通过千年发展目标使南部非洲发展共同体的土著知识系统和获得保健服务相结合

A. Saurombe
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摘要

有八项与卫生有关的千年发展目标,其任务是确保贫穷国家,特别是非洲国家获得负担得起的卫生保健。这些千年发展目标本应在2015年之前实现,但六年过去了,几乎没有取得任何成功。负担得起的药品的费用仍然是贫穷非洲国家的主要困境。本文的重点仅限于南部非洲发展共同体(SADC)的贫穷国家,这是撒哈拉以南非洲的一部分。我以前曾撰文讨论过为改善药品可及性而采取的其他措施,例如一些南部非洲发展共同体国家采用的集中采购。不幸的是,由于南部非洲发展共同体成员国广大的农村地区,使其不可能覆盖到每一个公民,更不用说让他们相信西方医疗保健的有用性了。许多学者已经写了关于南部非洲在土著知识系统(IKS)领域的财富,这与医疗保健直接相关。因此,本文的目的是论证使用IKS和现代医疗保健系统的两种努力可以在寻求实现更好的医疗保健和生活质量的南部非洲的公民相辅相成。本文从一个动机开始,说明为什么IKS和获得医疗保健是相关的。以下是对八个相关千年发展目标的分析,作为衡量这些目标在2015年预期日期之后实现程度的一种方法。在此分析中,关键是要找出如何使用IKS来实现这些缺点的解决方案。
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Interfacing Indigenous Knowledge Systems and Access to Healthcare in SADC through the Millennium Development Goals
There are eight health-related Millennium Development Goals (MDGs), the mandate of which is to ensure access to affordable healthcare for poor countries, especially in Africa. These MDGs were supposed to be reached by 2015, but six years have now passed with little success being realised. The cost of affordable medicines remains the main predicament for poor African countries. The focus of this paper is limited to the poor countries of the Southern African Development Community (SADC), a part of sub-Saharan Africa. I have previously written on other measures that have been employed to improve access to medicine, for example pooled procurement used by a number of SADC countries. Unfortunately the vast rural nature of SADC member states makes it prohibitively impossible to reach every citizen, let alone convince them of the usefulness of Western healthcare. A number of scholars have written about southern Africa’s riches in the area of Indigenous Knowledge Systems (IKS) that directly relate to healthcare. It is thus the objective of this paper to argue that both efforts of using IKS and the modern healthcare system can complement each other in the quest for the realisation of better healthcare and quality of life for the citizens of southern Africa. This paper starts with a motivation to indicate why IKS and access to healthcare are related. An analysis of the eight related MDGs follows as a way of measuring how far these have been realised post the anticipated date in 2015. In this analysis, it is critical to unearth how IKS can be used in the realisation of solutions to these shortcomings.
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