Covid-19和常见疾病对喀麦隆贫困的比较影响及可持续应对战略

Charles Michel Chomssem Defo
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摘要

在喀麦隆这样一个发展中国家的背景下,财政资源稀缺和Covid-19的出现,这篇文章表明,这次大流行并不比先前存在的健康问题更重要,以至于在资金方面比加强卫生系统更重要。贫困率对增长的理论弹性模型用于估计Covid-19的影响,贫困化卫生支出的发生率用于估计常见疾病的影响。据估计,通过直接医疗支付,常见疾病每年使大约340,865人陷入极端贫困。根据乐观或悲观情景,2019冠状病毒病将损失4.8至6.6个百分点的经济增长,使224193至398565人陷入贫困:对贫困人数的影响是所有常见疾病的0.7至1.2倍,即平均水平相当,但对病毒传播速度和危机持续时间很敏感,而常见疾病的影响是结构性的,与表现不佳的卫生系统有关。提出的解决办法是内生的,与影响机制有关。
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Comparative impact of Covid-19 and common diseases on poverty in Cameroon and sustainable response strategies
In the context of a developing country like Cameroon characterized by the scarcity of financial resources and the appearance of Covid-19, this article  shows that this pandemic was not more important than the pre-existing health problems to the point of giving it more importance in funding compared  to strengthening the health system. The theoretical elasticity model of the poverty rate to growth is used to estimate the impact of Covid-19 and the  incidence of impoverishing health expenditure is used for the impact of common diseases. It is estimated through direct health payments that common  diseases push about 340,865 people into extreme poverty annually. The Covid-19, through the loss of growth generated between 4.8 and 6.6 points  according to the optimistic or pessimistic scenarios, would impoverish between 224,193 and 398,565 people: impact on the number of poor ranging from  0.7 to 1.2 times that of all common diseases, i.e., equivalent on average, but sensitive to the speed of spread of the virus and the duration of the  crisis while the impact of common diseases is structural and linked to the poorly performing health system. The solutions proposed are endogenous and  linked to the impact mechanisms. 
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