尼日利亚河流州卫生部门的准备和COVID-19的控制

Owhor Merit Ijeoma, Elem Maduawuchi
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摘要

本文考察了尼日利亚河流州卫生部门的准备情况和COVID-19防控情况。该研究关注的是卫生部门的应对措施,这决定了卫生部门是否准备好将COVID-19大流行作为突发卫生事件加以控制。本研究以权变理论为指导。权变理论认为不存在解决影响社会的问题的具体和最佳方法,因此强调问题的解决方案。使用内容分析从二手来源收集数据。分析表明,由于几十年来由于领导无能、资金不足和卫生部门培训不足而被忽视,疫情后的防范水平很差。然而,疫情后的应对和遏制努力使死亡率保持在1.3%,这表明在资源有限的情况下优先考虑需求的重要性。居家隔离、封锁和关闭边境等严厉的应急措施,以及紧急采购、捐助者和利益攸关方供资,以及协助提供所需的医疗设施,都是在炮火下恢复力和勇气的恰当产物。该研究建议,除其他外,根据国际最佳做法,增加卫生部门全面发展的预算拨款。这必须由一位有远见和务实的领导人推动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health Sector Readiness and COVID-19 Containment in Rivers State, Nigeria
This paper examined health sector readiness and COVID-19 containment in Rivers State, Nigeria. The study concerned itself with the responses from the health sector, which determines its readiness to contain the COVID-19 pandemic as a health emergency. The study was guided by contingency theory. Contingency theory argues that there is no specific and best way of solving problems affecting society and therefore lays emphasis on solutions to problems. Data was collected from secondary sources using content analysis. The analysis indicated that the post-epidemic level of preparedness was poor due to decades of neglect arising from leadership ineptitude, underfunding, and inadequate training in the health sector. However, post-epidemic response and containment efforts, which have kept the fatality rate at 1.3%, demonstrate the importance of prioritization of needs under resource constraint. The drastic contingency measures of sit-at-home, lockdown, and border closure, together with emergency purchase, donor and stakeholder funding, and assistance in the provision of required medical facilities, were an apt product of resilience and courage under fire. The study recommends, among other things, increased budgetary allocation for overall health sector development in line with international best practices. This must be driven by a visionary and pragmatic leader.
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