南苏丹旷日持久的人道主义危机中的弱势群体面临着获得医疗服务的机会有限和频繁的疾病爆发。这里,我们介绍了由世界卫生组织(WHO)南苏丹组建的应急流动医疗队(eMMT)应对突发公共卫生事件的经验.干预措施:eMMT,基于国家的多学科团队,州和县一级,迅速部署进行快速评估,疫情调查,并在急性紧急情况下启动公共卫生响应。eMMT被部署到受洪水影响的地点,冲突,饥荒,和疾病爆发。我们审查了部署报告的记录,外展和竞选登记册,并分析了2017年至2020年eMMT的主要成就。成就:eMMT调查了包括霍乱在内的疾病暴发,麻疹,13个县的裂谷热和冠状病毒病(COVID-19),在38个县的紧急地点进行了机动外展(进行了320,988次磋商),培训了550名医护人员,包括快速反应小组,并支持7个县的反应性麻疹疫苗接种运动[148,726人(72-125%)5岁以下儿童接种疫苗]和4个县的反应性口服霍乱疫苗接种运动(355,790人已接种疫苗)。eMMT在人道主义环境中具有重要意义,可以降低过高的发病率和死亡率,并填补常规医疗机构和卫生合作伙伴无法弥合的空白。然而,需要扩大所提供服务的范围,以包括精神和社会心理护理,以及确保在建立流动外联后疫苗接种服务和慢性病管理的连续性的战略。
The vulnerable populations in the protracted humanitarian crisis in South Sudan are faced with constrained access to health services and frequent disease outbreaks. Here, we describe the experiences of emergency mobile medical teams (eMMT) assembled by the World Health Organization (WHO) South Sudan to respond to public health emergencies. Interventions: the eMMTs, multidisciplinary teams based at national, state and county levels, are rapidly deployed to conduct rapid assessments, outbreak investigations, and initiate public health response during acute emergencies. The eMMTs were deployed to locations affected by flooding, conflicts, famine, and disease outbreaks. We reviewed records of deployment
reports, outreach and campaign registers, and analyzed the key achievements of the eMMTs for 2017 through 2020. Achievements: the eMMTs investigated disease outbreaks including cholera, measles, Rift Valley fever and coronavirus disease (COVID-19) in 13 counties, conducted mobile outreaches in emergency locations in 38 counties (320,988 consultations conducted), trained 550 healthcare workers including rapid response teams, and supported reactive measles vaccination campaigns in seven counties [148,726, (72-125%) under-5-year-old children vaccinated] and reactive oral cholera vaccination campaigns in four counties (355,790 vaccinated). The eMMT is relevant in humanitarian settings and can reduce excess morbidity and mortality and fill gaps that routine health facilities and health partners could not bridge. However, the scope of the services offered needs to be broadened to include mental and psychosocial care and a strategy for ensuring continuity of vaccination services and management of chronic conditions after the mobile outreach is instituted.