"Yin kyau" a ma'aunin duniya bai taɓa zama sananne ba, kuma bai taɓa samun riba ba. Haɗin gwiwar jama'a da masu zaman kansu waɗanda yanzu suka mamaye masana'antar kiwon lafiyar jama'a ta duniya sun yi karimci sosai tun farkon 2020, suna wadatar masu zaman kansu da masu ba da tallafi na kamfanoni.
Hukumar Lafiya ta Duniya (WHO) tana ci gaba yarjejeniyar annoba Tattaunawar ta yi alƙawarin kulle-kulle a cikin wannan sauye-sauye na arziƙi zuwa sama, da ba da damar sake yin tsarin kulle-kulle, rufe kan iyakoki da tilasta yin allurar rigakafi don ci gaba da fatara da fatattakar waɗanda ba su da wadata.
Wannan sabon tsarin ya yiwu ne saboda wadanda ke aiki ga hukumar ta WHO, hukumomin kasa da kasa da kuma gidauniyoyi masu zaman kansu, wadanda a da suka bayar da shawarar ci gaban biliyoyin marasa galihu, ba sa yin hakan. Muhimman ka'idojin manufofin kiwon lafiyar jama'a - ƙarfafa al'umma, daidaito, da rage talauci - an yi musayar su don kiwon lafiyar jama'a-don riba. Babu gwagwarmayar jaruntaka ko tsaro, kawai wahala da haɓaka damar aiki cikin sauri.
Talauci ya fi riba fiye da ƙarfafawa
Shekaru biyun da suka gabata sun kasance abin kunya musamman ga duk wanda har yanzu yana bin ƙa'idodin tsarin Kundin tsarin mulkin WHO da kuma yarjejeniyoyin haƙƙin ɗan adam waɗanda ke da nufin hana dawowar farkisancin lafiyar jama'a bayan yakin duniya na biyu.
Gudun hijira na Alma Ata model of karfafawa al'umma ta sabon samfurin lafiya na tushen kayayyaki delivery ya buƙaci bin aiki da haɗin kai na 'kungiyar kiwon lafiya ta duniya' - waɗancan ma'aikatan da masu ba da shawara na WHO da sauran hukumomin kiwon lafiya na duniya, gidauniyoyi da ƙungiyoyi masu zaman kansu waɗanda aka taɓa ɗauka suna adawa da mulkin mallaka da cin zarafi.
Waɗannan mutanen sun sake tabbatar da ƙa'idodin sarrafa al'umma a ciki Astana kamar yadda kwanan nan kamar 2018. Wasu sun taimaka buga 2019 WHO jagororin ga cutar mura da ta yi watsi da kulle-kulle da rufe iyakokin saboda yadda suke nuna wariya wajen cutar da masu karamin karfi. Fuska mai taurin kai don a yanzu yarda da tsarin mulkin kama-karya na tilastawa, wajabta talauci da kuma sarrafa tsaye. Barka da zuwa sabon zamani mai ban sha'awa mai ban sha'awa, zance-nauyin mulkin mallaka na lafiya na duniya.
An sace lafiyar duniya
Kiwon lafiyar jama'a na duniya, ko 'lafin duniya' kamar yadda attajiran yammacin duniya suka sake masa suna, ya girma cikin shekaru ashirin da suka gabata ya zama abin shahara. Ƙara yawan kuɗin jama'a, ta hanyar Asusun Duniya musamman, sake farfado da shirye-shiryen cututtuka masu fama da cututtuka na kasashe masu karamin karfi. Amma alƙawarin haɓaka kuɗaɗen masu zaman kansu da na kamfanoni ya zo da tsarin daidaitacce wanda ya jaddada kayayyaki waɗanda kamfanoni da buƙatun masu zaman kansu ke saka hannun jari a ciki, musamman alluran rigakafi.
Gidauniyar Bill & Melinda Gates ce ta dauki nauyin shirin gavi kungiya ta musamman don isar da alluran rigakafi. Unitaid an kafa shi don mai da hankali kan gina kasuwannin kayayyaki, da Cepi An ƙaddamar da shi a Davos a cikin 2017 kawai don haɓaka alluran rigakafi da ƙwayoyin cuta don cututtuka.
An shawo kan kyama na al'ada na rikice-rikice na sha'awa ta wannan lamuni na sabon kuɗi. Musamman ma'auratan Gates, ma'auratan da suka sami kuɗinsu ta hanyar haɓaka software, yanzu suna da tasiri kai tsaye a matakin hukumar kan manyan ƙungiyoyin kiwon lafiya waɗanda ke ƙayyade manufofin kiwon lafiya da kuma ba da kuɗi ga biliyoyin mutane. Wannan kamar abin ban mamaki ne, amma don hana shi, ma'aikatan wadannan kungiyoyi za su yi adawa da masu daukar nauyin albashinsu, kudaden fansho da ilimin yara, kuma su amince da rage kasafin aiki. Ba su yi ba.
Shugabannin kamfanoni da masu saka hannun jari sun zama sabbin malaman kiwon lafiyar jama'a, suna ba da tallafin kwalejojin 'kiwon lafiya na duniya' waɗanda suka zama almajirai don yin aiki a cikin ƙungiyoyin da suke ɗaukar nauyi, suna mai da martani ga ƙirar ƙira da haɓaka harhada magunguna waɗanda masu tallafawa suka ba da kuɗi da/ko ba da umarni. Wannan ruɓar ɗabi'a na lafiyar jama'a ta duniya an fito fili ta hanyar martanin Covid-19.
Kwayar cutar da ta mamaye tsofaffi ta zama dalilin toshe ilimi da zamantakewar daruruwan miliyoyin yara, da inganta yawan jama'a tamowa, yayin da aka 'jiran maganin rigakafi (ba rigakafi).' An yi la'akari da isasshen dalili don karya layukan wadata, samun damar kiwon lafiya da aikin yi ga masu karamin karfi, tare da dawo da ci gaban shekarun da suka gabata. rage talauci, auren yara, yancin mata da cututtuka masu yaduwa kamar HIV / AIDS da kuma da zazzabin cizon sauro.
Wannan yunƙurin haɓaka 'zauna a gida, sallamawa, bin' farkisancin likitanci da alama kusan ya cika a cikin Ƙungiyar Kiwon Lafiya ta Duniya, aƙalla ga waɗanda ke zaune a ƙasashe masu arziki. Ko da Bankin Duniya ya gane yana kashe mutane masu rauni a nesa sauri fiye da Covid-19. Don dakatar da gyara wannan matsala, muna buƙatar fahimtar dalilin da yasa waɗannan mutane ke bi.
Abin da muka sani (sani)
Kiwon lafiyar jama'a a baya sun rungumi wasu ka'idoji da ingantaccen ilimi. An bayyana lafiyar lafiya sosai a cikin 1946 Kundin tsarin mulkin WHO as “…yanayin cikakken lafiyar jiki, tunani da zamantakewa ba kawai rashin cuta ko rashin lafiya ba.Sanin wannan sarkakiyar, kyakkyawan aikin kiwon lafiyar jama'a don haka yana buƙatar kowane shawarar da aka ba da shawarar don yin la'akari da haɗari da fa'ida a cikin waɗannan nau'ikan kiwon lafiya daban-daban.
'Jama'a, a matsayin ƴan ƴanci, ya kamata su auna waɗannan shawarwari game da abubuwan da suka fi dacewa da ƙima, gami da al'adu da imani da al'adu, don yanke shawara ba tare da tilastawa ko tilastawa ba. Waɗannan buƙatun ba su da tsattsauran ra'ayi; sun kafa tushen fiye da shekaru 75 na ayyukan kiwon lafiyar jama'a, wanda aka kafa a cikin yarjejeniyoyin haƙƙin ɗan adam da ƙa'idodin yarda da sanarwa.
Muhimman wuraren shaida suna sanar da waɗannan shawarwarin lafiyar jama'a. Musamman dacewa:
- Rage jarin zamantakewa (ƙaramar talauci da rage cin gashin kai) yana raguwa matsakaiciyar rayuwa mai zaman kansa daga wasu abubuwan haɗari.
- Tabarbarewar tattalin arziki a ma'aunin kasa yana rage tsawon rai, musamman a kasashe masu karamin karfi inda talauci ke da matukar tasiri ga mace-macen jarirai. Maganar gaskiya ce: inganta ilimi da walwalar tattalin arziki yana inganta tsawon rayuwa.
- Mai inganta tarihi a cikin tsammanin rayuwa a cikin ƙasashe masu tasowa, ciki har da musamman a cikin cututtukan da za a iya rigakafin rigakafi, sun faru ne kafin a yi wa alurar riga kafi (ban da ƙananan ƙwayar cuta), wanda ke da alaƙa da ingantattun matakan rayuwa ciki har da abinci, ruwa mai tsabta da gidaje, tare da maganin rigakafi da ke taka rawa a baya amma muhimmiyar rawa.
Waɗannan haƙiƙanin gaskiya ne daidaitattun koyarwa a makarantun kiwon lafiyar jama'a. Ma'aikatan kungiyoyin kiwon lafiya na duniya sun san yadda kulle-kulle da rufe iyakokin za su kasance. Ga yawancin jama'a, wannan shine kuma zai zama matattu yara, matattu jarirai - da yawa, ƙanana, fiye da Covid-19 zai kashe.
Haɗin shekarun Covid-19 ya fito fili a ciki farkon 2020. Tsarin shekarun al'umma a Asiya da Afirka matasa ne - rabin yawan al'ummar yankin kudu da hamadar Sahara kasa da shekaru 19 - an yi hasashen mutuwa daga Covid-19 a daidai ko ƙasa fiye da mura.
To me ya sa ake guduma talakawa?
Hukumar ta WHO da kanta ta yi gargadi game da illolin hanyoyin kulle-kulle a cikin cutar mura ta 2019. jagororin. 'Al'ummar Kiwon Lafiyar Duniya' sun amince da waɗannan mahimman ƙa'idodin lokacin da suka kasance 'na al'ada' kuma sun dace da ci gaban sana'a.
Yanzu, da yawa sun ma shiga zagin wasu kaɗan da suka ci gaba da shelarsu. The Babban Sanarwa na Barrington kiwon lafiyar jama'a na Orthodox. Ba da shawara ga haƙƙin ɗan adam da cin gashin kai ba a baya ba ne.
Wannan yana haifar da tambayoyin da suka kai ga tushen rikicin gaskiya da ɗabi'a a cikin lafiyar duniya:
- Me yasa mutane, waɗanda a cikin 2019 za su yi muhawara mai kyau game da farashi da fa'idodi don ware albarkatu don babban tasiri, suka yi watsi da waɗannan ayyukan cikin hanzari?
- Me yasa yanzu suke jin daɗin tallafawa shirye-shiryen da ke amfani da tilastawa da rashin kula da haƙƙin ɗan adam?
- Me yasa suke tallafawa ayyukan da suka sani, daga horo da gogewa, za su ƙara cututtukan da za a iya hana su, rage tsawon rayuwa, da kulle tsararraki cikin talauci?
A zahiri, ta yaya dubban mutane a cikin masana'antar 'dan adam' suka yarda su shiga cikin abin da suka sani, ko a da suka sani, ba daidai ba ne kuma mai cutarwa a cikin ma'auni?
Shin ko da yaushe aikin jin kai ya kasance fanko harsashi?
Dukkanmu ’yan Adam ne marasa aibu, masu laifi iri ɗaya, da tuƙi. Don haka ba kasafai wadanda ake biya su sake raba kudaden agaji ba. Ga bayani guda shida masu ma'ana:
- Tsaron aiki ya fi ƙarfin tuƙi fiye da ɗabi'a. Ƙungiyoyi irin su WHO da BMGF suna biyan kuɗi mai kyau, kuma kiwon lafiya, ilimi da fensho yana da wuya a yi watsi da su. Kujerun ajin kasuwanci da otal-otal masu tauraro 5 yanayin aiki ne mai ruɗi. Tsaya gaba da mai aikin ku, lokacin da kuka tsaya asara duka, baya kawo lada na sirri a bayyane.
- Farfaganda da yawan psychosis kar a gane sana'o'i. Tsoro da firgici halayen duniya ne. Farfaganda na iya yin tasiri ga mutane ba tare da la'akari da hankali, ilimi da horo ba. Tsoron ƙwayar cuta marar ma'ana na iya rikitar da tunani mai ma'ana.
- Da'awar tallafi ga hukumar ɗan adam da daidaito sun kasance masu fa'ida ne kawai don samun damar aiki kafin 2020. A tarihi, ma'aikatan kiwon lafiya sun kasance yarda da kowa na cin zarafi da yawa, yayin da ƙungiyar eugenics ta sami yawa yarjejeniya a cikin al'ummar likita. Babu wani kyakkyawan tarihin tarihi ga sana'o'in kiwon lafiya da ke biyo baya matsayi mafi girma na ɗa'a fiye da yawan jama'a.
- Mutane da yawa marasa ƙarfi ne kawai. Suna iya gane cutarwa amma ba su da ƙarfin zuciya don yin tsayayya da shi. Matsi na tsara da kuma tsoron kada a yi watsi da su suna da iko sosai. Yana da sauƙi a jira wasu su fara magana da farko, ko kuma ƙungiyar zanga-zangar ta yi girma har ta zama lafiya.
- A cikin ƙungiyoyi masu matsayi, mutane kawai suna bin umarni. Idan ba su yi ba, wani zai yi. An magance wannan a ƙarshen 1940s kuma ainihin tsoro ne kawai.
- Ana iya samun farin ciki na gaske a ƙarshe a cikin 'sarrafa' annoba. Dukanmu muna da saurin nema da tsawaita lokacin mahimmancin kai. Kasancewa da ikon yin kamar yana ceton duniya yana haifar da wata rana ta yau da kullun a ofis.
Koyaya, shekaru biyu cikin taron na Covid-19, babu wasu uzuri da suka rage don ci gaba da wannan cutar, babu yuwuwar musun wanzuwarsu. Lokaci ya wuce da ma'aikata, da ƙungiyoyin ma'aikata, na ƙungiyoyin ƙasa da ƙasa suka sami kashin bayan jama'ar da suke iƙirarin yi wa hidima, kuma suna buƙatar ƙungiyoyinsu su bi ƙa'idodin kiwon lafiyar jama'a.
Lokaci ya yi da waɗanda ke cikin WHO za su buƙaci bin tsarin mulkin WHO. Lokaci don dagewa cewa daidaiton lafiya shine ka'ida mai jagora maimakon daidaitaccen rarraba kayayyaki wanda yanzu ba zai iya yin komai ba amma wadatar da masu tallafawa. Ba don riba ba mugunta ba ne, amma don barin mutane su mutu da sunan riba.
Menene makomar Lafiya ta Duniya?
A cikin dogon lokaci, manyan cibiyoyin kiwon lafiyar jama'a na duniya, bayan-Covid, ba za su kasance da aminci ga duk wanda ke da gaske game da inganta lafiyar duniya ba. Duk wani furucin tsayawa ga talakawa da marasa galihu na duniya tabbas ya ƙare. Gine-gine masu zaman kansu a ƙasashen yammacin duniya ba su taɓa samun irin wannan umarni ba kuma bai kamata su taɓa samun irin wannan tasirin ba.
Duniya na bukatar tsarin da ba na mulkin mallaka ba. Kasashe da al'ummomi dole ne su tsara abubuwan da suka fi dacewa da lafiyar su, su mallaki nasu martanin cutar. Akwai wurin da hukumomi za su inganta tattaunawa tsakanin ƙasashe, tattara bayanai da tallafawa waɗanda ba su da kyau. WHO, alal misali, ta taba yin hakan. Amma wannan dole ne a sake shi daga masu cin riba waɗanda a cikin tarihi suka taru kamar alade a irin wannan ramin.
The Tsarin mulki na WHO, wanda aka tsara a zamanin mulkin mallaka, ya kasa dakatar da sake dawowa. Ana buƙatar sabon samfuri ga cibiyoyin kiwon lafiya na ƙasa da ƙasa don tabbatar da cewa yanke shawara na ƙarshe game da lafiya ya ta'allaka ne da yawan jama'a. Ƙungiyar kula da lafiyar jama'a ta duniya za ta iya zaɓar ci gaba da kasancewa cikin laifin, ko tallafa wa waɗanda ke cikin ƙasashe masu karamin karfi waɗanda dole ne su zama maganin sa.
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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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