Zolinga Zaumoyo Pagulu - Kufikira ku Colorado

Blog
Ubwino
Zomwe Zimakhudza Thanzi Labwino

Zazikhalidwe zamagulu azaumoyo - timamva za iwo nthawi zonse, koma kodi kwenikweni ndi ziti? Mwachidule, ndi zinthu zomwe zatizungulira - kupitilira zizolowezi zabwino - zomwe zimatsimikizira zaumoyo wathu. Ndiwoomwe timabadwira; kumene timagwira ntchito, kukhala, ndi kukalamba, zimakhudza moyo wathu.¹Mwachitsanzo, tikudziwa kuti kusuta kumawonjezera mwayi wanu wokhala ndi khansa yam'mapapo, koma kodi mumadziwa kuti zinthu monga komwe mumakhala, mpweya womwe mumapuma, kuthandizira ena, komanso maphunziro anu zingakhudzenso thanzi lanu?

Anthu Abwino 2030 yatchula magulu asanu otsogola azaumoyo - kapena SDoH - "kuzindikira njira zopangira malo okhala ndi thanzi lomwe limalimbikitsa thanzi labwino kwa onse." Maguluwa ndi 1) oyandikana nawo komanso malo omangidwa, 2) chisamaliro chaumoyo ndi zaumoyo, 3) chikhalidwe ndi madera, 4) maphunziro, ndi 5) kukhazikika kwachuma.¹Iliyonse ya maguluwa imakhudza thanzi lathu lonse.

Tiyeni tigwiritse ntchito COVID-19 monga chitsanzo. Tikudziwa kuti madera ochepa akhudzidwa kwambiri.²Ndipo tikudziwanso kuti maderawa akuvutika kupeza katemera.^3,4,5Ichi ndi chitsanzo cha momwe chilengedwe chathu chimakhudzira thanzi lathu. Anthu ambiri ochepa amakhala m'malo osauka, amakhala ndi ntchito zofunika kapena "zakutsogolo", ndipo amakhala ndi mwayi wochepa wopeza zithandizo ndi chithandizo chazaumoyo. Kusagwirizana kwa SDoH konseku kwathandizira kuchuluka kwa milandu ya COVID-19 ndi kufa pakati pamagulu ochepa ku United States.⁶

Vuto lamadzi ku Flint, Michigan ndichitsanzo china cha momwe SDoH imagwirira ntchito pazabwino zathu zonse. World Health Organisation ikunena kuti SDoH imapangidwa ndikugawana ndalama, mphamvu, ndi zothandizira, ndipo zomwe zikuchitika ku Flint ndichitsanzo chodabwitsa. Mu 2014, gwero la madzi a Flint lidasinthidwa kuchokera ku Lake Huron - lolamulidwa ndi Detroit Water and Sewage department - kupita ku Flint River.

Madzi a mumtsinje wa Flint anali owononga, ndipo sanachitepo kanthu kuti amwe madziwo komanso kupewa mtovu ndi mankhwala ena ovuta kuti asatuluke m'mapaipi ndikupita kumadzi akumwa. Mtovu uli ndi poizoni wodabwitsa, ndipo ukangowamwa, umasungidwa m'mafupa athu, magazi athu, ndi minyewa yathu.⁷Palibe "chitetezo" chotsogola, ndipo kuwonongeka kwake kwa thupi la munthu sikungasinthike. Kwa ana, kuwonetsedwa kwanthawi yayitali kumapangitsa kuchedwa pakukula, kuphunzira, ndi kukula, ndipo kumawononga ubongo ndi dongosolo lamanjenje. Kwa akuluakulu, zimatha kubweretsa matenda amtima ndi impso, kuthamanga kwa magazi, komanso kuchepetsa chonde.⁸

Zidachitika bwanji izi? Pongoyambira, oyang'anira mzindawo amafunikira gwero lotsika mtengo lamadzi chifukwa cha kuchepa kwa bajeti. Flint ndi mzinda wosauka, makamaka wakuda. Pafupifupi 40% yaomwe amakhala amakhala muumphawi.⁹Chifukwa cha momwe zinthu ziliri m'manja mwawo - makamaka kusowa kwa ndalama mumzinda, komanso akuluakulu omwe asankha "kudikira kuti adzaone¹⁰mmalo mokonza vutoli nthawi yomweyo - anthu pafupifupi 140,000 mosadziwa adamwa, kusamba, ndikuphika ndi madzi omwe adalowetsa mtovu kwa chaka chimodzi. Mkhalidwe wadzidzidzi udalengezedwa mu 2016, koma okhala ku Flint azikhala ndi zovuta za poyizoni wazotsogolera moyo wawo wonse. Mwina chodetsa nkhawa kwambiri ndichakuti pafupifupi 25% yaomwe amakhala ku Flint ndi ana.

Mavuto amadzi a Flint ndiwowopsa, koma chitsanzo chofunikira cha momwe SDoH ingakhudzire anthu ndi madera. Nthawi zambiri, SDoH yomwe timakumana nayo imakhala yocheperako, ndipo imatha kuyendetsedwa kudzera pamaphunziro ndi kulengeza. Chifukwa chake, kodi bungwe tingatani kuti tiwongolere SDoH zomwe zimakhudza mamembala athu? Mabungwe a State Medicaid ngati Colorado Access atha kuyesetsa kuyang'anira SDoH ya mamembala. Oyang'anira chisamaliro amatenga gawo lofunikira pophunzitsa mamembala, kuzindikira zosowa zawo, ndikupereka zotumiza zothandizira kuti muchepetse zolepheretsa chisamaliro. Ntchito zathu zopangira zaumoyo komanso kulowererapo zikufunanso kuthana ndi zopinga pakusamalira ndikusintha zotsatira zathanzi. Ndipo, bungweli limalumikizana nthawi zonse ndi anthu ammudzi ndi mabungwe aboma kuti ateteze zosowa za mamembala athu.

Zothandizira