世界卫生组织发布2020年《世界卫生统计》报告,称全球人口预期寿命和健康预期寿命持续延长1。然而,组织总干事谭德塞指出,"人们生活得更久、更健康,但进展太慢无法达成可持续发展目标,COVID-19将进一步阻滞进展"1。报告显示,2000至2016年间,低收入国家人均预期寿命上升21%(增加11年),而高收入国家仅上升4%(增加3年)1。同期全球儿童死亡率下降了50%1。
尽管取得进展,全球卫生服务获取仍存在严重不平等1。2016年全球71%的死亡源于非传染性疾病,其中85%的1500万例过早死亡发生在低中收入国家1。报告指出,2017年全球仅三分之一至二分之一的人口能获得必要卫生服务1。医疗工作者短缺问题突出,超过40%的国家每万人拥有少于10名医生,超过55%的国家每万人拥有少于40名护士和助产士1。
医疗费用负担加重了贫困群体困境1。2020年估计约10亿人(全球人口的13%)在医疗支出上花费占家庭预算至少10%1。此外,基础卫生设施建设滞后,2017年全球超过55%人口缺乏安全的卫生设施,29%缺乏安全饮用水,40%家庭缺乏基本洗手设施1。
The World Health Organization released its 2020 World Health Statistics report, documenting that while global life expectancy and healthy life expectancy continue to rise, the pace of improvement remains insufficient to meet Sustainable Development Goals, with the COVID-19 pandemic now threatening to further derail this progress.1 WHO Director-General Tedros Adhanom Ghebreyesus stated that "people are living longer and healthier lives, but progress is too slow to achieve the Sustainable Development Goals, and COVID-19 will further slow progress."1
The report revealed significant disparities in health outcomes across income levels. Between 2000 and 2016, average life expectancy in low-income countries increased by 21 percent over 11 years, compared to only 4 percent over 3 years in high-income countries.1 Globally, child mortality rates fell by 50 percent between 2000 and 2018.1 However, in 2016, noncommunicable diseases accounted for 71 percent of global deaths, with 85 percent of the 15 million premature deaths occurring in low and middle-income countries.1
Access to essential health services remains inequitably distributed, with only one-third to one-half of the global population able to obtain necessary care in 2017.1 Healthcare workforce shortages plague many nations, with more than 40 percent of countries having fewer than 10 doctors per 10,000 people, and more than 55 percent having fewer than 40 nurses and midwives per 10,000 people.1 Financial hardship from healthcare costs is widespread, with approximately 1 billion people—13 percent of the global population—spending at least 10 percent of household income on medical expenses as of 2020.1 Infrastructure gaps also persist, as more than 55 percent of the global population lacked access to safe sanitation facilities in 2017, 29 percent lacked safe drinking water, and 40 percent of households lacked basic handwashing facilities.1
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