南非的职业健康障碍:呼唤乌班图。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2024-05-28 eCollection Date: 2024-01-01 DOI:10.5334/aogh.4424
Muzimkhulu Zungu, Jerry Spiegel, Annalee Yassi, Dingani Moyo, Kuku Voyi
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引用次数: 0

摘要

许多中低收入国家(LMICs)都在努力解决卫生工作者短缺的问题,而卫生工作者是强大卫生系统的重要组成部分。COVID-19 大流行凸显了为卫生系统配备适当人员的必要性以及卫生工作者面临的职业健康(OH)威胁。在大流行期间,低收入国家公共部门卫生设施中与职业健康服务的可及性、覆盖面和利用率有关的问题尤为突出。本文借鉴了参与国际合作的研究人员的观察和经验,探讨了南非的 "乌班图"(Ubuntu)概念如何为理解和应对在公共部门医疗机构建立和维持职业健康服务过程中遇到的挑战提供了一种可行的方法。在 COVID-19 大流行期间,作为世界卫生组织职业健康合作中心的一部分,合作者积极参与实施和研究南非及国际卫生工作者的职业健康和感染预防与控制措施。研究发现了在大流行期间建立、提供、维护和维持此类措施的障碍。这些挑战可归因于缺乏领导/管理、决策中对情报系统的使用不足、健康与安全委员会效率低下、工会不活跃以及丧失工作能力和工作过度的职业健康专业人员所承受的压力。这些缺陷在一定程度上与低收入和中等收入国家在实施和维持职业健康服务方面缺乏 "乌班图 "理念有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Occupational Health Barriers in South Africa: A Call for Ubuntu.

Many low- and middle-income countries (LMICs) grapple with shortages of health workers, a crucial component of robust health systems. The COVID-19 pandemic underscored the imperative for appropriate staffing of health systems and the occupational health (OH) threats to health workers. Issues related to accessibility, coverage, and utilization of OH services in public sector health facilities within LMICs were particularly accentuated during the pandemic. This paper draws on the observations and experiences of researchers engaged in an international collaboration to consider how the South African concept of Ubuntu provides a promising way to understand and address the challenges encountered in establishing and sustaining OH services in public sector health facilities. Throughout the COVID-19 pandemic, the collaborators actively participated in implementing and studying OH and infection prevention and control measures for health workers in South Africa and internationally as part of the World Health Organizations' Collaborating Centres for Occupational Health. The study identified obstacles in establishing, providing, maintaining and sustaining such measures during the pandemic. These challenges were attributed to lack of leadership/stewardship, inadequate use of intelligence systems for decision-making, ineffective health and safety committees, inactive trade unions, and the strain on occupational health professionals who were incapacitated and overworked. These shortcomings are, in part, linked to the absence of the Ubuntu philosophy in implementation and sustenance of OH services in LMICs.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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