Challenges Posed by the COVID-19 Pandemic in the Health of Women, Children, and Adolescents in Latin America and the Caribbean

Arachu Castro, Samuel Z. Stone
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引用次数: 6

Abstract

The COVID-19 pandemic has unexpectedly transformed the access and the organization of health services for an indeterminate time, circumventing the efforts made in recent years to improve women, children, and adolescent health indicators in Latin America and the Caribbean. In most countries, the segmentation of health services, the concentration of human resources and medical technology in some urban hospitals, the under-financing of primary health care and epidemiological surveillance, and the lack of coordination between the different levels of care weaken the coordination of national response actions. Maintaining essential health services for women, children, and adolescents while mitigating the pandemic’s impact represents an unprecedented challenge. This report presents estimates of the effects of the reduction of health services coverage on achieving or maintaining the 2030 Agenda for Sustainable Development’s Goal 3 targets – reducing maternal, neonatal, and under-5 mortality and guaranteeing universal access to sexual and reproductive health services. The pandemic and its response make it challenging to reach or sustain these targets, even though the region was well on track to achieve them. Urgent priorities oriented towards achieving women, children, and adolescent health equity during and after the pandemic require to 1) increase public spending on health and social policies to control the pandemic and to favor social and economic reactivation and reconstruction, 2) restore and rebuild essential health services, and 3) strengthen the primary health care strategy. UNDP Latin America and the Caribbean #COVID19 | POLICY DOCUMENTS SERIES
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2019冠状病毒病大流行给拉丁美洲和加勒比地区妇女、儿童和青少年健康带来的挑战
2019冠状病毒病大流行意外地在不确定的时间内改变了卫生服务的获取和组织方式,使近年来为改善拉丁美洲和加勒比地区妇女、儿童和青少年健康指标所做的努力受到影响。在大多数国家,保健服务的分割、人力资源和医疗技术集中在一些城市医院、初级保健和流行病学监测资金不足以及不同级别护理之间缺乏协调削弱了国家应对行动的协调性。维持对妇女、儿童和青少年的基本卫生服务,同时减轻这一大流行病的影响,是一项前所未有的挑战。本报告估计了降低卫生服务覆盖率对实现或维持《2030年可持续发展议程》目标3的具体目标——降低孕产妇、新生儿和5岁以下儿童死亡率,并保障普遍获得性健康和生殖健康服务——的影响。大流行病及其应对措施使实现或维持这些目标具有挑战性,尽管该区域在实现这些目标方面进展顺利。在大流行病期间和之后,面向实现妇女、儿童和青少年健康公平的紧急优先事项要求:1)增加卫生和社会政策方面的公共支出,以控制大流行病,并有利于社会和经济的振兴和重建;2)恢复和重建基本卫生服务;3)加强初级卫生保健战略。联合国开发计划署拉丁美洲及加勒比# covid - 19 |政策文件系列
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