在脆弱和受冲突影响的环境中卫生系统的弹性:系统的范围审查
Claudia Truppa1,2, Sally Yaacoub3, Martina Valente4,5
1CRIMEDIM - Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, Novara, Italy. claudia.truppa@uniupo.it.
Conflict and health
|January 3, 2024
概括
本次审查强调了需要在脆弱环境中对卫生系统弹性 (HSR) 进行更多研究. 它强调适应性和转型性战略,特别是在治理和安全方面,以加强面临冲突的卫生系统.
科学领域:
- 卫生系统研究 卫生系统研究
- 全球卫生安全 全球卫生安全
- 弹性研究 弹性研究
背景情况:
- 卫生系统弹性 (HSR) 是一个不断增长的研究领域,有新兴的理论框架.
- 脆弱和受冲突影响的环境 (FCAS) 由于加剧的压力因素,需要强有力的弹性,但这些背景的证据有限.
- 本范围审查解决了在FCAS中对HSR理解的差距.
研究的目的:
- 在FCAS中确定HSR的概念框架.
- 描述在FCAS内的健康治理和服务提供中各个参与者的角色.
- 分析与FCAS吸收,适应和转化相关的卫生系统操作.
主要方法:
- 从2006年到2022年1月,对同行评审和灰色文献进行了范围审查.
- 采用了使用诱导和演方法的专题分析,参考Kruk等的弹性框架. 和布兰切特等人.
- 包括通过HSR镜头分析健康应对危机的研究.
主要成果:
- 37项研究符合纳入标准.
- 以治理为中心,以能力为导向的框架最常用于分析对冲突和暴力的健康反应.
- 公共卫生系统是主要重点;私营部门和社区角色的代表性最小.
- 操作主要集中在吸收和适应上,在七个领域 (例如,治理,劳动力,安全) 很少描述转型.
结论:
- 以治理为中心的框架对于理解FCAS中的HSR是有价值的.
- 未来的研究应该优先记录HSR的适应和转型策略.
- 应强调在FCAS促进卫生系统安全,保障,基础设施和社会正义.
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