The humanitarian system is not just broke, but broken: recommendations for future humanitarian action.
The humanitarian system is not just broke, but broken: recommendations for future humanitarian action.
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DOI：
10.1016/s0140-6736(17)31278-3
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发表时间：
2017-06-07
期刊：
影响因子：
--
通讯作者：
Spiegel, Paul B
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文献类型：
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作者：
Spiegel, Paul B
数量空前、规模巨大、持续时间长的人道主义紧急情况正在造成一代人中最多的人被迫流离失所。然而，现有的人道主义系统是为不同的时代建立的，不再适合目的。根据从最近的危机，特别是叙利亚冲突和埃博拉疫情中吸取的经验教训，我建议采取四套行动，使人道主义系统与未来的公共卫生应对措施相关：（1）落实保护中心的概念;（2）通过处理人道主义与发展的关系，将受影响的人纳入国家卫生系统;（3）加强人道主义援助，以应对全球性的人道主义危机。（3）重塑而不是简单地修改领导和协调;（4）使干预措施高效、有效和可持续。为了落实这些建议，各国政府、联合国机构、多边组织和国际非政府组织需要搁置分歧，放弃权力、影响力和资金。
An unprecedented number of humanitarian emergencies of large magnitude and duration is causing the largest number of people in a generation to be forcibly displaced. Yet the existing humanitarian system was created for a different time and is no longer fit for purpose. On the basis of lessons learned from recent crises, particularly the Syrian conflict and the Ebola epidemic, I recommend four sets of actions that would make the humanitarian system relevant for future public health responses: (1) operationalise the concept of centrality of protection; (2) integrate affected persons into national health systems by addressing the humanitarian-development nexus; (3) remake, do not simply revise, leadership and coordination; and (4) make interventions efficient, effective, and sustainable. For these recommendations to be implemented, governments, UN agencies, multilateral organisations, and international non-governmental organisations will need to put aside differences and relinquish authority, influence, and funding.