民间社会对话推进以社区为中心的卫生应急准备
正文 · 中文译文
公民社会对话推进以社区为中心的突发卫生事件防范 2026年,世界卫生组织(WHO)突发卫生事件规划召开了两次全球公民社会组织(CSO)对话,分别聚焦埃博拉防范与应对以及霍乱社区防护。对话汇集了公民社会、政府、联合国机构和技术伙伴,确定了加强社区和公民社会在防范与应对中作用的切实行动。 建设对埃博拉的信任与防范能力 埃博拉邦迪布焦型病毒病防范与应对对话汇集了来自受埃博拉影响和高风险国家的130多个公民社会组织,包括刚果民主共和国、乌干达、肯尼亚和南苏丹。对话由WHO和WHO公民社会组织委员会召集,讨论强调了信任、地方领导力和社区参与的重要性,其与疫苗、诊断和治疗同等重要。 与会者指出了持续存在的挑战,包括防范资金有限、公民社会组织在协调和规划中的参与不足、社区生成信息纳入监测的程度薄弱,以及错误信息和信任缺失。他们呼吁在疫情暴发前对公民社会组织进行摸底并使其参与,在防范和应对结构中给予其代表席位,并支持其加强基于社区的监测和倾听系统。 加强霍乱的社区防护 霍乱社区保护对话汇集了226名参与者,包括来自58个国家的58个民间社会组织和非政府组织的代表,以及10个联合国机构和政府间组织。讨论强调了民间社会在风险沟通与社区参与、监测与早期预警、水、环境卫生和个人卫生(WASH)促进以及建立社区信任方面的贡献。 参与者分享了来自埃塞俄比亚、赞比亚、南苏丹和也门的实际案例,展示了社区行动者如何加强监测、反击错误信息、支持疫苗接种和就医行为,并为前瞻性行动做出贡献。 对话还确定了加强社区保护的优先事项,包括民间社会组织正式参与霍乱治理结构、更好地协调和梳理民间社会能力、为地方组织提供更灵活的资金、加强对受影响社区的问责,以及投资于社区监测和快速响应。 从执行者到战略伙伴 在两次对话中,一个一致的信息浮现出来:民间社会应作为战略伙伴全程参与准备、响应和恢复工作,而不仅仅是在紧急情况发生后作为执行伙伴参与。参与者呼吁加强在决策中的包容性、持续的准备投资、改善协调和融资,以及建立更强有力的社区信任和问责机制。 这些优先事项共同有助于加强以人为本的系统,从而更早发现风险、更有效地应对,并将社区置于突发卫生事件防范和应对的核心位置。
正文 · 英文原文
Civil society dialogues advance community-centred preparedness for health emergencies In 2026, the WHO Health Emergencies Programme convened two global Civil Society Organization (CSO) Dialogues, focused on Ebola readiness and response and cholera community protection. Bringing together civil society, governments, UN agencies and technical partners, the dialogues identified practical actions to strengthen the role of communities and civil society in preparedness and response. Building trust and readiness for Ebola The Ebola Bundibugyo virus disease Readiness and Response Dialogue brought together more than 130 CSOs from Ebola-affected and at-risk countries, including the Democratic Republic of the Congo, Uganda, Kenya and South Sudan. Convened by WHO and the WHO CSO Commission, discussions highlighted the importance of trust, local leadership and community engagement alongside vaccines, diagnostics and treatment. Participants identified persistent challenges, including limited preparedness financing, insufficient CSO involvement in coordination and planning, weak integration of community-generated information into surveillance, and misinformation and mistrust. They called for CSOs to be mapped and engaged before outbreaks, represented in preparedness and response structures, and supported to strengthen community-based surveillance and listening systems. Strengthening community protection for cholera The Cholera Community Protection Dialogue brought together 226 participants, including representatives from 58 CSOs and NGOs across 58 countries and 10 UN and intergovernmental organizations. Discussions highlighted the contribution of civil society to risk communication and community engagement, surveillance and early warning, WASH promotion, and building community trust. Participants shared practical examples from Ethiopia, Zambia, South Sudan and Yemen, demonstrating how community actors can strengthen surveillance, counter misinformation, support vaccination and treatment-seeking, and contribute to anticipatory action. The dialogue also identified priorities for stronger community protection, including formal CSO participation in cholera governance structures, better coordination and mapping of civil society capacities, more flexible funding for local organizations, stronger accountability to affected communities, and investment in community-based surveillance and rapid response. From implementers to strategic partners Across both dialogues, a consistent message emerged: civil society should be engaged as a strategic partner throughout preparedness, response and recovery, rather than primarily as an implementing partner once an emergency occurs. Participants called for stronger inclusion in decision-making, sustained preparedness investment, improved coordination and financing, and stronger mechanisms for community trust and accountability. Together, these priorities can help strengthen people-centred systems that detect risks earlier, respond more effectively and place communities at the centre of health emergency preparedness and response.