Résumés
Abstract
Managing non-communicable diseases (NCDs) in crisis-affected and fragile humanitarian contexts requires special attention because primary health care systems often collapse or become compromised in such settings. As a result, addressing and managing these diseases become more challenging. Humanitarian organizations that intervene in crisis situations are increasingly including NCD management in the services they support and provide; however, they encounter a range of issues such as ensuring the quality of care, sustainability of programs, and the possibility of unintended harms. This case study explores ethical considerations raised by a mobile NCD program run by an international humanitarian organization in a country affected by a protracted civil war.
Keywords:
- humanitarian emergencies,
- non-communicable diseases,
- continuity of care,
- humanitarian organizations,
- ethics
Résumé
La gestion des maladies non transmissibles (MNT) dans les contextes humanitaires fragiles et touchés par des crises requiert une attention particulière car les systèmes de soins de santé primaires s’effondrent souvent ou sont compromis dans de tels contextes. Par conséquent, le traitement et la gestion de ces maladies deviennent plus difficiles. Les organisations humanitaires qui interviennent dans les situations de crise intègrent de plus en plus la gestion des MNT dans les services qu’elles soutiennent et fournissent ; cependant, elles se heurtent à une série de problèmes tels que la garantie de la qualité des soins, la durabilité des programmes et la possibilité de dommages involontaires. Cette étude de cas explore les considérations éthiques soulevées par un programme mobile de lutte contre les MNT géré par une organisation humanitaire internationale dans un pays touché par une guerre civile prolongée.
Mots-clés :
- urgences humanitaires,
- maladies non transmissibles,
- continuité des soins,
- organisations humanitaires,
- éthique
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Parties annexes
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