Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe.
Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe.
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DOI：
10.1080/16549716.2022.2032929
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发表时间：
2022-12-31
影响因子：
2.6
通讯作者：
Rusakaniko S
中科院分区：
文献类型：
--
作者：
Kuper H;Smythe T;Kujinga T;Chivandire G;Rusakaniko S
津巴布韦于2021年6月推出《国家残疾人政策》，其中包括一系列提供包容残疾人的医疗服务和康复的承诺。履行这些承诺非常重要，因为至少有7%的人口患有残疾，残疾人在获得医疗保健服务方面面临更大的挑战，健康状况更差。然而，这将需要财政投资，这是具有挑战性的，因为残疾人的需求是在津巴布韦卫生系统普遍失灵的背景下制定的，并因COVID-19大流行而加剧。津巴布韦目前面临结核病和艾滋病毒的流行以及日益沉重的非传染性疾病负担，缺乏投资，医疗保健人员或基础设施来提供必要的护理。因此，需要采取紧急行动，加强卫生系统，在大流行和政权更迭之后“重建得更好”。津巴布韦政府可能面临着在许多资源匮乏的环境中常见的困境，即是关注残疾问题，还是等到大多数人的卫生系统得到加强。本文提出了四个补充论点，说明为什么关注残疾人很重要。首先，这一重点尊重残疾人的权利，包括新的《国家残疾人政策》中具体规定的权利。其次，要实现可持续发展目标，包括那些关于健康和其他全球健康目标的目标，而不包括残疾人，将是一项挑战。第三，越来越多的理由认为，包容残疾人的卫生系统将更好地为所有人服务;第四，它们将节省成本。因此，如果卫生系统的设计是包容性的，那么每个人都将受益。总之，注重残疾问题可能有助于加强全民保健系统，并有助于实现人权和全球发展目标。
The National Disability Policy was launched in Zimbabwe in June 2021 and includes a range of commitments for the provision of disability-inclusive health services and rehabilitation. Fulfilment of these pledges is important, as at least 7% of the population have disabilities, and people with disabilities face greater challenges accessing healthcare services and experience worse health outcomes. However, it will require financial investment which is challenging as the needs of people with disabilities are set against a background of widespread health systems failures in Zimbabwe, exacerbated by the COVID-19 pandemic. Zimbabwe currently faces an epidemic of TB and HIV and a growing burden of non-communicable diseases (NCDs) with a lack of investment, healthcare staff or infrastructure to provide the necessary care. Urgent action is therefore needed to strengthen the health system and ‘build back better’ after both the pandemic and the regime change. The Zimbabwean government may face the dilemma, common in many low-resource settings, of whether to focus on disability or to wait until the health system has been strengthened for the majority. This paper proposed four complementary arguments why it is important to focus on people with disabilities. First, this focus respects the rights of people with disabilities, including those specified in the new National Disability Policy. Second, it will be challenging to reach the Sustainable Development Goals, including those on health and other global health targets, without including people with disabilities. Third, there is a growing rationale that disability-inclusive health systems will work better for all, and fourth, that they will create cost savings. Everyone will therefore benefit when the health systems are designed for inclusion. In conclusion, a focus on disability may help to strengthen health systems for all as well as helping to achieve human rights and global development goals.
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DOI：
10.1016/s0140-6736(20)30750-9
发表时间：
2020-10-17
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2019 Universal Health Coverage Collaborators
通讯作者：
GBD 2019 Universal Health Coverage Collaborators
影响因子：
2.6
作者：
Werfalli, Mahmoud;Kassanjee, Reshma;Levitt, Naomi S.
通讯作者：
Levitt, Naomi S.
影响因子：
--
作者：
Prynn JE;Dube A;Mwaiyeghele E;Mwiba O;Geis S;Koole O;Nyirenda M;Kuper H;Crampin AC
通讯作者：
Crampin AC
影响因子：
2.6
作者：
Kidia, Khameer K.
通讯作者：
Kidia, Khameer K.
DOI：
10.1007/978-1-4020-6174-5_10
发表时间：
2007-01-01
期刊：
HIV, RESURGENT INFECTIONS AND POPULATION CHANGE IN AFRICA
影响因子：
--
作者：
Mugurungi, Owen;Gregson, Simon;Grassly, Nicholas C.
通讯作者：
Grassly, Nicholas C.