全球捐助疲劳下苏丹武装冲突的公共卫生后果

Muhammad Kabir Musa, Gibert Eshun, Mohamed Abdul Kareem Adam Modber, Usman Abubakar Haruna, Abdullateef Abdulsalam, Asma'u Shuaibu Zailani, Farida Zakariya, Nuruddeen Abubakar Adamu, M. B. Musa, Godness K Biney
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摘要

苏丹是一个位于非洲东北部的国家,最近于 2023 年 4 月 15 日爆发的战争造成了严重的卫生危机。这场冲突对该国的医疗系统造成了严重破坏,尤其是对医疗基础设施的破坏。约有 61% 的医疗设施被毁,喀土穆仅有 16% 的医疗设施处于最佳运行状态。对公共卫生至关重要的医院和诊所成为暴力袭击的目标,加剧了国家面临的挑战。世界卫生组织注意到,自冲突开始以来,大约有 16 家医院因员工安全问题以及医院用品、消耗品和药品短缺而关闭。捐助方的支持和用于应对全球长期危机和紧急状况的资源也在逐渐减少 苏丹从捐助组织获得的用于维护其医疗保健系统的资金非常少,这使得该国的总体公共卫生结构更加恶化。这使得该国容易受到疾病爆发、饥饿、传染病、卫生基础设施恶化和心理健康问题等严峻挑战的影响。要成功降低对公共卫生负面影响的严重程度,就必须停止危机,重新开放设施。应建立传染病紧急监测系统,优先关注妇女和儿童健康,并实施心理健康宣传计划和服务。全球社会必须支持减轻这场危机破坏性影响的努力。本文旨在强调最近的战争对苏丹医疗保健的严重影响,倡导采取紧急措施,包括重新开放设施、疾病监测和全球支持,以减轻灾难性后果。
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Public health consequences of armed conflict in Sudan in the face of global donor fatigue
Sudan, a country located in northeastern Africa, is grappling with a profound health crisis resulting from the recent war that erupted on April 15, 2023. This conflict has inflicted significant damage on the country's health system, particularly through the destruction of healthcare infrastructure. Approximately 61% of health facilities have been destroyed, leaving only 16% operating optimally in Khartoum. Hospitals and clinics, vital for public health, have become targets of violence, exacerbating the challenges faced by the nation. The World Health Organization has noted the closure of roughly 16 hospitals since the start of the conflicts due to staff safety concerns as well as a shortage of hospital supplies, consumables, and medication. There has also been a gradual waning of donor support and resources allocated to address protracted crises and emergencies worldwide Sudan receives very little funding from donor organizations to maintain its healthcare system, which worsens the nation's general public health architecture. This makes the country vulnerable to serious challenges like disease outbreaks, starvation, infectious diseases, deteriorating health infrastructure, and mental health issues. To successfully reduce the severity of negative impacts on public health, the crisis must be ceased and facilities reopened. An emergency disease surveillance system for infectious diseases should be established, women and child health should be prioritized, and mental health awareness programs and services should be implemented. The global community must support the efforts to mitigate the devastating effects of this crisis. This article aims to highlight the critical impact of the recent war on Sudan's healthcare, advocating for urgent measures, including facility reopening, disease surveillance, and global support to mitigate devastating consequences.
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