拉丁美洲和加勒比地区 COVID-19 应对行动中的部门间合作。

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-08-06 DOI:10.1186/s12939-024-02233-0
Donald T Simeon, Victor Cuba, Shelly-Ann Hunte, Kershelle Barker, Midori de Habich
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引用次数: 0

摘要

世界卫生组织(WHO)/泛美卫生组织(PAHO)鼓励利用全社会和全政府的战略方法来增强各国的复原力,以减轻 COVID-19 大流行病的影响。这些战略包括实施多部门、多合作伙伴和多利益相关方的规划、协调、磋商和行动。我们审查了三个拉丁美洲和加勒比海国家在应对 COVID-19 方面实施合作战略的经验,特别是合作的性质、动态和所涉及的利益相关者。由于哥伦比亚、哥斯达黎加和特立尼达和多巴哥来自拉丁美洲和加勒比海的不同次区域,且相关文献易于获取,因此被选为案例研究对象。部门间合作在每个国家都很明显,主要利益相关者包括公共部门机构、私营/公司部门、私营/非营利部门、学术机构和国际机构。跨部门合作主要用于促进以数据为导向、以证据为依据的决策和指导方针;扩大临床护理能力和加强国家医疗响应;以及为最脆弱人群提供支持。虽然可以建议卫生部门在大流行过后将跨部门合作制度化,但仍需开展研究,以评估具体合作战略的影响以及障碍和促进因素。
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Intersectoral collaboration in the COVID-19 response in Latin America and the Caribbean.

World Health Organization (WHO) / Pan American Health Organization (PAHO) encouraged the utilization of whole-of-society and whole-of-government strategic approaches to increase countries' resilience towards mitigating the impact of the COVID-19 pandemic. Strategies included the implementation of multi-sectoral, multi-partner and multi-stakeholder planning, coordination, consultation, and action. We reviewed the experiences of three Latin American and Caribbean countries, related to the implementation of collaborative strategies in tackling COVID-19, specifically the nature of the collaboration, the dynamics and the stakeholders involved.A systematic literature review identified relevant publications and content analysis was conducted to determine the collaborative strategies. Colombia, Costa Rica, and Trinidad and Tobago were selected as case studies since they were from different LAC subregions and because of the accessibility of relevant literature.In the three countries, the pandemic response was coordinated by a national executive committee, led by the Ministry of Health. Intersectoral collaboration was evident in each, with the key stakeholders being public sector agencies, the private/corporate sector, private/non-profit, academic institutions, and international agencies. It was used primarily to facilitate data-driven, evidenced-informed decision-making and guidelines; to expand clinical care capacity and strengthen the national medical response; and to provide support for the most vulnerable populations.While the institutionalization of intersectoral collaboration can be recommended for the health sector beyond the pandemic, research is needed to evaluate the impact of specific collaborative strategies as well as barriers and facilitators.

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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
期刊最新文献
Layers of inequality: gender, medicalisation and obstetric violence in Ghana. "They pulled that funding away and we're not recovering. it's getting worse": deaths of despair in post-austerity north east England. A hill tribe community advisory board in Northern Thailand: lessons learned one year on. Unpacking occupational and sex divides to understand the moderate progress in life expectancy in recent years (France, 2010's). Correction: Making health inequality analysis accessible: WHO tools and resources using Microsoft Excel.
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