Strategic response to COVID-19 in Ethiopia.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2022-12-21 DOI:10.5588/pha.22.0007
D K Huluka, A W Ashagrie, T H Gebremariam, H Y Ahmed, R A Kebede, A B Binegdie, K G Gebrehiwot, M Tadesse, M Sultan, W W Dode, A A Tumebo, A Abayneh, Y Seman, T Firew, C B Sherman, N W Schluger, D A Haisch
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Abstract

COVID-19, the novel coronavirus, has posed a major threat to low- and middle-income countries (LMICs) due to inadequate health infrastructure and human resources. Ethiopia, a low-income country with the second largest population in Africa, has coordinated a strategic response, leveraging existing infrastructure and health systems and mobilizing public health professionals and specialist expert physicians for a multifaceted, unified government approach and adaptive response. Resource limitations, particularly in critical care, have still posed challenges, but the public health and clinical interventions thus far have prevented the catastrophic toll that many predicted. As the pandemic continues, Ethiopia expects to use a triple care model integrated at all levels, consisting of COVID-19 care, isolation care for suspected cases, and essential health services, and urges intensified non-pharmaceutical interventions alongside equitable global vaccine distribution as the ultimate answers to pandemic control. This paper draws on existing data, national planning and guidelines, and expertise from health leadership to describe this response in hopes of providing an example of how future large-scale health challenges might be faced in LMICs, using Ethiopia's successes and challenges in facing the pandemic.

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埃塞俄比亚 COVID-19 的战略对策。
由于卫生基础设施和人力资源不足,新型冠状病毒 COVID-19 已对中低收入国家(LMIC)构成重大威胁。埃塞俄比亚是非洲第二大人口众多的低收入国家,该国利用现有的基础设施和卫生系统,动员公共卫生专业人员和专科专家医生,采取多方面、统一的政府方法和适应性应对措施,协调采取了战略应对措施。资源限制,尤其是重症护理方面的资源限制,仍然构成了挑战,但迄今为止的公共卫生和临床干预措施避免了许多人预测的灾难性伤亡。随着疫情的持续,埃塞俄比亚预计将在各个层面采用三重护理模式,包括 COVID-19 护理、疑似病例隔离护理和基本医疗服务,并敦促加强非药物干预措施,同时在全球范围内公平分配疫苗,以此作为控制疫情的最终解决方案。本文借鉴了现有数据、国家规划和指导方针以及卫生领导层的专业知识,描述了这一应对措施,希望通过埃塞俄比亚在面对大流行病时取得的成功和面临的挑战,为低收入与中等收入国家未来如何应对大规模卫生挑战提供一个范例。
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来源期刊
Public Health Action
Public Health Action RESPIRATORY SYSTEM-
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期刊介绍: Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.
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