关键词: COVID-19 HDPNx Sudan external assistance health systems resilience

Mesh : Humans Sudan Emergencies Pandemics Resilience, Psychological COVID-19

来  源:   DOI:10.1093/heapol/czad087   PDF(Pubmed)

Abstract:
The advent of the COVID-19 pandemic and the establishment of a new transitional government in Sudan with rejuvenated relations with the international community paved the way for external assistance to the EU COVID-19 response project, a project with a pioneering design within the region. The project sought to operationalize the humanitarian-development-peace nexus, perceiving the nexus as a continuum rather than sequential due to the protracted nature of emergencies in Sudan and their multiplicity and contextual complexity. It went further into enhancing peace through engaging with conflict and post-conflict-affected states and communities and empowering local actors. Learning from this experience, external assistance models to low- or middle-income countries (LMICs) should apply principles of flexibility and adaptability, while maintaining trust through transparency in exchange, to ensure sustainable and responsive action to domestic needs within changing contexts. Careful selection and diverse project team skills, early and continuous engagement with stakeholders, and robust planning, monitoring and evaluation processes were the project highlights. Yet, the challenges of political turmoil, changing Ministry of Health leadership, competing priorities and inactive coordination mechanisms had to be dealt with. While applying such an approach of a health system lens to health emergencies in LMICs is thought to be a success factor in this case, more robust technical guidance to the nexus implementation is crucial and can be best attained through encouraging further case reports analysing context-specific practices.
摘要:
COVID-19大流行的到来以及苏丹新的过渡政府的成立与国际社会关系恢复了活力,为欧盟COVID-19应对项目的外部援助铺平了道路,该地区具有开创性设计的项目。该项目旨在使人道主义-发展-和平关系发挥作用,由于苏丹紧急情况的长期性及其多重性和上下文复杂性,将联系视为连续体,而不是连续体。它通过与冲突和受冲突影响的国家和社区接触并赋予当地行为者权力,进一步加强了和平。从这个经验中学习,对低收入或中等收入国家(LMICs)的外部援助模式应适用灵活性和适应性原则,在通过交换透明度保持信任的同时,确保在不断变化的背景下对国内需求采取可持续和响应的行动。精心挑选和多样化的项目团队技能,与利益相关者的早期和持续参与,和强大的计划,监测和评估过程是项目的重点。然而,政治动荡的挑战,改变卫生部的领导,必须处理相互竞争的优先事项和不活跃的协调机制。虽然在这种情况下,将卫生系统镜头的这种方法应用于低收入国家的卫生紧急情况被认为是成功的因素,对nexus实施更强有力的技术指导至关重要,最好通过鼓励进一步的案例报告分析特定环境的做法来实现。
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