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太平洋岛屿——世界卫生组织20242029年多国合作战略

公用事业2024-10-13世卫组织光***

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Pacific Islands–WHO Multi-country Cooperation Strategy 2024–2029

Foreword

The new Pacific Islands–WHO Multi-country Cooperation Strategy 2024–2029 marks a significant step in the long-standing partnership between the World Health Organization (WHO) and Pacific Island Countries and Areas (PICs). This strategy aims to achieve sustainable health improvements across the region, addressing key health challenges such as achieving universal health coverage (UHC), responding effectively to noncommunicable diseases (NCDs), and building resilience against emerging health threats like climate change.

Signatory States

The signatory states include American Samoa, Commonwealth of the Northern Mariana Islands, Cook Islands, Palau, Fiji, Pitcairn Islands, French Polynesia, Samoa, Guam, Solomon Islands, Kiribati, Tokelau, Marshall Islands, Tonga, Federated States of Micronesia, Tuvalu, Nauru, Vanuatu, New Caledonia, Niue, and Wallis and Futuna.

Executive Summary

The MCCS outlines a comprehensive and tailored medium-term support plan for the Pacific, developed through consultations with 21 PICs. Key points include:

Health Challenges and Progress: PICs face diverse health challenges, including progress in health care such as improved immunization coverage, disease management, and health emergency response.
Strategic Priorities:
- Universal Health Coverage (UHC): Focus on equitable access to quality health care, integrating and upgrading health services, conducting assessments, and ensuring robust health systems.
- Noncommunicable Diseases (NCDs): Addressing NCDs and their determinants through preventive measures and comprehensive health interventions.
- Resilience to Health Threats: Building resilience against emerging health threats, including climate change, health emergencies, and disease outbreaks.
Country/Area Focused Plans: Detailed plans for each country, covering specific health needs and strategies.

Strategic Agenda

The strategic agenda provides a roadmap for action across PICs and partners, focusing on:

Expanding health-care access.
Preventing NCDs.
Enhancing health and health system resilience.

Key Data and Focus Areas

Universal Health Coverage (UHC): Emphasizing equitable access to quality health care.
Noncommunicable Diseases (NCDs): Addressing NCDs and their determinants.
Resilience: Building resilience against health threats, including climate change and disease outbreaks.

This strategy aims to leverage expertise, resources, and financial support from various organizations and donors to achieve these goals.

PacificIslands–WHOMulti-countryCooperationStrategy2024–2029 PacificIslands–WHOMulti-countryCooperationStrategy2024–2029 ISBN9789290620587 ©WorldHealthOrganization2024 Somerightsreserved.ThisworkisavailableundertheCCBY-NC-SA3.0IGOlicense Contents FOREWORDiii SIGNATORYSTATESv ABBREVIATIONSvi EXECUTIVESUMMARYvii 1.Overview1 2.HealthanddevelopmentsituationinthePacific3 2.1Healthprogress3 2.2Healthchallenges4 2.3WHOandpartnershiplandscape5 3.StrategicagendaforWHO’sworkinthePacific7 3.1Priority1.Achieveuniversalhealthcoverage(UHC)throughintegrated people-centredqualityhealthservices9 3.2Priority2.Addressnoncommunicablediseases(NCDs)andtheirdeterminants9 3.3Priority3.Buildresiliencetokeyhealththreats,includingclimatechange, healthemergenciesanddiseaseoutbreaks10 4.Country/areafocusedplans13 AmericanSamoa17 CookIslands21 Fiji27 FrenchPolynesia31 Guam35 Kiribati39 MarshallIslands43 FederatedStatesofMicronesia47 Nauru53 NewCaledonia59 Niue63 CommonwealthoftheNorthernMarianaIslands67 Palau73 PitcairnIslands79 Samoa83 SolomonIslands91 Tokelau95 Tonga99 Tuvalu105 Vanuatu109 WallisandFutuna115 Bibliography124 PacificIslands–WHOMulti-countryCooperationStrategy2024–2029 FOREWORD ThenewPacificIslands–WHOMulti-countryCooperationStrategy2024–2029marksanexcitingstepinthelong-standingpartnershipbetweentheWorldHealthOrganization(WHO)andPacificislandcountriesandareas(PICs).Thissix-yearstrategicroadmapcrystallizesoursharedprioritiesandstrengthensourcommonresolvetoachievesustainablehealthimprovementsacrosstheregion. KeepinginmindtheglobalandregionalprioritiesofWHOandthebroaderdevelopmentgoalsofthePacific,thisStrategywasdevelopedthroughclosedialoguewithPacificpartnersandbasedonguidancefromPacifichealthleaders.TheprioritiesoutlinedtacklethemostpressinghealthissuesandneedsfacingthePacific:toachieveuniversalhealthcoverage;tomusteraneffectivemultisectoralresponsetononcommunicablediseases;andtofortifyresilienceagainstemerginghealththreatssuchasclimatechange.Whilefocusingonkeysharedchallenges,theStrategyallowsfortailoredapproachesthatrespectthedistinctcontextofeachPIC. Challengeslieahead,butthefuturelooksbrightwiththesupportofpartnersandtheclosecooperationbetweenWHOandthePICs.ThecollaborativeworkguidedbythisStrategypromiseslastingdividendsintheformofsavedlives,reducedpoverty,empoweredcommunitiesandahealthier,moresustainablefutureforallPacificislanders. Withoptimismandanunwaveringcommitment,IcommendthisnewPacificIslands–WHOMulti-countryCooperationStrategy2024–2029andtheimprovementsinhealthandwell-beingthatitwillhelpachieve. DrSaiaMa’uPiukala RegionalDirectorfortheWesternPacificWorldHealthOrganization iii PacificIslands–WHOMulti-countryCooperationStrategy2024–2029 Palau SIGNATORYSTATES AmericanSamoaCommonwealthoftheNorthernMarianaIslan CookIslands FijiPitcairnIslands FrenchPolynesiaSamoa GuamSolomonIslands KiribatiTokelau MarshallIslandsTonga Tuvalu FederatedStatesofMicronesia NauruVanuatu NewCaledonia(pending)WallisandFutuna Niue PacificIslands–WHOMulti-countryCooperationStrategy2024–2029 ABBREVIATIONS AMR antimicrobialresistance CFP country/areafocusedplan GDP grossdomesticproduct IHR(2005) InternationalHealthRegulations(2005) MCCS Multi-countryCooperationStrategy NCD noncommunicabledisease NTD neglectedtropicaldiseases PHC primaryhealthcare PICs Pacificislandcountriesandareas STI sexuallytransmittedinfection UHC universalhealthcoverage VPD vaccine-preventabledisease WASH water,sanitationandhygiene WHO WorldHealthOrganization PacificIslands–WHOMulti-countryCooperationStrategy2024–2029 EXECUTIVESUMMARY ThePacificIslands–WHOMulti-countryCooperationStrategy2024–2029,orMCCS,developedbytheWorldHealthOrganization(WHO)throughaconsultativeprocessinvolving21Pacificislandcountriesandareas(PICs),outlinesWHO’scomprehensiveandtailoredmedium-termsupportplaninthePacific.ThissummaryprovidesanoverviewoftheMCCS,highlightingitsalignmentwithregionalandglobalhealthstrategies. TheMCCSunderscoresthediversehealthchallengesfacedbyPICsandtheimportanceoftailoredstrategies.Italignswithagreedregionalandglobalhealthanddevelopmentstrategies.Anditacknowledgesprogressinhealthcare,highlightingimprovementsinimmunizationcoverage,diseasemanagementandhealthemergencyresponse. CollaborativeeffortsarecrucialtoaddresshealthchallengesinthePacificandleverageexpertise,resourcesandfinancialsupport.TheMCCSrecognizestheroleofvariousorganizationsanddonors,emphasizingthebenefitsofcollectiveaction. TheMCCSoutlinesthreeoverarchingpriorities:achieveuniversalhealthcoverage(UHC),addressnoncommunicablediseases(NCDs)andbuildresiliencetohealththreats.ThestrategicagendaprovidesaroadmapforactionacrossPICsandpartners,focusingonexpandinghealth-careaccess,preventingNCDs,andenhancinghealthandhealthsystemresilience. PRIORITY1.Achieveuniversalhealthcoverage TheMCCSemphasizesUHCasacriticalregionalpriority,advocatingforequitableaccesstoqualityhealthcareforallPacificislanders.Thefocusisonintegratingandupgradinghealthservices,conductingassessments,fosteringpartnerships,andadvocatingforsupportiv

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