Ahmed Salem, Aiman Rosen, Iman Alharazi, Yaser Gamallat, Aamer Aldbyani, Bushra Amer, Namoonga Chimpandu
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引用次数: 0
摘要
也门持续九年的冲突积累了人道主义危机,并使医疗保健系统陷入严重困境。在目前的审查中,我们试图在此阐明也门冲突使人们更难获得医疗服务的许多前景领域,强调战争如何对医疗基础设施产生负面影响,造成医疗用品严重短缺,并阻碍获得医疗服务或接受医疗服务的能力。我们对来自联合国、无国界医生组织、红十字国际委员会等实地工作组织和官方权威渠道(包括当地组织)的报告进行了全面搜索,以说明冲突引发的挑战如何严重限制了人们获得基本服务和文献库(PubMed MEDLINE、Scopus、Web of Science)的机会。然后,数据按主题呈现。我们的数据提出了紧急和周到的长期解决方案,包括需要经济支持,通过协调努力重建医疗基础设施,以及建立安全供应线,以确保医疗资源的稳定流动,特别是在密集的战区,流动诊所可以作为另一种选择。此外,我们强调支持和激励医护人员的重要性,通过培训项目,包括专业和实用技能,并确保患者和医护人员安全往返医疗设施,以防止进一步消耗。此外,我们建议实施有针对性的方案,改善受严重影响人群获得高质量医疗保健的机会,保证获得医疗服务是一项权利,而不是一种特权,最重要的是,确保医疗设施不成为攻击目标。因此,这些重点建议旨在指导决策者、国际捐助者和实地非政府组织恢复数百万也门人获得医疗保健的机会,并改善他们的生活质量。
Healthcare accessibility in Yemen's conflict zones: comprehensive review focused on strategies and solutions.
The nine-year ongoing conflict in Yemen accumulated humanitarian crisis, and severely struggling healthcare system. In the current review, we are trying here to elucidate the many perspective areas where the conflict in Yemen has made it harder to access medical care, emphasizing how the war has negatively affected medical infrastructure, caused a severe shortage of medical supplies, and obstructed access to or the ability to receive medical services. We conducted a comprehensive search across reports from in-ground working organizations like UN, MSF, ICRC, and official authorial channels, including local organizations as well to illustrate how the conflict-induced challenges have drastically limited access to essential services, as well as literature repositories (PubMed MEDLINE, Scopus, Web of Science). Then, data were thematically presented.Our data suggest urgent and thoughtful long-term solutions, including the need of economic support, reconstructing healthcare infrastructure through coordinated efforts, and setting up safe supply lines to ensure a steady flow of medical resources particularly in intensive war zones where mobile clinics could serve as an alternative. Additionally, we highlight the importance of supporting and incentivizing the healthcare workforce to prevent further depletion through training programs that include professional and practical skills and ensuring safe transport to and from medical facilities for both patients and healthcare personnel. Moreover, we recommend implementing targeted programs to improve access to quality healthcare for disproportionately affected populations, guaranteeing access to medical treatment as a right and not a privilege, and most significantly, ensuring that the medical facilities are not targeted. Therefore, these focused recommendations aim to guide policymakers, international donors, and on-ground NGOs in restoring healthcare access and improving the quality of life for millions of Yemenis.
Conflict and HealthMedicine-Public Health, Environmental and Occupational Health
CiteScore
6.10
自引率
5.60%
发文量
57
审稿时长
18 weeks
期刊介绍:
Conflict and Health is a highly-accessed, open access journal providing a global platform to disseminate insightful and impactful studies documenting the public health impacts and responses related to armed conflict, humanitarian crises, and forced migration.