{"id":3451,"date":"2008-10-16T09:24:54","date_gmt":"2008-10-16T06:24:54","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3451"},"modified":"2008-10-16T09:24:54","modified_gmt":"2008-10-16T06:24:54","slug":"who-saglik-hizmetlerinde-buyuk-esitsizlik-var","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3451","title":{"rendered":"WHO: Sa\u011fl\u0131k hizmetlerinde b\u00fcy\u00fck e\u015fitsizlik var!"},"content":{"rendered":"<h5>D&uuml;nya Sa\u011fl\u0131k &Ouml;rg&uuml;t&uuml;, 30 y\u0131l &ouml;nce yaz\u0131lan &lsquo;Temel Sa\u011fl\u0131k Hizmetleri&rsquo; raporunu yeniledi, sa\u011fl\u0131k hizmetinde u&ccedil;urumun derinle\u015fti\u011fi ortaya &ccedil;\u0131kt\u0131<\/h5>\n<p>&nbsp;<\/p>\n<p>D&uuml;nyada sa\u011fl\u0131k hizmetleri konusunda &lsquo;b&uuml;y&uuml;k e\u015fitsizlikler&rsquo; ya\u015fan\u0131yor. D&uuml;nya Sa\u011fl\u0131k &Ouml;rg&uuml;t&uuml;&rsquo;n&uuml;n (WHO), 1978&rsquo;de Kazakistan&rsquo;\u0131n Almat\u0131 kentindeki konferans\u0131n 30. y\u0131ld&ouml;n&uuml;m&uuml; dolay\u0131s\u0131yla yay\u0131mlad\u0131\u011f\u0131 raporunda, sa\u011fl\u0131k hizmetleri alma konusunda 30 y\u0131l &ouml;nceye g&ouml;re &ccedil;ok b&uuml;y&uuml;k e\u015fitsizlikler oldu\u011fu a&ccedil;\u0131kland\u0131. &lsquo;Temel Sa\u011fl\u0131k Hizmetleri&rsquo; ba\u015fl\u0131kl\u0131 raporda, zengin ve yoksul &uuml;lkelerde ortalama ya\u015fam s&uuml;resindeki fark\u0131n art\u0131k 40 y\u0131l\u0131 a\u015ft\u0131\u011f\u0131na dikkat &ccedil;eken &ouml;rg&uuml;t, bu y\u0131l do\u011fum yapaca\u011f\u0131 tahmin edilen 136 milyon kad\u0131ndan yakla\u015f\u0131k 58 milyonunun do\u011fum an\u0131 ve sonras\u0131nda t\u0131bbi yard\u0131m alamayaca\u011f\u0131n\u0131, bunun da kad\u0131n ve &ccedil;ocuklar\u0131n hayat\u0131n\u0131n tehlikeye at\u0131ld\u0131\u011f\u0131 anlam\u0131na geldi\u011fini vurguluyor.<\/p>\n<p><strong>Mahalleler bile farkl\u0131<\/strong><br \/>Kamu sa\u011fl\u0131\u011f\u0131 harcamalar\u0131n\u0131n, her y\u0131l ki\u015fi ba\u015f\u0131 20 dolarla 6 bin dolar (28 YTL ile 8 bin 400 YTL) aras\u0131nda de\u011fi\u015fti\u011fi belirtilen raporda, ki\u015fisel sa\u011fl\u0131k harcamalar\u0131n\u0131n her y\u0131l 100 milyon ki\u015fiyi yoksulluk e\u015fi\u011finin alt\u0131na itti\u011fi, sanayi &uuml;lkeleri d\u0131\u015f\u0131nda ya\u015fayan 5 milyar 600 milyon ki\u015fiden yar\u0131s\u0131n\u0131n sa\u011fl\u0131k ihtiya&ccedil;lar\u0131n\u0131 kendi cebinden kar\u015f\u0131lamak zorunda kald\u0131\u011f\u0131 kaydediliyor.<br \/>Raporda, sa\u011fl\u0131k sekt&ouml;r&uuml;n&uuml;n d&uuml;nyan\u0131n de\u011fi\u015fimine verdi\u011fi yan\u0131t\u0131n &lsquo;yetersiz ve tecr&uuml;besizce&rsquo; oldu\u011fu, sorunlar\u0131n &ouml;nceden g&ouml;r&uuml;lemedi\u011fi ve k&uuml;resel &ccedil;areler bulunamad\u0131\u011f\u0131 da belirtiliyor.<br \/>&Uuml;lkeler, hatta ayn\u0131 &uuml;lkedeki \u015fehirler aras\u0131nda sa\u011fl\u0131k hizmetleri konusunda &ccedil;ok b&uuml;y&uuml;k farklar oldu\u011funa i\u015faret edilen raporda, Kenya&rsquo;n\u0131n ba\u015fkenti Nairobi &ouml;rne\u011fi veriliyor. Kentte y&uuml;ksek gelirlilerin ya\u015fad\u0131\u011f\u0131 yerde be\u015f ya\u015f alt\u0131 bebek &ouml;l&uuml;m oran\u0131 binde 15&rsquo;in alt\u0131nda; oysa ayn\u0131 kentteki gecekondu mahallesinde oran binde 254&rsquo;e &ccedil;\u0131k\u0131yor.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>&lsquo;Ticari bir &uuml;r&uuml;n&rsquo; de\u011fil<\/strong><br \/>Raporda, sa\u011fl\u0131k hizmetlerine eri\u015fim konusundaki e\u015fitsizli\u011fin genellikle sa\u011fl\u0131k konusuna &lsquo;ticari bir &uuml;r&uuml;n&rsquo; gibi bak\u0131ld\u0131\u011f\u0131 durumlarda ortaya &ccedil;\u0131kt\u0131\u011f\u0131, bunun sonucundaysa gereksiz testler ve prosed&uuml;rlerin uyguland\u0131\u011f\u0131, daha s\u0131k ve uzun hastanede kal\u0131mlar\u0131n g&ouml;r&uuml;ld&uuml;\u011f&uuml;, daha y&uuml;ksek fiyatlar\u0131n &ccedil;\u0131kar\u0131ld\u0131\u011f\u0131 ve masraflar\u0131 kar\u015f\u0131layamayacak olanlar\u0131n d\u0131\u015fland\u0131\u011f\u0131 vurgulan\u0131yor. <br \/>WHO&rsquo;nun raporunda son olarak h&uuml;k&uuml;metler hedef al\u0131narak uygun kararlar\u0131n &lsquo;kesinlikle&rsquo; al\u0131nmas\u0131 gerekti\u011fi belirtiliyor.<br \/>&Ouml;rg&uuml;t&uuml;n 1978&rsquo;deki konferans\u0131nda sa\u011fl\u0131k hizmetlerini geni\u015f bir tabana yayabilmek i&ccedil;in &ccedil;ocuk sa\u011fl\u0131\u011f\u0131, aile planlamas\u0131, sa\u011fl\u0131k e\u011fitimi, &ccedil;evre sa\u011fl\u0131\u011f\u0131 ve temizlik, beslenme, salg\u0131n hastal\u0131klar\u0131n &ouml;nlenmesiyle ilgili olarak yay\u0131mlanan bildiride toplum hekimli\u011fine a\u011f\u0131rl\u0131k verilmesinin gereklili\u011fi vurgulanm\u0131\u015ft\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>D&uuml;nya Sa\u011fl\u0131k &Ouml;rg&uuml;t&uuml;, 30 y\u0131l &ouml;nce yaz\u0131lan &lsquo;Temel Sa\u011fl\u0131k Hizmetleri&rsquo; raporunu yeniledi, sa\u011fl\u0131k hizmetinde u&ccedil;urumun derinle\u015fti\u011fi ortaya &ccedil;\u0131kt\u0131 &nbsp; D&uuml;nyada&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3451","post","type-post","status-publish","format-standard","hentry","category-ced"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3451"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3451\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3451"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3451"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}