Prioritising the role of community health workers in the COVID-19 response
Prioritising the role of community health workers in the COVID-19 response
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DOI：
10.1136/bmjgh-2020-002550
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发表时间：
2020-06-01
影响因子：
8.1
通讯作者：
Palazuelos, Daniel
中科院分区：
文献类型：
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作者：
Ballard, Madeleine;Bancroft, Emily;Palazuelos, Daniel
COVID-19对穷人和弱势群体的影响尤为严重。社区卫生工作者准备在防治这一流行病方面发挥关键作用，特别是在卫生系统复原力较弱的国家。根据世卫组织四个区域从业人员的专业知识，本文概述了在大流行的不同阶段需要采取的有针对性的行动，以实现以下目标：（1）保护医疗工作者，（2）阻断病毒，（3）在提高现有医疗服务能力的同时维持现有医疗服务，以及（4）保护最脆弱群体免受社会经济冲击。虽然我们必须立即采取果断行动，以减轻疫情对可能受冲击最严重国家的影响，但在供应链、补偿、专门监督、持续培训和绩效管理方面的许多投资，是社区在疫情中快速反应所必需的，与实现全民医疗和预防下一次疫情所需的投资是一样的。
COVID-19 disproportionately affects the poor and vulnerable. Community health workers are poised to play a pivotal role in fighting the pandemic, especially in countries with less resilient health systems. Drawing from practitioner expertise across four WHO regions, this article outlines the targeted actions needed at different stages of the pandemic to achieve the following goals: (1) PROTECT healthcare workers, (2) INTERRUPT the virus, (3) MAINTAIN existing healthcare services while surging their capacity, and (4) SHIELD the most vulnerable from socioeconomic shocks. While decisive action must be taken now to blunt the impact of the pandemic in countries likely to be hit the hardest, many of the investments in the supply chain, compensation, dedicated supervision, continuous training and performance management necessary for rapid community response in a pandemic are the same as those required to achieve universal healthcare and prevent the next epidemic.