索马里冲突后的多部门援助驱动的长期依赖卫生系统和治理时代
Saadaq Adan Hussein1,2,3, AbdulJalil Abdullahi Ali4, Marian Muse Osman5,6
1School of Postgraduate Studies, Mentorship Coordinator Department of School of Postgraduate, Benadir University, Hodan Benadir, Mogadishu, Somalia. sadakadamh@gmail.com.
Tropical medicine and health
|January 9, 2026
概括
国际援助改善了索马里.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 国际发展国际发展
背景情况:
- 索马里冲突后的健康恢复在很大程度上依赖于国际援助.
- 多部门援助拯救了生命,但也创造了平行系统,危及可持续性和地方所有权.
- 最近的资金削减增加了疾病和营养不良的风险,由于减少了基本服务.
研究的目的:
- 检查多部门援助对索马里卫生系统和治理的长期影响.
- 评估援助干预措施的有效性,可持续性和意外后果.
- 确定通往可持续健康治理的途径.
主要方法:
- 进行了对1990-2025年文献的叙事综述.
- 搜索包括PubMed,Scopus,科学网,谷歌学者和灰色文学.
- 334项研究/报告使用五个领域的混合主题编码进行了合成.
主要成果:
- 援助扩大了免疫和MCH覆盖范围,在2024年实现了高交付绩效.
- 然而,预算外资金分散了治理,削弱了国家能力.
- 2025年削减资金削减了基本服务,增加了脆弱性.
结论:
- 索马里需要从对援助的依赖转向可持续的卫生治理.
- 加强卫生部的领导力和资助初级医疗保健 (PHC) 是至关重要的.
- 统一系统,将员工纳入公共工资清单,确保疫情防控是关键步骤.
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