An gaya mana cewa, a cikin duniyar da ke da yawa na gaggawa na kiwon lafiya, ya zama dole a bar wasu 'yancin kai don samun aminci. Abin yabo ne ga wadanda ke goyon bayan wannan ajanda ta Hukumar Lafiya ta Duniya (WHO) cewa wannan sakon yana ci gaba da samun karbuwa. Idan ’yan adam suna da muhimmanci, to ya kamata mu ma mu fahimci lahaninsa, mu tsai da shawara ko suna da muhimmanci.
1. Hukumar Lafiya ta Duniya ba ta mai zaman kanta, kuma ana ba da umarni a asirce.
Kudaden farko na WHO ya kasance rinjaye ne da gudunmawar 'kimantawa' daga kasashe, bisa la'akari da kudaden shiga na kasa, kuma WHO ta yanke shawarar yadda za a yi amfani da wannan babban kudade don cimma babban tasiri. Yanzu, tallafin WHO shine musamman 'kayyade,' ma'ana cewa mai ba da kuɗi na iya yanke shawarar yadda za a yi aikin da kuma inda za a yi aikin. Hukumar ta WHO ta zama hanyar da mai bayar da tallafi zai iya aiwatar da shirye-shiryen da suke amfana da su. Waɗannan masu ba da kuɗi suna ƙaruwa kamfanoni masu zaman kansu; na biyu mafi girma na mai ba da kuɗi na WHO shine tushen ƙwararren ɗan kasuwan software da mai saka hannun jari na Big Pharma.
A cikin mika mulki ga hukumar ta WHO, wata jiha za ta mika mulki ga masu ba da kudinta. Sannan za su iya samun riba ta hanyar aiwatar da tsarin da WHO ke ɗauka.
2. Mutanen da ke cikin dimokuradiyya ba za su kasance ƙarƙashin mulkin kama-karya ba.
WHO daidai take wakiltar duk ƙasashe. Hakan na nufin kasashe mambobin da ke karkashin mulkin kama-karya na soji ko wasu gwamnatocin da ba na dimokuradiyya ba, suna da ra'ayin daidai wa daida Majalisar Lafiya ta Duniya (WHA), hukumar gudanarwa ta WHO.
In mika mulki ga WHODon haka jihohin dimokuradiyya suna raba ikon yanke shawara kan lafiyar 'yan kasarsu tare da wadannan jihohin da ba na dimokuradiyya ba, wadanda wasu daga cikinsu za su sami dalilai na geopolitical don takurawa al'ummar dimokuradiyya da cutar da tattalin arzikinta. Duk da cewa daidai-wa-daida a cikin manufofin na iya dacewa da ƙungiyar ba da shawara zalla, ƙaddamar da ainihin ikon kan ƴan ƙasa ga irin wannan ƙungiya a fili bai dace da dimokuradiyya ba.
3. Hukumar ta WHO ba ta da alhaki ga wadanda take nema ta sarrafa su.
Jihohin dimokuradiyya suna da tsarin da waɗanda aka ba su damar yin amfani da mulki a kan ƴan ƙasa kawai suke amfani da shi bisa ga ra'ayin ƴan ƙasa, kuma suna ƙarƙashin kotuna masu zaman kansu saboda zagi ko rashin iya aiki mai cutarwa. Wannan ya zama dole don magance cin hanci da rashawa da ke tasowa a koyaushe, kamar yadda cibiyoyi na mutane ne. Kamar sauran rassa na Majalisar Dinkin Duniya, WHO tana da alhakin kanta da kuma yanayin siyasa na WHA. Hatta sakatariyar Majalisar Dinkin Duniya tana da iyakacin tasiri yayin da WHO ke aiki a karkashin nata Tsarin mulki.
Ba wanda za a yi la'akari da kusan yara miliyan kwata da cewa Asusun UNICEF manufofin da WHO ta inganta a Kudancin Asiya sun kashe su. Babu daya daga cikin har zuwa 'Yan mata miliyan 10 tilastawa auren yara ta hanyar manufofin WHO Covid zai sami kowace hanya don gyara. Irin wannan rashin bin diddigi na iya zama karbuwa idan wata cibiya tana ba da shawara kawai, amma sam ba abin yarda ba ne ga duk wata cibiya da ke da ikon takurawa, ba da izini ko ma tauye hakkin 'yan ƙasa.
4. Matsakaici ta hanyar WHO manufa ce mara kyau ta mutanen da ba su da kwarewa.
Kafin kwararar kuɗaɗe masu zaman kansu, WHO ta mai da hankali sosai kan cututtuka masu yaɗuwa, kamar zazzabin cizon sauro, tarin fuka, da HIV/AIDS. Waɗannan suna da alaƙa da talauci sosai, haka ma waɗanda ke tasowa daga rashin abinci mai gina jiki da rashin tsafta. Kwarewar kiwon lafiyar jama'a ta nuna mana cewa magance irin waɗannan cututtukan da za a iya magance su ko kuma waɗanda za a iya magance su ita ce hanya mafi kyau don tsawaita rayuwa da haɓaka lafiya mai dorewa. Mutanen da ke ƙasa suna magance su sosai, tare da ilimin gida na ɗabi'a, al'adu da cututtukan cututtuka. Wannan ya haɗa da ƙarfafa al'umma don sarrafa lafiyar su. Hukumar ta WHO ta taba jaddada irin wannan rabe-rabe, tana mai ba da shawara ga karfafawa kulawa na farko. Ya yi dai-dai da yakar farkisanci da mulkin mallaka wanda a ciki WHO taso.
Hanyoyi masu tsattsauran ra'ayi ga lafiya, akasin haka, suna buƙatar al'ummomi da daidaikun mutane su bi ka'idodin da suka yi watsi da bambancin yanki da fifikon al'umma. Zazzabin cizon sauro ba batun bane ga mutanen Iceland, amma yana lalata Covid a cikin Uganda. Dukansu haƙƙin ɗan adam da ingantaccen shisshigi suna buƙatar ilimin gida da alkibla. WHO ta tura taro Alurar riga kafi zuwa yankin kudu da hamadar Sahara na kusan shekaru 2 ta hanyar shirinsu mafi tsada har zuwa yau, alhalin sani Yawancin al'ummar kasar sun riga sun sami rigakafi, rabin ba su kai shekaru 20 ba, kuma mace-mace daga kowace cutar zazzabin cizon sauro, tarin fuka da HIV/AIDs gaba daya. dwarfed Mutuwar Covid-19.
Ma'aikatan WHO ba kasafai ba ne kwararru. Kwarewar cutar mura ta 2009 da cutar Ebola ta yammacin Afirka ta nuna hakan. Mutane da yawa sun shafe shekaru da yawa suna zaune a ofis tare da ƙarancin gogewa a cikin aiwatar da shirye-shirye ko kula da cututtuka masu amfani. Ƙididdigar ƙasa da nuna son kai da ke da alaƙa da manyan ƙungiyoyin ƙasa da ƙasa na nufin cewa yawancin ƙasashe za su sami ƙware sosai a cikin iyakokinsu fiye da yadda suke a cikin tsarin tsarin mulki a Geneva.
5. Cutar annoba ta gaske ba ta zama ruwan dare ba, kuma ba ta zama ruwan dare ba.
Cututtuka saboda ƙwayoyin cuta na numfashi, kamar yadda WHO nuna a cikin 2019, abubuwan da ba kasafai suke faruwa ba. Sun faru kusan sau ɗaya a kowace tsara a cikin shekaru 120 da suka gabata. Tun bayan zuwan maganin rigakafi (na firamare ko na sakandare), mace-mace ta ragu sosai. An sami karuwar mace-mace da aka yi rikodin yayin Covid-19 rikitarwa ta ma'anar ('tare' da 'na'), matsakaicin shekarun mutuwa ya wuce shekaru 75, kuma mutuwa ta kasance sabon abu a cikin mutane masu lafiya. Adadin mace-macen kamuwa da cuta a duniya bai bambanta da sosai ba mura. Cututtukan tarin fuka, zazzabin cizon sauro, HIV/AIDS da sauran cututtuka na yau da kullun suna kashewa tun suna ƙanana, suna haifar da nauyi mai yawa. shekaru sun rasa.
a takaice
Ba shi da ma'ana a ba wa wata ƙasa ta waje, ƙarancin cibiyoyi masu ƙarfi waɗanda suka saba wa ƙa'idodin dimokiradiyya da kyakkyawar manufar kiwon lafiyar jama'a. Fiye da haka lokacin da wannan cibiyar ke da iyakacin ƙwarewa da ƙarancin tsarin aiki, abubuwan buƙatu masu zaman kansu ne ke jagoranta da na gwamnatoci masu ƙarfi. Babu shakka wannan ya saba wa abin da ya kamata gwamnati a dimokuradiyya ta yi.
Wannan ba batun hamayyar siyasar cikin gida ba ne. Koyaya, sassan hulda da jama'a na masu son cin gajiyar wannan aikin gaggawa na lafiya na dindindin zasu so mu yarda da hakan.
A halin yanzu muna ba da gudummawar wargaza ’yancin kanmu tare da ba da haƙƙin ɗan adam ga ƙaramin rukuni wanda ke tsaye don cin gajiyar talaucinmu, wanda aka samu daga ƙirjin yaƙi da aka taru a cikin bala'in da ya ƙare. Ba dole ba ne. Yana da sauƙi don ganin ta wannan kamar yadda ya kamata a dakatar da shi. Duk abin da ake buƙata shine tsabta, gaskiya da ɗan ƙarfin hali.
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David Bell, Babban Masanin Kimiyya a Cibiyar Brownstone, likitan lafiyar jama'a ne kuma mai ba da shawara kan ilimin halittu a cikin lafiyar duniya. David tsohon jami'in kiwon lafiya ne kuma masanin kimiyya a Hukumar Lafiya ta Duniya (WHO), Shugaban Shirin Malaria da cututtukan zazzabi a Gidauniyar Innovative New Diagnostics (FIND) a Geneva, Switzerland, kuma Daraktan Fasahar Kiwon Lafiya ta Duniya a Asusun Kula da Lafiya na Duniya na Intellectual Ventures a Bellevue, WA, Amurka.
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