刚果民主共和国2019冠状病毒病和埃博拉病毒病疫情:突发公共卫生事件应对期间青少年和年轻人的性健康和生殖健康

Q4 Medicine PAMJ One Health Pub Date : 2022-01-01 DOI:10.11604/pamj-oh.2022.7.21.33892
Simon Binezero Mambo, F. Sikakulya, Bives Mutume Nzanzu Vivalya, Amos M'yisa Makelele, Wamyil Jemimah Fwangmum, S. A. Mbina
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引用次数: 0

摘要

由于一系列疫情,特别是埃博拉病毒病,刚果民主共和国正面临重大公共卫生挑战。与世界其他国家一样,刚果民主共和国也面临着新型冠状病毒大流行的挑战。埃博拉病毒病和2019年冠状病毒病(COVID-19)这两起重大疫情的汇合影响了卫生保健部门的许多干预措施,从而对人民的社会和经济福祉构成挑战。在过去25年里,刚果民主共和国在青少年和年轻人的性健康和生殖健康及权利方面取得了令人鼓舞的进展,尽管这些进展有限且不均衡。与其他非洲国家一样,刚果民主共和国政府已采取措施应对这些疫情,这导致了应对卫生挑战的重点转移。政府将原定用于遏制或控制埃博拉病毒病病例和COVID-19大流行的资源转移,这影响了青少年和年轻人获得性保健和生殖保健服务的可得性、可及性和可负担性。在刚果民主共和国决定如何最好地控制COVID-19和埃博拉病毒病时,重要的是要反思从过去疫情中吸取的教训。刚果民主共和国政府和其他利益攸关方必须优先考虑青少年和年轻人的性健康和生殖健康需求,在COVID-19大流行和埃博拉病毒病流行期间保持提供和加强生殖健康信息和服务的供应链。本评论提供了理由,并呼吁在突发公共卫生事件的准备和应对工作中加大投资,优先考虑青少年和年轻人的性健康和生殖健康需求。©Simon Binezero Mambo et al。
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COVID-19 and ebola virus disease outbreaks in the Democratic Republic of Congo: adolescent and young people sexual and reproductive health during public health emergency response
The Democratic Republic of the Congo (DRC) is facing major public health challenges due to series of outbreaks, notably the Ebola Virus disease (EVD). Like other countries of the world, the DRC is also challenged by the new coronavirus pandemic. The confluence of these major outbreaks of the Ebola virus disease and coronavirus disease 2019 (COVID-19) has affected many interventions within the healthcare sector, consequently challenging the social and economic wellbeing of the people. In the past two and half decades, the DRC has made promising progress in adolescents and young peoples' sexual and reproductive health and rights, although they are limited and uneven. Like other African countries, the government of DRC has instituted measures to respond to these outbreaks, which have led to a shift of priorities in addressing the health challenges. The government diverted resources from their intended needs to curb or control the cases of Ebola virus disease and the COVID-19 pandemic, and this has affected the availability, accessibility and affordability of sexual and reproductive health care services for adolescents and young people. As the DRC decides how best to control the COVID-19 and EVD, it is important to reflect on lessons learned from past outbreaks. The DRC Government and other stakeholders must prioritize adolescents and young people' sexual and reproductive health needs by maintaining the provision and strengthening supply chains of reproductive health information and services during COVID-19 pandemic and EVD epidemic. This commentary provides the rationale and makes a call for greater investment and prioritization of sexual and reproductive health (SRH) needs of adolescents and young people during public health emergencies preparedness and response efforts. © Simon Binezero Mambo et al.
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54
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