股权灾难:证券化融资如何崩 医疗危机期间的基本护理
Alpha Umaru Bai-Sesay1,2,3, Jusu Musa1,3, Daniel Karim Dauda Sesay1,3
1Public Health Surveillance, Ministry of Health/National Public Health Agency, Freetown, Sierra Leone.
疫情防控政策往往会破坏基本的卫生服务,导致可预防的死亡,特别是对弱势群体. 重新设计政策至关重要,以平衡疫情制与持续提供初级医疗保健.
科学领域:
- 全球健康 全球健康
- 卫生政策 卫生政策
- 公共卫生应急准备 公共卫生应急准备
背景情况:
- 全球卫生系统在疫情制方面表现出色,但在埃博拉,COVID-19和Mopox等紧急情况期间,经常会破坏基本服务.
- 这些干扰导致过度的非疫情死亡率,不成比例地影响妇女和儿童.
- 现有的流行病准备策略可能会无意中破坏日常医疗保健的连续性.
研究的目的:
- 分析如何重新设计流行病准备政策和融资.
- 实现有效的疫情制,同时确保基本初级卫生保健的连续性.
- 为应对健康紧急情况造成的"公平灾难".
主要方法:
- 分析跨多个疫情和不同环境的记录经验.
- 追踪连接政策解释,融资和服务交付中断的因果关系路径.
- 确定导致"股权灾难"的结构性驱动因素.
主要成果:
- 国际卫生法规和捐助者资金往往优先考虑集中制,而不是外围服务提供.
- 从社区一级服务转移资源减少了医疗保健的利用率.
- 这种模式导致常规原因的可预防死亡率,特别影响边缘化人口.
结论:
- 普遍存在的流行病准备政策通过忽视基本的初级卫生保健来创造"公平灾难".
- 提出了三项有针对性的政策改革,以加强准备和保护基本卫生服务.
- 这些建议面向国家政府,全球机构和国际融资伙伴.
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