所的程度和影响.
- 分析叙利亚人道主义和卫生援助分配的趋势.
- 将叙利亚的援助环境与其他脆弱国家进行比较.
主要方法:
- 来自经合组织债权人报告系统 (2011-2019) 的人道主义和卫生援助数据的趋势分析 (2011-2019).
- 将医疗援助流离失所数据与叙利亚冲突的关键维度联系起来.
- 通过与土耳其的专家,政策制定者和援助从业人员的研讨会来证实定量数据.
主要成果:
- 有证据表明,一些主要捐助国 (欧盟,德国,挪威,加拿大) 在特定危机期间,已经转移了医疗援助.
- 医疗援助的流离失所并不关键,因为人道主义援助明显超过了医疗援助 (50:1比).
- 卫生援助仅占叙利亚卫生和人道主义援助总额的2%,而其他脆弱国家为22%,这表明对人道主义援助的重视.
结论:
- 在像叙利亚这样的复杂环境中,由于国内需求不一致,医疗援助流离失所很难被用作援助有效性的工具.
- 在受冲突影响的地区,捐助者倾向于投资于人道主义部门而不是卫生部门.
- 迫切需要增加对叙利亚的卫生发展援助,并采取人道主义,发展和和平联系,以符合当地卫生需求,包括国内流离失所者 (IDPs) 的需求.
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