在阿富汗为非传染性疾病提供资金
Narges Neyazi1,2, Ali Mohammad Mosadeghrad3, Maryam Tajvar3
1International Campus, school of public health, Tehran University of Medical Sciences, Tehran, Iran. neyazinarges@gmail.com.
International journal for equity in health
|April 9, 2025
概括
阿富汗面临着高非传染性疾病 (NCD) 死亡率和出口袋医疗支出. 本研究分析了NCD融资,强调了政府分配的弱点,并提出了改善政策以改善卫生系统的功能.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 卫生系统研究 卫生系统研究
背景情况:
- 阿富汗经历了疾病的"三重负担",非传染性疾病 (NCD) 导致50%的死亡.
- 诊断和治疗的高自费支出 (77%) 加剧了NCD危机.
- 由于非传染性疾病造成的严重死亡率和财务压力,需要对融资系统进行分析.
研究的目的:
- 分析阿富汗目前的非传染性疾病 (NCD) 医疗融资体系.
- 为国家和国际卫生机构的政策制定者和项目经理提供可行的建议.
- 识别NCD融资中的优点,弱点,机遇和威胁 (SWOT).
主要方法:
- 使用的定性研究方法.
- 在2019年至2021年期间,与阿富汗的39名卫生系统专家进行了采访.
- 使用卫生系统的六个构建块进行演性框架分析,重点关注融资.
主要成果:
- 优势包括由捐助者资助的卫生套餐,国家卫生账户,烟草/SSB的消费税和政策文件.
- 发现的弱点:政府卫生预算较低,集中融资,缺乏NCD指标,以及高额自付费用.
- 机遇:潜在的纠正税收和非政府组织参与; 威胁:治理薄弱,腐败,公众信任低,以及官僚障碍.
结论:
- 有效的卫生融资与其他卫生系统组成部分,如治理和信息管理密切相关.
- 跨卫生系统构建块的协同作用对于功能性卫生融资至关重要.
- 解决融资和其他系统功能之间的相互关联对于改善阿富汗非传染性疾病护理至关重要.
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