西藏农牧区的公共卫生服务

Rural Tibet Health Service

西藏自治区各级地方政府借助中央政府和外省市的转移资源 ,坚持不懈地投资于人民健康 ,一方面通过财政支出维护农牧区的三级卫生服务网络 ,另一方面 ,运用政策干预手段推行针对健康高风险群体的保健项目。这不仅为全自治区人口健康指标的改善做出了贡献 ,而且为其它省 /区在经济市场化进程中强化公共健康安全提供了值得借鉴的经验。然而农牧区的健康教育依然薄弱 ,有关传染病、地方病和生活方式疾病的预防知识传播有效性不高。这需要公共卫生机构和教育机构合作 ,把现代卫生知识融入已有的地方知识 ,开展健康促进活动。

Supported by the resources transfer from the central government and other provinces, local governments at different levels in the Tibetan Autonomous Region (TAR) have persistently invested in public health. On the one hand, budget expenditure is allocated to the maintenance of the rural three-level health service network and, on the other hand, health protection programs targeting social groups facing high health risks are carried out through policy intervention. These measures not only contributed to the improvement of the health status of the entire population in the TAR, but also shed new light on the issue of how to strengthen public health security in the process of economic marketization. However, the health education is still weak, and the diffusion of preventive knowledge relating to infectious diseases, local specific diseases and the unhealthy life style related diseases are ineffective. Therefore, it is necessary to improve the quality of health promotion activities by integrating the information deriving from the preventive medical sciences with the existing local knowledge through a close collaboration between the public health service providers and educational institutions.