在东盟实现2030年与健康相关的可持续发展目标:系统分析
Yafei Si1,2, Lei Guo2, Shu Chen3
1Melbourne School of Population & Global Health, The University of Melbourne, Parkville, Victoria, Australia.
PLoS medicine
|April 21, 2025
概括
东南亚国家联盟 (东盟) 显示,到2030年,健康可持续发展目标 (SDGs) 取得进展,但传染病和非传染性疾病等挑战仍然存在. 各国不平等的进展需要协调的区域行动来解决健康差异.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 东南亚国家联盟 (东盟) 面临着严重的健康不平等,阻碍到2030年实现可持续发展目标 (SDGs) 的进展.
- 对东盟来说,评估与健康相关的可持续发展目标的轨迹至关重要,以告知其10个成员国的政策和指导改善健康和福祉的干预措施.
研究的目的:
- 评估东盟成员国与健康相关的可持续发展目标 (SDGs) 的进展情况.
- 预计到2030年实现27个与健康相关的可持续发展目标指标.
- 确定东盟国家和专题领域卫生进展的差异.
主要方法:
- 利用了2021年全球疾病负担研究 (GBD) 和监测数据的数据.
- 确定并将27个与健康相关的可持续发展目标指标分为7个主题领域:营养,母亲/儿童/生殖健康,传染病,非传染病 (NCD),环境健康,全民健康覆盖 (UHC) 和道路伤害.
- 开发了每个指标的成就指数 (0-100) 和预计到2030年的进展.
主要成果:
- 预计在1990年至2030年期间,东盟将在实现与健康相关的可持续发展目标方面取得总体积极进展.
- 预计到2030年,新加坡和文莱将实现其目标 (达到≥90分).
- 在营养,母亲/儿童/生殖健康和全民健康覆盖方面预计将取得实质性进展,但在传染病,非传染性疾病,环境健康和道路伤害方面预计进展将较慢. 存在显著的区域差异,新加坡,文莱,马来西亚和泰国表现更好.
结论:
- 东盟在到2030年实现与健康相关的可持续发展目标方面面临着持续的挑战,原因是进展不平等以及流行病学转型和环境威胁等复杂因素.
- 国家层面的努力必须将卫生系统的加强与更广泛的解决健康社会决定因素的战略相结合.
- 协调的区域战略对于解决污染,环境风险和健康差异至关重要,以实现可持续发展目标.
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