新的WHO-ILO框架，用于追踪在实现全民社会保障（包括结核病患者在内）方面的进展
正文 · 中文译文
世界卫生组织（WHO）和国际劳工组织（ILO）发布了一项新的监测与评估框架，使各国能够追踪在实现覆盖结核病（TB）患者的全民社会保护方面取得的进展。 结核病患者及其家庭往往面临重大的社会和经济后果，包括与获得并完成治疗相关的费用，以及收入和就业的损失。在开展全国性结核病家庭费用调查的国家中，近半数（47%）接受结核病治疗的患者及其家庭经历了灾难性费用。社会保护有助于减轻这些影响、减少经济困难，并改善健康和社会结局。 在2023年联合国大会结核病问题高级别会议上，各会员国承诺到2027年确保100%的结核病患者获得健康和社会福利包。新的WHO–ILO框架提供了一种实用方法，用以衡量实现这一承诺的进展，并识别覆盖和保护方面的缺口。 “这一新框架标志着将全球结核病患者社会保护承诺转化为可衡量行动的重要一步，”世界卫生组织艾滋病、结核病、肝炎和性传播感染司司长Tereza Kasaeva博士表示。“通过使各国能够评估结核病患者是否切实获得健康和社会福利的覆盖，以及这些支持是否及时、充分和全面，该框架将有助于识别差距并指导行动。我们敦促各国和合作伙伴利用该框架加快实现2027年目标的进展。” 该框架提出了一种分阶段监测方法，适用于具有不同社会保护体系、数据可用性和监测能力的国家。它使各国能够在现有健康和社会保护监测系统的基础上，逐步加强对结核病患者是否切实获得覆盖和保护的衡量。该框架补充了2024年世卫组织–国际劳工组织关于结核病患者社会保护的指南，提供了一种实用的方法来监测进展并识别有效覆盖方面的差距。 “全民社会保护对于确保结核病患者及其家庭免受疾病带来的社会和经济后果至关重要，”国际劳工组织劳动与社会保护部门主任沙赫拉·拉扎维表示。“该框架将帮助各国在现有社会保护体系基础上进行建设，并加强与卫生部门的联系，确保结核病患者被有效纳入其中。这对于将全球承诺转化为对结核病患者及其家庭有意义且可持续的保护至关重要。” 通过整合卫生与社会保护视角，该框架旨在加强跨部门合作，支持各国识别差距、改进项目，并加快实现覆盖结核病患者的全民社会保护的进程，同时通过世界卫生组织的终结结核病多部门问责框架（MAF-TB）促进多部门监测与问责。
正文 · 英文原文
The World Health Organization (WHO) and the International Labour Organization (ILO) have published a new monitoring and evaluation framework to enable countries to track progress towards universal social protection inclusive of people with tuberculosis (TB). People with TB and their households often face substantial social and economic consequences, including costs associated with accessing and completing care, and loss of income and employment. Across countries that have conducted national TB household cost surveys, nearly half (47%) of people treated for TB and their households experience catastrophic costs. Social protection can help mitigate these impacts, reduce financial hardship and improve health and social outcomes. At the 2023 United Nations General Assembly High-Level Meeting on TB, Member States committed to ensuring that 100% of people with TB have access to a health and social benefits package by 2027. The new WHO–ILO framework provides a practical approach to measuring progress towards this commitment and identifying gaps in coverage and protection. “This new framework marks an important step in translating the global commitment on social protection for people with TB into measurable action,” said Dr Tereza Kasaeva, Director of WHO’s Department for HIV, Tuberculosis, Hepatitis and Sexually Transmitted Infections. “By enabling countries to assess whether people with TB are effectively reached by health and social benefits, and whether this support is timely, adequate and comprehensive, the framework will help identify gaps and guide action. We urge countries and partners to use it to accelerate progress towards the 2027 target.” The framework proposes a phased approach to monitoring that can be applied across countries with different social protection systems, data availability and monitoring capacities. It enables countries to build on existing health and social protection monitoring systems while progressively strengthening measurement of whether people with TB are effectively reached and protected. The framework complements the 2024 WHO–ILO Guidance on social protection for people affected by tuberculosis by providing a practical approach to monitoring progress and identifying gaps in effective coverage. “Universal social protection is critical to ensuring that people with TB and their families are protected from the social and economic consequences of illness,” said Shahra Razavi, Director of the Labour and Social Protection Department at the International Labour Organization. “This framework will help countries build on existing social protection systems and strengthen links with the health sector so that people with TB are effectively included. This is essential to translating global commitments into meaningful and sustainable protection for people with TB and their families.” By bringing together health and social protection perspectives, the framework aims to strengthen collaboration across sectors and support countries to identify gaps, improve programmes and accelerate progress towards universal social protection inclusive of people with TB, and contribute to multisectoral monitoring and accountability through WHO’s Multisectoral Accountability Framework to end TB (MAF-TB).