世卫组织全球调查显示90%国家因疫情出现卫生服务中断

世界卫生组织发布首份全球脉搏调查，基于105个国家在2020年3月至6月期间的报告数据。1调查结果显示，90%的受调查国家自COVID-19疫情爆发以来经历了卫生服务中断。1各国平均在25项示踪服务中的50%出现了中断现象。1

关键卫生服务受到广泛影响。常规免疫外展服务的中断率达70%，设施服务中断率为61%。1非传染性疾病诊疗服务中断率为69%，计划生育服务中断率为68%。1精神卫生治疗中断率61%，癌症诊疗中断率55%。1在紧急医疗方面，24小时急诊室服务在22%的国家受到影响，紧急输血在23%的国家受到影响，紧急手术在19%的国家受到影响。176%的国家报告门诊就诊人数下降，66%的国家报告取消了选择性服务。1

低中收入国家面临最大困难。1仅有14%的国家报告取消了用户费用。1世界卫生组织计划推出学习和监测工具，帮助各国改善疫情期间的卫生服务供给。1世卫组织总干事谭德塞表示："COVID-19应该向所有国家说明，卫生不是'非此即彼'的等式。我们必须更好地为紧急情况做准备，同时继续投资于完全满足人民整个生命周期需要的卫生系统。"1

The World Health Organization has released its first global pulse survey documenting the impact of the COVID-19 pandemic on health service delivery worldwide 1. Based on responses from 105 countries covering the period from March to June 2020, the survey reveals that 90% of nations experienced disruptions to essential health services 1. On average, countries reported interruptions in 50% of the 25 tracer services monitored 1.

The disruptions span multiple critical areas of healthcare. Routine immunization outreach services faced a 70% disruption rate, with facility-based immunization services disrupted in 61% of countries 1. Diagnostic and treatment services for non-communicable diseases were interrupted in 69% of countries, while family planning services were disrupted in 68% 1. Mental health treatment services experienced a 61% disruption rate, and cancer diagnosis and treatment services were affected in 55% of countries 1. Emergency services also suffered significant impacts, with 24-hour emergency room services affected in 22% of countries, emergency blood transfusions disrupted in 23%, and emergency surgery services interrupted in 19% 1.

The survey further documents a broader shift in healthcare-seeking behavior and service provision patterns. Seventy-six percent of countries reported declines in outpatient visits, while 66% reported canceling elective services 1. However, only 14% of nations suspended user fees during this period 1. WHO Director-General Tedros Adhanom Ghebreyesus stated: "COVID-19 should send a message to all countries that health is not an 'either/or' equation. We must be better prepared for emergencies while continuing to invest in health systems that fully meet the needs of people throughout their life cycle" 1. The organization plans to introduce learning and monitoring tools to help countries improve health service provision during health emergencies 1.