Health and immunisation services for the urban poor in selected countries of Asia  

作　　者：John Grundy Xiaojun Wang Kunihiko Chris Hirabayashi Richard Duncan Dexter Bersonda Abu Obeida Eltayeb Godwin Mindra Robin Nandy 

机构地区：[1]College of Public Health,Medicine and Veterinary Sciences,James Cook University,Cairns,Australia [2]UNICEF East Asia and Pacific Regional Office,Bangkok,Thailand [3]UNICEF Headquarter,New York,USA [4]UNICEF,Manila,Philippines

出　　处：《Infectious Diseases of Poverty》2019年第2期5-12,共8页贫困所致传染病（英文）

基　　金：Funding for this research was provided through the Regional Office of UNICEF in Bangkok,Thailand.

摘　　要：Background:Asia is a region that is rapidly urbanising.While overall urban health is above rural health standards,there are also pockets of deep health and social disadvantage within urban slum and peri-urban areas that represent increased public health risk.With a focus on vaccine preventable disease and immunisation coverage,this commentary describes and analyses strengths and weaknesses of existing urban health and immunisation strategy,with a view to recommending strategic directions for improving access to immunisation and related maternal and child health services in urban areas across the region.The themes discussed in this commentary are based on the findings of country case studies published by the United Nations Childrens Fund(UNICEF)on the topic of immunisation and related health services for the urban poor in Cambodia,Indonesia,Mongolia,Myanmar,the Philippines,and Vietnam.Main body:Although overall urban coverage is higher than rural coverage in selected countries of Asia,there are also wide disparities in coverage between socio economic groups within urban areas.Consistent with these coverage gaps,there is emerging evidence of outbreaks of vaccine preventable diseases in urban areas.In response to this elevated public health risk,there have been some promising innovations in operational strategy in urban settings,although most of these initiatives are project related and externally funded.Critical issues for attention for urban health services access include reaching consensus on accountability for management and resourcing of the strategy,and inclusion of an urban poor approach within the planning and budgeting procedures of Ministries of Health and local governments.Advancement of local partnership and community engagement strategies to inform operational approaches for socially marginalised populations are also urgently required.Such developments will be reliant on development of municipal models of primary health care that have clear delegations of authority,adequate resources and institutional c

关 键 词：URBAN HEALTH URBAN IMMUNISATION HEALTH EQUITY Governance Disease control Community ENGAGEMENT 

分 类 号：TU9[建筑科学]