Healthy migration: A public health and development imperative for south(ern) Africa
Healthy migration: A public health and development imperative for south(ern) Africa
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DOI：
10.7196/samj.8569
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发表时间：
2014-10-01
期刊：
影响因子：
--
通讯作者：
Vearey, J
中科院分区：
文献类型：
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作者：
Vearey, J
与南部非洲发展共同体其他国家一样，南非的传染病流行率很高，非传染性疾病负担日益加重，国内和跨界人口流动多种多样。健康的移徙有利于发展，但目前公共卫生系统内的预防、检测和治疗措施，特别是针对慢性病的预防、检测和治疗措施未能与移徙相结合。负责制定适当对策的部门对移徙的了解不足；与跨境移徙盛行、疾病传播和接收卫生系统负担有关的消极、无根据的假设普遍存在。在南非，公共卫生对策未能解决内部和跨境流动问题，非国民在获得医疗保健方面面临挑战。特别令人关切的是，缺乏国家和区域协调一致的战略，以确保慢性病的治疗连续性。迫切需要对移徙、流动和卫生问题采取协调一致的循证对策。这将有利于所有人的发展和公共健康。
South Africa (SA), like the rest of the Southern African Development Community, has a high prevalence of communicable diseases, an increasing non-communicable disease burden, and diverse internal and cross-border population movements. Healthy migration is good for development, but current prevention, testing and treatment responses within public health systems particularly for chronic conditions fail to engage with migration. Understanding of migration is poor within sectors responsible for developing appropriate responses; negative, unsupported assumptions relating to the prevalence of cross-border migration, the spread of disease, and the burden on receiving health systems prevail. In SA, public health responses fail to address internal and cross-border mobilities, and non-nationals face challenges in accessing healthcare. Of particular concern is the lack of nationally and regionally co-ordinated strategies to ensure treatment continuity for chronic conditions. Co-ordinated, evidence-informed responses to migration, mobility and health are urgently needed. These will have developmental and public health benefits for all.