撒哈拉以南非洲儿童和青少年的社区卫生

V. Bell, Cídia Rosália Pinho Guina Silva, José Guina, T. Fernandes
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摘要

卫生是任何国家发展的核心。尽管联合国作出了努力和善意,但所确定的目标尚未成功实现,撒哈拉以南非洲地区的人民继续在同样的贫困、就业、营养不良或饥饿、不平等、环境危机、获得能源、冲突和不公正的负担下努力奋斗。所有这些决定因素或不利因素可能是对个人和社区健康产生巨大影响的永无止境的循环的原因或结果。在SSA,决策者、捐助者、卫生保健提供者和学者对慢性病的关注少于对急性传染病的关注。尽管功能严重失调,但与即时医疗服务不同,该区域的公共卫生部门目前正在进行无休止的斗争,与病原体作斗争,模仿人类行为,并寻求资金。父母的教育、健康和福利、不合格的识字和语言交流、获得物质资产的机会和其他因素都可能影响他们解释健康和营养关键领域的危害和风险的能力。虽然非洲约70%的死亡是由传染病和寄生虫病造成的,但撒哈拉以南非洲的慢性病死亡率高于世界其他地区。生活在贫困地区的儿童和青少年在其生计中经历了身体发育缓慢、观察和身体发育不足以及一系列生物缺陷,这些缺陷增加了他们长大后患非传染性疾病的风险。需要健全的卫生领导和适应社区的举措的综合战略,并可能与私营部门进行建设性的合作。一些雄心勃勃的新卫生目标需要较长时间才能实现,但可以分阶段取得进展。
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Community Health of Children and Adolescents in Sub-Saharan Africa
Health is central to the development of any country. Despite the efforts and goodwill of the United Nations, the goals established have not been successfully achieved and people in Sub-Saharan Africa (SSA) continue to strive with the same burdens of poverty, employment, malnutrition or hunger, inequality, environmental crisis, access to energy, conflicts and injustice. All these determinants drawback factors may be cause or consequence of a never-ending cycle with enormous impact on individual and community health. In SSA, policy makers, donors, healthcare providers, and academics have paid less attention to chronic diseases than to acute, communicable diseases. Despite severe dysfunctions, Public Health in this region, distinct from immediate medical services, is now engaged in endless struggles, against pathogens, modelling human behaviors, and searching for financing. Parental education, health and welfare, substandard literacy and language communication, access to material assets and other factors may all affect their ability to interpret hazards and risks in key areas of health and nutrition. While some 70% of deaths in Africa result from infectious and parasitic diseases, mortality rates from chronic diseases are higher in SSA than in other parts of the world. Children and adolescents in SSA in their livelihoods experience slow physical growing, inadequate observation and physical development, and a series of biological impairments that amplifies their risk of non-communicable diseases as they mature. Integrated strategies of sound health leadership and community-adapted initiatives are needed and probably engaged constructively with the private sector. Some ambitious new health goals take longer to achieve, but progress can be achieved in stages.
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