南非的职业健康障碍:对Ubuntu的呼吁
Muzimkhulu Zungu1,2,3, Jerry Spiegel4, Annalee Yassi4
1National Institute for Occupational Health, a division of the National Health Laboratory Service, Johannesburg 2000, ZA.
Annals of global health
|June 3, 2024
概括
随着COVID-19的流行,在低收入和中等收入国家,职业健康 (OH) 服务缺口变得更加突出. 实施Ubuntu哲学可以改善卫生保健工作者对OH服务的提供和可持续性.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 加强卫生系统 加强卫生系统
背景情况:
- 低收入和中等收入国家 (LMICs) 面临着严重的卫生工作者短缺,由COVID-19大流行加剧.
- 疫情暴露了在LMIC公共卫生设施内获得,覆盖和利用职业健康 (OH) 服务的重大挑战.
- 在大流行期间,LMIC公共部门卫生设施中现有的OH服务被发现不足.
研究的目的:
- 探索南非Ubuntu哲学在应对与在LMIC公共卫生设施中建立和维持OH服务相关的挑战中的应用.
- 分析在COVID-19大流行期间为卫生工作者实施和维护OH和感染预防和控制 (IPC) 措施时遇到的障碍.
- 确定Ubuntu如何在资源有限的环境中提供更好的OH服务.
主要方法:
- 这项研究涉及来自国际合作的研究人员,包括参与南非和全球的OH和IPC措施实施和研究.
- 利用了在COVID-19大流行期间积极参与OH倡议的研究人员的观察和经验.
- 在LMICs的公共部门卫生设施中提供OH服务的挑战和促进者的定性分析.
主要成果:
- 确定的主要障碍包括领导力缺陷,对决策数据的不良使用,无效的健康和安全委员会,不活跃的工会和过度劳累的OH专业人员.
- 这些系统性缺陷阻碍了基本的OH措施的建立,提供,维护和可持续性.
- 缺乏人文,以社区为导向的方法,如Ubuntu,与这些实施和维持失败有关.
结论:
- 乌本图哲学为了解和改善LMIC中OH服务的交付和可持续性提供了一个有价值的框架.
- 解决领导力,数据利用,委员会的有效性和专业能力对于加强OH服务至关重要.
- 整合Ubuntu原则可以培养一个更有弹性和有效的职业健康系统,为卫生工作者在LMICs,特别是在危机期间.
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