在战争背景下加强医院基础设施:莫普提地区医院的案例。

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Fanny Chabrol, Pierre Coulibaly, Abdourahmane Coulibaly
{"title":"在战争背景下加强医院基础设施:莫普提地区医院的案例。","authors":"Fanny Chabrol, Pierre Coulibaly, Abdourahmane Coulibaly","doi":"10.1186/s12992-025-01149-w","DOIUrl":null,"url":null,"abstract":"<p><p>In sub-Saharan Africa, public hospitals should play a key role in providing quality, affordable health care and contribute to robust health systems, particularly in war-torn contexts. In Mali, a multidimensional crisis has had a severe impact on the health of the people and on the overall health infrastructure and its capacity to respond to the crisis. Public hospitals suffer from multiple long-standing constraints that are rendered even more acute in the context of war. This paper presents governmental, development, and humanitarian efforts and interventions aimed at strengthening hospital infrastructure in Mopti, central Mali. Three key dimensions of hospital infrastructure are fundamental to ongoing operations: human resources, governance, and equipment/maintenance. The results revealed two approaches to strengthening hospital infrastructure: a developmental approach, aimed at constructing new buildings and implementing hospital autonomy-oriented reforms, and a pragmatic approach that focuses more on concrete solutions to the most urgent needs. The insights presented here argue for stronger linkages between these two approaches to reinforce the everyday functionality of health care infrastructures in destabilized contexts.</p>","PeriodicalId":12747,"journal":{"name":"Globalization and Health","volume":"21 1","pages":"55"},"PeriodicalIF":4.5000,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Strengthening hospital infrastructure in a war context: the case of the Mopti regional hospital.\",\"authors\":\"Fanny Chabrol, Pierre Coulibaly, Abdourahmane Coulibaly\",\"doi\":\"10.1186/s12992-025-01149-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In sub-Saharan Africa, public hospitals should play a key role in providing quality, affordable health care and contribute to robust health systems, particularly in war-torn contexts. In Mali, a multidimensional crisis has had a severe impact on the health of the people and on the overall health infrastructure and its capacity to respond to the crisis. Public hospitals suffer from multiple long-standing constraints that are rendered even more acute in the context of war. This paper presents governmental, development, and humanitarian efforts and interventions aimed at strengthening hospital infrastructure in Mopti, central Mali. Three key dimensions of hospital infrastructure are fundamental to ongoing operations: human resources, governance, and equipment/maintenance. The results revealed two approaches to strengthening hospital infrastructure: a developmental approach, aimed at constructing new buildings and implementing hospital autonomy-oriented reforms, and a pragmatic approach that focuses more on concrete solutions to the most urgent needs. The insights presented here argue for stronger linkages between these two approaches to reinforce the everyday functionality of health care infrastructures in destabilized contexts.</p>\",\"PeriodicalId\":12747,\"journal\":{\"name\":\"Globalization and Health\",\"volume\":\"21 1\",\"pages\":\"55\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-10-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Globalization and Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12992-025-01149-w\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Globalization and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12992-025-01149-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

在撒哈拉以南非洲,公立医院应在提供高质量、可负担得起的卫生保健方面发挥关键作用,并有助于建立健全的卫生系统,特别是在饱受战争蹂躏的环境中。在马里,一场多层面危机对人民的健康和整个卫生基础设施及其应对危机的能力产生了严重影响。公立医院长期受到多种限制,在战争背景下更加严重。本文介绍了旨在加强马里中部莫普提医院基础设施的政府、发展和人道主义努力和干预措施。医院基础设施的三个关键方面对正在进行的业务至关重要:人力资源、治理和设备/维护。结果揭示了加强医院基础设施的两种方法:一种是发展性方法,旨在建造新建筑并实施以医院自主为导向的改革;另一种是务实的方法,更侧重于针对最迫切需求的具体解决方案。本文提出的见解主张加强这两种方法之间的联系,以加强不稳定环境中卫生保健基础设施的日常功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strengthening hospital infrastructure in a war context: the case of the Mopti regional hospital.

In sub-Saharan Africa, public hospitals should play a key role in providing quality, affordable health care and contribute to robust health systems, particularly in war-torn contexts. In Mali, a multidimensional crisis has had a severe impact on the health of the people and on the overall health infrastructure and its capacity to respond to the crisis. Public hospitals suffer from multiple long-standing constraints that are rendered even more acute in the context of war. This paper presents governmental, development, and humanitarian efforts and interventions aimed at strengthening hospital infrastructure in Mopti, central Mali. Three key dimensions of hospital infrastructure are fundamental to ongoing operations: human resources, governance, and equipment/maintenance. The results revealed two approaches to strengthening hospital infrastructure: a developmental approach, aimed at constructing new buildings and implementing hospital autonomy-oriented reforms, and a pragmatic approach that focuses more on concrete solutions to the most urgent needs. The insights presented here argue for stronger linkages between these two approaches to reinforce the everyday functionality of health care infrastructures in destabilized contexts.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Globalization and Health
Globalization and Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
18.40
自引率
1.90%
发文量
93
期刊介绍: "Globalization and Health" is a pioneering transdisciplinary journal dedicated to situating public health and well-being within the dynamic forces of global development. The journal is committed to publishing high-quality, original research that explores the impact of globalization processes on global public health. This includes examining how globalization influences health systems and the social, economic, commercial, and political determinants of health. The journal welcomes contributions from various disciplines, including policy, health systems, political economy, international relations, and community perspectives. While single-country studies are accepted, they must emphasize global/globalization mechanisms and their relevance to global-level policy discourse and decision-making.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信