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全球抗疫英雄谱——奋战在国际抗击新冠肺炎(COVID-19)一线的医护人员

时间:2020-06-29 15:55:53 来源:中国留学人才发展基金会 作者:宣传联络部

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泰国公共卫生部常务副秘书苏帕基·西里拉克(Supakit Sirilak):泰国在抗击疫情方面取得的进展是数十年努力的成果

 

 

泰国50多年时间完善该国医疗卫生系统,该系统的优势在全球抗击新冠肺炎斗争中突显出来。

6月,世界卫生组织和马来西亚机构共同研究发布的全球新冠肺炎疫情指数”报告显示,泰国全球排名第二报告主要根据全球184个国家在抗击新冠肺炎疫情方面取得的成效进行评估。泰国的抗疫工作成效显著,赢得了世界卫生组织和世界各国的称赞。

泰国公共卫生部常务副秘书苏帕基·西里拉克(Supakit Sirilak)指出泰国赢得如此高的排名不是凭运气这是我们国家半个多世纪以来,努力制定明确指导方针,以增强医疗卫生系统服务能力的结果。

截至6月19日,泰国已经连续25天未出现新增病例截至6月21日,泰国新冠肺炎死亡病例达到58例,在感染新冠病毒的3146人中,只有80人仍在接受住院治疗

努力的成果

苏帕基告诉泰国公共电视台,泰国强大而有效的医疗体系是十年来辛勤工作的成果。他解释说,泰国在50多年前开始实施一项战略计划,以提高公共医疗体系的服务能力,战略计划共分为两部分

该计划的第一部分着重于医疗服务,医护人员的数量及其专业水平得到了极大的提高。过去几十年中,医生护士与公民的比例已大大提高。苏帕基说,现在泰国每个区至少有一家医院,这要归功于这项战略计划的实施。

计划的第二部分与基层医疗有关,旨在确保该国人民能够获得重要的医疗服务,包括疫苗接种和其他疾病预防措施。苏帕基解释说,泰国的基层医疗在20世纪70年代末出现发展势头,基层医疗这一概1980年被纳入营养部门的工作范畴。“创建乡村医疗志愿者系统是为了支持该战略计划第二阶段的工作。这些志愿者社区在医疗卫生工作中的参与度大大提高

志愿者会敦促当地人民主动地照自己和家人的健康,而不是被动地等待帮助。例如,志愿者会教导母亲们在自己的孩子需要接种疫苗加强注射检查体重时做好记录,也会告诉她们应在何时寻求医生的建议。

关键部分

苏帕基表示,泰国在抗击新冠肺炎疫情等传染病工作中取得的进展,离不开强有力的传染病防控培训他赞扬了素察·捷森(Suchart Jetanasen)、普赖拉·库纳索尔Prayura Kunasol和塔瓦兹Thavaj Chayaniyayodhin三位医生的研究成果和专业水平“这些令人尊敬的人们为泰国奠定了坚实的流行病学基础。强大基础帮助泰国掌握了监测调查研究和诊断流行病可能性等方面的知识和经验。

泰国1980年起开始实施现场流行病学培训计划1998年,当该计划发展能够覆盖来自邻国的参与者的程度时,泰国流行病学专业知识的先进性也得到了广泛认可。

2001年,世界卫生组织指定泰国世界卫生组织流行病学研究和培训合作中心,对泰国在医学领域的实力和能力表示肯定。

苏帕基表示,泰国在流行病学领域的优势为抗击新冠肺炎疫情提供了很大帮助。他补充说,他信·西那瓦(Thaksin Shinawatra)政府在17年前发起的全民医疗保险活动,也为泰国的抗疫工作奠定了基础。该系统为患者提供免费的医疗服务,让患者有信心去医院寻求医疗帮助。所有新冠疑似患者都被迅速隔离治疗,这意味着卫生部门已经能够有效遏制疫情蔓延

泰国公共卫生领域的声望

2019年全球卫生安全指数调查报告显示,泰国全球排名第六,亚洲排名第一,在卫生系统方面排名第二,在疾病预防方面排名第三,在快速反应方面排名第五。泰国在抗击新冠肺炎疫情方面取得阶段性成果,也证明该国在实践中表现出色

3月,曼谷的一家酒吧和拳击馆中检测出新冠肺炎集群后,公共卫生官员迅速采取行动,有效地追踪控制了疾病的传播。

曼谷封锁期间乡村卫生志愿者帮助当地政府机构和医疗机构一起控制疫情,进一步提高了他们的声誉。在泰国,这些志愿者帮助协调社区与当地政府机构之间的关系,为泰国抗疫斗争作出了重要贡献”苏帕基说。 

 

 

 

Thailand’s impressive battle against COVID-19 result of decades-long efforts

 

It has taken Thailand more than 50 years to develop the healthcare system whose strengths shone out in the global fight against COVID-19. 

Thailand won praise from all sides, including the World Health Organisation, and has just been ranked second in the Global COVID-19 Index (GCI), which measured 184 countries’ effectiveness in dealing with the pandemic. 

“It’s not just luck that won our country such a high ranking,” said Public Health Ministry deputy permanent secretary Dr Supakit Sirilak. 

“This was the result of Thai efforts over half a century to lay down clear guidelines and then strengthen its primary healthcare.” 

As of June 19, no new COVID-19 domestic cases had been detected in Thailand for 25 consecutive days. Meanwhile there has been no addition to the death toll of 58 since June 2. Of the 3,146 people who contracted the new coronavirus, only 80 are still in hospital. 

Fruit of hard work 

Supakit told ThaiPBS World that Thailand’s strong and effective healthcare system has been the fruit of hard work spanning several decades. 

Thailand began implementing a two-part strategy to develop its public healthcare system more than 50 years ago, he explained. 

The first part focuses on health services and has yielded a dramatic growth in the number of medics and their level of expertise. 

The ratio of doctors and nurses to citizens has improved considerably over the past several decades. Thanks to this strategic planning, every district now has at least one hospital, said Supakit. 

The second part of the strategy is related to primary care – ensuring that the country’s people have full access to vital health services including vaccination and other disease prevention measures. 

Thailand’s primary care began to gain momentum in the late 1970s under the guidance of public health chief Dr Amorn Nonthasut, he explained. By 1980, the concept was integrated into the Nutrition Division. 

“The system of village health volunteers was created to support work in the strategy’s second phase,” Supakit explained. “Thanks to these volunteers, community participation in healthcare has increased significantly.” 

The volunteers nudged locals to take care of their own health as well as that of their family members, instead of waiting for help. For instance, mothers are now taught to keep track of when their babies need vaccinations and booster shots, as well as weight checks, and when they should seek advice from a doctor. 

Key components 

Supakit said a strong training in fighting communicable diseases has also played a key role in Thailand’s success in controlling contagions like COVID-19. 

He gave credit to the research and expertise of three doctors: Suchart Jetanasen, PrayuraKunasol, and Thavaj Chayaniyayodhin. 

“These respected figures have laid down a firm epidemiological foundation in Thailand,” he said. 

This strong base has helped equip Thailand with the knowledge and experience to monitor, investigate, study and diagnose the possibilities of an epidemic. 

Since 1980, the Field Epidemiology Training Programme (FETP) has been conducted in the country. By 1998, advances in Thailand’s epidemiological expertise became widely recognised when the FETP expanded to cover participants from neighbouring nations too. 

In 2001, the WHO appointed Thailand as the WHO Collaborating Centre for Research and Training in Field Epidemiology, in recognition of the Kingdom’s strengths and abilities in the medical field. “Our epidemiological strengths have helped us a lot in managing the COVID-19 situation,” Supakit said. 

He added that the crucial contribution of universal healthcare coverage (UHC), which was launched 17 years ago by Thaksin Shinawatra’s government, could not be ignored either. Offered free treatment under the system, patients are confident enough to go to nearby hospitals to get medical help. 

Any suspected of having been infected by the novel coronavirus are quickly quarantined and treated, meaning health authorities have been able to efficiently curb the contagion. 

Supakit said much of the credit for the UHC belongs to Dr Sanguan Nittayaramphong – the first secretary general of the National Health Security Office – who pushed hard for the scheme a few decades ago. 

Thailand’s public health standing 

Thailand ranked an impressive 6th in the 2019 Global Health Security Index and topped the rankings in Asia. It scored second highest for its health system, third on disease prevention and fifth on rapid response. 

However, Thailand’s success in controlling COVID-19 proved that the country performed well in practice, not just on paper. 

When COVID-19 clusters were detected at a pub and a boxing stadium in Bangkok in March, Public Health officials acted fast and effectively in tracing and controlling the spread of the disease. 

Also, as much of the country’s workforce headed back to their home provinces during Bangkok’s lockdown, village health volunteers boosted their reputation even further by stepping in to help control the disease upcountry alongside authorities and medical agencies. 

“Other countries don’t have village health volunteers. Here in Thailand, these volunteers help coordinate between communities and the authorities. They are the key contributors to the country’s success in controlling this disease,” Supakit said. 

He also gave credit to Prime Minister General Prayut Chan-o-cha for acting promptly on recommendations from the Public Health Ministry’s team and ensuring that control measures were implemented on a step-by-step basis.

 

来源:Thai PBS World, The Nation Thailand, Health Systems Research Institute

 

温馨说明:本栏目中文内容由我会根据来源处内容整理并翻译。

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