Towards Sustainable Community-Based Systems for Infectious Disease and Disaster Response; Lessons from Local Initiatives in Four African Countries
Towards Sustainable Community-Based Systems for Infectious Disease and Disaster Response; Lessons from Local Initiatives in Four African Countries
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DOI：
10.3390/su131810083
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发表时间：
2021-09-01
期刊：
影响因子：
3.9
通讯作者：
Mayhew, Susannah
中科院分区：
文献类型：
--
作者：
Maat, Harro;Balabanova, Dina;Mayhew, Susannah
本文探讨了分散的社区护理系统在资源贫乏地区实现可持续医疗保健方面的作用。基于塞拉利昂、马达加斯加、乌干达和埃塞俄比亚的案例研究，本文认为，以社区为基础的医疗保健系统在预防、早期诊断和初级保健方面更有效，以应对与极端天气事件相关的人畜共患病和传染病及其直接健康影响。基于社区的护理系统对健康的决定因素有更全面的看法，可以综合应对健康挑战、社会福祉、生态和经济可行性。本文介绍的案例研究揭示了扩大健康概念的重要性，以涵盖人们生活的整个环境（物理和社会，跨越时间和空间），包括明确承认生态利益及其与健康的相互联系。虽然在界定和衡量社区对卫生和其他危机的成功应对方面仍有许多工作要做，但我们确定了两个潜在的核心标准：在应对规划和行动中纳入和整合当地知识，以及研究人员和从业人员的参与，例如，社区卫生工作者和非政府组织工作人员是传播知识和设计可持续社区护理系统方面值得信赖的关键对话者。
This paper explores the role of decentralised community-based care systems in achieving sustainable healthcare in resource-poor areas. Based on case studies from Sierra Leone, Madagascar, Uganda and Ethiopia, the paper argues that a community-based system of healthcare is more effective in the prevention, early diagnosis, and primary care in response to the zoonotic and infectious diseases associated with extreme weather events as well as their direct health impacts. Community-based systems of care have a more holistic view of the determinants of health and can integrate responses to health challenges, social wellbeing, ecological and economic viability. The case studies profiled in this paper reveal the importance of expanding notions of health to encompass the whole environment (physical and social, across time and space) in which people live, including the explicit recognition of ecological interests and their interconnections with health. While much work still needs to be done in defining and measuring successful community responses to health and other crises, we identify two potentially core criteria: the inclusion and integration of local knowledge in response planning and actions, and the involvement of researchers and practitioners, e.g., community-embedded health workers and NGO staff, as trusted key interlocuters in brokering knowledge and devising sustainable community systems of care.