PDF(Pubmed)
Abstract：
Conflict and violence constitute threats to public health. As levels of conflict increase within and between countries, it is important to explore how conflict resolution initiatives can be adapted to meet the health needs of communities, and how addressing the health needs of communities can assist in conflict resolution and contribute to health security. In conflict-affected central Mali, a Peace through Health Initiative, piloted between 2018 and 2022, used conflict resolution trainings, facilitated community meetings, and human and animal health interventions to negotiate \"periods of tranquility\" to achieve public health goals. Project activities resulted in improved health, improved livelihoods, reduced violence, improved trust among stakeholders, and greater inclusion of community members in peace and health decisionmaking. The Peace-Health Initiative generated several lessons learned related to 3 phases of peace-health programming: preintervention, program development, and implementation. These lessons can be applied to support expanded Peace through Health Initiatives within Mali, may be adaptable to other conflict-afflicted contexts, and should be considered in relation to the implementation of global health security.
摘要：
冲突和暴力对公众健康构成威胁。随着国家内部和国家之间冲突程度的增加，重要的是探索如何调整解决冲突的举措以满足社区的健康需求，以及如何解决社区的卫生需求可以帮助解决冲突并促进卫生安全。在受冲突影响的马里中部，a通过健康实现和平倡议，2018年至2022年试点，使用解决冲突培训，促进社区会议，和人类和动物健康干预措施谈判“安宁期”，以实现公共卫生目标。项目活动改善了健康状况，改善生计,减少暴力,提高利益相关者之间的信任，社区成员更多地参与和平与健康决策。和平健康倡议产生了与和平健康方案拟订的三个阶段有关的一些经验教训:干预前，程序开发,和执行。这些经验教训可用于通过马里境内的卫生倡议支持扩大和平，可以适应其他受冲突影响的环境，并应结合全球卫生安全的实施加以考虑。
