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This has contributed to the improvements in life expectancy.
Aka sarantawix suma jaqinakan jakawipatak salud tuqin yanapt’atarakiwa.
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In 2015, the Director-General of WHO contributed to a publication (Facing the facts: the truth about ageing and development) by the NGO Help Age International, along with Mary Robinson (one of The Elders) and other leaders and experts.
2015 märanxa, OMS ukan p’iqicht’iripax khanañchataynaw mä yatiwawimpi “aka chumani tukuñampi ukat saratañampxata) ONG anqa yanapimpi , Mari Robinson sat warmimpiw yaqha suma p’iqicht’irinakampiwa yanapt’asipki.
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At the time of the report’s launch, the Director-General said: “The health needs of the world’s population are being transformed by global ageing yet governments, development and health practitioners have been slow to react.
Uka awisañ pachaxa, taqpach p’iqichiripax sataynawa” Aka q’umara suma jakaña munataskiwa taqpach markanakanxa chuymaniña puriñatakixa tukutaskiwa uraqpachana, ja ukasti markanakan p’iqichirinakapampi qullir jaqinakapampix wali k’achhata irnaqasipxi janiw ratuki inxt’akiti.
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The increase in the number of older people is one of the success stories of international development and how we respond to this reality will be one of the keys to prosperity in the future.” WHO produced a landmark document in 2015, the World Report on Ageing and Health.
Chuymani irxatatapaxa anqa markankirinakan jakirinakax sarawipanakan suma sartañapa ukawa akat qhiparux suma srantayaskani” .OMS ukax lurarakitaynawa mä saraw qillqa 2015 ,uka maranwa aka chuymaninakat yatiyaw suma jakasiñampi akat khiparu yatiyawipxatayna.
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The report set out a vision for healthy ageing, defined as: “the process of developing and maintaining the functional ability that enables well-being in older age”.
Yatintax mä suma uñtäwi taqpach chuymaninakatakix suma q’umara jakaña kunjamtim: “Chuymaninakana suma qamañapa ,suma q’umar jakañapa”.
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The World Report on Ageing and Health expressed key priorities: • aligning health systems with the needs of the older populations they now serve • developing systems for providing long-term care • creating age-friendly environments • improving measurement, monitoring and understanding.
Uraqpachan yatiyawipax aka chuymani tukuñaxa, q’ulirinakax sawayarakitaynawa: Chuymani jaqinakaxa suma uywatañapawa, suma qamasiñapawa, jupanakan laykupaya jichhakamasa suma waynanakaxa jakaski ukataq maranakäw irnaqawayäpxi, ukatpi suma utanakana jakasipxañapaxa.
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These priorities were picked up again in another important action when the World Health Assembly in 2016 was asked to adopt The Global Strategy and Action Plan on Ageing and Health.
Ata amuyunakax wastat sartayataskiwa, Uraqpach p’iqinchir jaqinakax tantachasipxixa ukhaw ukhamanak amtasipki 2016 maranwa aka suma q’umara ,suma jakasiña aka chuymani jaqinakatakix amtapxi.
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This aimed to gain Member States’ commitment and political leadership to take practical steps and engage multi-sector partners to implement the goal and priorities of the earlier World Report.
Aka amtanakax wali katxarutaskiwa politikunakan p’iqinchataskiwa, suma amuyun luratanakampiw, suma saphantayasipki aka näyra yatiyawinakampi.
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The World Report and the Global Strategy and Action Plan set an ambitious but exciting agenda to create a decade of healthy ageing in which the growth in life expectancy is treated as an opportunity and not a threat: “If people are experiencing these extra years in good health and live in a supportive environment, their ability to do the things they value will have few limits.” Since its foundation in the second half of the 20th century, through to the turn of the Millennium, WHO’s commitment to health services was based on a development approach that aligned with donor governments’ and foundations’ drive to strengthen health systems.
Uraqpacha yatiyawixa ukat aka suma sarantayir amtanakasa, plan de accion sat sartasa, uraqpachan mä ajinda lurapxataynatunaka maratak suma awkisnakan suma jakañapataki” Jaqinakatim yant’apxani maranakanxa q’umara suma qamañampixa, jupanakatakixa janiw jan walt’awinakaxa utjkaspati”.Payïrpachat sartawipaxa chika 20 patak marpachat uka mayjaptaski, OMS ukankirinakax aka q’ullanak ma uñtarukiw lurapxaraki suma qulla utjañapataku ch’amanchañataki ukhamat taqi uka k’umar jakañar kuwirnus ukhamarak yaqha mayacht’atanakas yanapt’apxañanakapataki.
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There was also particular emphasis on primary care, notably with the touchstone Alma Ata Declaration of 1978, that saw the advancement of primary care as the most important route to achieving the goals of Health for All.
Lurasirakitaynawa, qilllqt’asirakitaynawa aka Declaracion Alma Ata sat khaya 1978 uka marana, wali näyra qalltirinakataynawa aka sum k’umara qullañakampi suma qullt’asiñataki, uka amtanakarjam K’umar Jakañax Taqinitakiñapawa.
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The goal of strengthening health systems is still an important one, but has not always been clear and specific enough to guide action and investment.
Aka uñtanakax wali amtataskarakipuniwa jan ukasti janipï ukhamäkapunitaynatixa pisinkirikitaynawa akanaka amtañatakixa.
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This is often misunderstood, because noncommunicable disease is also causing more illness and death than it was a decade ago.
Ukhamarusa, jan walirurakiw mayxt’ayasi kunatix aka usu jisktan jan maynir apkatkir juk’ampikiw aka ñanqha jiwaykir usux nayra maranakats sipanx uñstataskarakiwa.
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Some speak of it in more critical terms as a development “mantra” that has led to untargeted donor aid with few demonstrable gains.
Yaqhipax aruskipapxiwa ukanakxata “mantra” sartirinaka yanapt’rinaka juk’a apthapinakampiwa uñicht’ayasipki.
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Whilst this is unfair, there is no doubt that the introduction of the more focused, citizen-oriented, and rights-based goal of Universal Health Coverage (defined as “people having access to the health care they need without suffering financial hardship”) has elevated concern about the inadequacy of health systems to a much higher level of prominence.
Akatim jan walt’aykaspa, janiw pachjasiñax utxaspati kunakiw aka sarantawinakx markanchiritakiwa taqpacha jaqinakaru puriñapawa ala qullayasiña utjañapatakixa( ukat ukax sañapawa “ jaqi suma qullanakampi qullt’ata jani uksaru aksaru qarita qulla thaqaña, alañasa ukhamaraki”) aka llakinakax jilxataskiwa jani ukhamakipanxa.
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Universal health coverage as an overarching goal Speaking at the Ministerial meeting on Universal Health Coverage in Singapore in February 2015, WHO Director-General Dr Margaret Chan said: “Universal health coverage is one of the most powerful social equalizers among all policy options.
Taqpachanakaru q’ullanakan puriñapax ma jach’a amtawa 2015 jallu pach phaxsinxa, P’inqinchir OMS Mrgater Chn sar qullirix ,sataynawa” aka qullasiña, q’umara sartañatakixa wali ch’amaniwa ala politica taypit sipansa.Chikat chikat suma jakayañasatakiwa.
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It is the ultimate expression of fairness.
Aka amtanakax taqininsa kikipa suma jakañasatakiwa.
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If public health has something that can help our troubled, out-of-balance world, it is this: growing evidence that well-functioning and inclusive health systems contribute to social cohesion, equity, and stability”.
Aka amtanakax taqininsa kikipa suma jakañasatakiwa. Taqinir suma qullanakampiw qullata qullan utanakanxa, taqinin sarapxañatakija wali suma jakayastaspa kikipaki taqinisa jan qullqi pist’asawa sarnaqasna”.
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Particularly over the last five years, WHO has worked with other global bodies, heads of state, and health ministers to put the achievement of Universal Health Coverage high on everyone’s agenda.
Aka phisqa märanakanxa, OMS ukankirinakaxa walpunrak irnaqt’asipkatayna yakha anqa sartayir jaqinakampixa aka jan qullanaka pajañataki inakiñapataki, ajintanakaru uskusipxatayna.
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The United Nations General Assembly has called upon Member States to “urgently and significantly scale-up efforts to accelerate the transition towards universal access to affordable and quality healthcare services.” The World Bank has set out three key aims of Universal Health Coverage: • To achieve better health and development outcomes • To help prevent people from falling into poverty due to illness • To give people the opportunity to lead healthier, more productive lives.
Asamblea General de las Naciones Unidas sat tantachawinxa mayitaynawa aka Jacha markanakaruxa” inaki q’ullayasiña yapxatañapataki wali suma q’ullayasiñataki”.Wanku q¡ullqi jilayir utanakaxa kisma uñtanipxiwa taqinisa inaki qullt’ata, suma qullqi utjañapa, jani jaqinakana puwriptañapataki kunatima usuntañaru purt’ataki ukhaxa, jaqinakaru qullqi mayt’aña mä kuna q’ullqi jilxatasasiñapataki suma jakañapataki, q’umaraki jakasiñapataki.
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The inclusion of a target in the Sustainable Development Goals (SDGs) framework is of vital importance.
ODS uka yapxatir uñtax suma satañatakiwa wali impurtantiwa.
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SDG 3, target 8 is: “To achieve universal health coverage, including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all.” WHO’s leadership has also engaged other key constituencies and stakeholders, importantly civil society.
Objetivos de Desarrollo Sostenible (OSD) 3, uka 8 amtanxa siwa: “uñtapaxa uraqpachar inaki q¡ullasiña ukaw uñtapaxa, ukamaraki aka qullqi mayt’asiñasa jasakirakispa jaqinakana sartayasiñapataki kuna irnaqanakasa.” OMS ukax irpxaruskiwa ukhamarak yaqhanakarus mayachthapiskiwa, juk’ampis marakachirinakaru.
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For example, after widespread consultation with its members, the International Association of Patient Organisations (IAPO) has developed a set of principles governing universal access to health coverage based on: • Accessibility • Patient-centredness and equity • Choice and empowerment • Quality • Partnership and collaboration • Sustainability and value • Accountability and transparency.
Ukat uka walja jiskt’awinakatxa ala Asociacion Internacional de Organizacion de Paciente (IAPO) lurapxataynaw qutunaka aka ina qullayasiña uka tuqita aka q’ullayasirinakaru suma kipkata uñjata ukrak musasiski inaki qullayasiña, yanapt’ampì kunas khanampi apnaqata.
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These statements are not contradictory: at any given age, the mortality associated with noncommunicable disease is decreasing, hence the positive contribution to life expectancy.
Aka usunakat qhanstawinakax qhañacht’ataskarakiwa, kunayman maraninakar niya usuntatanakat apaqt’ataskarakiwa, ay ukatpï jaqinakan suma qamawip jan usuntas qullirinakat ch’amancht’atawa.
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Achieving universal health coverage has multiple dimensions.
Aka uñtawinakax walxa amtanakaniwa taqi chiqat jutatawa.
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WHO has done strong work on many fronts – most notably in the areas of financing, governance and alignment.
OMS ukankirinakaxa lurapxataynawa kunayman irnaqiwinaka uksaru aksaruwa chiqaki arkasipkaraki.
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It is clear from the discussions on Universal Health Coverage that the offer of health services to populations around the world should not just be of any health services, but those based on strong foundations of safety and good quality.
Chiqsasasa khanañchasiskarakiwa aka qullayasiñ utanakxata aka arsuwinakat luratapanakaxa amtapanakaxa wali suma jaqinakaru usupanakata qullaña, jani kunas qullqis mayitakaspati suma qullanakampi qullt’ata, jani llakt’asisa sarnaqañataki usuntaxa ukhaxa.
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This is an area in which WHO has done much ground-breaking work over the last decade.
Akax mä amta khiqawa OMS uksat wali sartataskarakiwa walrak llakisisipkaraki ukhamanak uñtatarjam lurasina aka tunka khipa maranakanxa.
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WHO’s focus on the quality of health services started with a comprehensive global programme in patient safety, spearheaded by two global patient safety challenges.
OMS ukan uñtawipaxa qalltataynawa Uraqpacha qullt’atañapataki ,usuntatanakaru qullaña jani qullañjama uka usunakatak qulla jikiña ,suma qamasiñanapataki.
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The first Global Patient Safety Challenge was aimed at engaging the world to reduce the level of healthcare infection.
Näyraqat amuyux uraqpachatxa usutanakatakiwa q’ullirinaka suma qullapxañapataki usutanakan jan chijiyasiñapataki.
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The aim of the Challenge was highly visible and easily understood by politicians, health professionals and civil society.
Jasaki pulitikanakana suma yatita, qullirisa jaqi jakirinakasa.
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It was relevant to all countries: rich, poor, and emerging economies.
Wali jilstatapuniw aka qamir markanakansa, pisinkiri markanakansa, qullqi jilxatatapsa.
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Everyone had a vested interest in its success because anyone could need treatment in a health facility and could therefore become the victim of harm by acquiring an infection.
Taqpach ukaqiw sapa jaqin munatapawa kunatim kawkirisa munapunispawa suma qullayasiña,ukhamarakiwa,tukurakispawa aka mayja iñawit usumpiw usuntaspa.
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In driving forward Clean Care is Safer Care, a wide range of supporting activities and campaigns was implemented.
Aka qullir utanakan suma qullatapaxa wali sijururakiwa, kunayman lurawinakmpiw aka qullanakampi ukt’asipxaraki.
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But this is outweighed by the increasing numbers of people in the higher age bands, creating a greater overall burden in the population.
Ukalakutaw jaqinakan jakawip markanakan mirantaskakipuniwa.
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The idea of this Challenge generated huge interest and enthusiasm across all six WHO regions.
Aka amuyux wali ch’amampiwa suma luratampiwa suxta OMS .
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As ministers signed pledges of commitment to the Challenge in country and regional launches and events, from a small start, the commitments grew to cover more than 85% of the world’s population.
Ministrunaka qatuqatapanakax wali markanakaruwa puriskaraki 85% ukhankir markanchirinakaruwa purisntaski aka suma qullt’ayasiña ukaxa.
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The WHO hand hygiene global campaign (SAVE LIVES: Clean Your Hands), launched in 2009, has been particularly successful.
Suma q’uma apnaqasiñaxa OMS uka amparan katuqatawa((SAVE LIVES: Clean Your Hands), sasax 2009 uka maranwa wali suma qhanstatayna.
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Before the Challenge, alcohol-based hand rubs (hand sanitizers) were not commonplace in hospitals around the world.
Näyraqat aka chamancht’ata amuyuxa, ampar suma qullarasiña OMS uksankirinakax jaru umampiwa (amparanaka qaqurasipxi) janiw akhama qullañ utanakanxa qullarasipkirikataynati.
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The core message was that the lack of consistent, immediate, access to a sink equipped with soap and single-use towels (high-income countries) and/ or the unavailability of clean water (many low-income countries) put patients at risk.
Aka suma sumachasiña ,jariqasiña juqup umampi jaru umampi jawirasiñasa( anqa qamir markanaki ukhama yatitânxa) jani uman utjatapaw ( walja markanakan puwri markanakanxa jaqinakaru jan walt’aykaspati.
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The evidence of higher efficacy, effectiveness, and skin tolerability of alcohol-based hand rubs made them the method of choice to assure hand hygiene.
Aka uskutanakaxa janirakipi usuntayaskarakitixa, amparanaka suma qumaki apnaqaña jaru umampi jawirasiñasa amparanaka sumachasiñatakirakiwa.
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WHO made alcohol-based hand rubs more affordable to the poorest hospitals of the world by ensuring that the University Hospital of Geneva formulation became available with no patent restriction for local manufacture.
OMS ukankirinakaxa jaru umatpi uka ampar sumachasiñanakxa lurt’asipkarakitayna. Wali iraqtataruw aljt’asipkarakpacha jan ukasti Qullaña utanakaru uskt’asipkarakpacha aka luratanakxa.
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Overall, the first Challenge represented a proven change model that mobilised the world around infection prevention through: a) raising awareness about the burden of the problem to engage stakeholders; b) an approach to engage nations through demonstrable commitment; and, c) the availability of evidence-based guidance and implementation tools to drive improvement.
Taqpachansa, mäyir yant’awix yaqha uñicht’awit uraqpachatwa wali inxtasiwayarakitayna aka usu jani mirtañapataki a) jaqinakar suma uñicht’ayaña, yatiyaña taqi kunatsa. b) mä suma uñtäwi taqpacha markanakaru uñañchañataki ukatxa, c) Yant’at qullanakampiwa suma sarantataski aka uskutanakampixa.
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A second Global Patient Safety Challenge recognised the relatively high burden of disease arising from unsafe surgical care.
Päyir aka urakin yant’awipax usut jaqinakan sumaptayañatakiw uñt’ayasitayna aka quirurjica uka sat qullasirit sartatayna.
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Safe Surgery Saves Lives created a surgical checklist that was piloted, evaluated and promoted for use globally.
Safe Surgery Saves Lives ukax mä siqi luratayna aka Quirurgica sat uñakipaña yant’añatakiw uskusitayna ukax taqi urakitakiw sarantayataskatayna.
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Public health workers have been targeted and killed when carrying out their humanitarian work.
Kunapachatix Irnaqir qullirinakax markachirinakar yanapt’apxkäna uka pachax jaqinkax chaxwapxanwa ukhamas jiwayapxarakinwa.
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Noncommunicable disease is also becoming more important in relative terms; the gains made against it have been less impressive than those made against communicable disease.
Jan apkatir usunakax niyarakir qullirinakat apnaqataxi, ukhamarust janirakiw apkatir usunakat kikip jisksnati. ukhamas suma jaqinakan jaqawipatak yanapt’ataskarakiwa.
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Early studies of its use showed that the checklist reduced morbidity and mortality associated with surgery.
Nayra yatxatäwinakax kunjamtix jaqix usunakat jiwki ukhamarak kunaymanat jiwki ukanakxat uñacht’ayi.
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Major professional bodies across the world endorsed it.
Taqpach uraqpachat yatxatatanakaw yanapt’apxatayna.
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It is in widespread use in hospitals in many countries and, increasingly, it is seen as essential if the key risks of surgery are to be avoided.
Ukax walja markanakan qullañ utanakanx uñt’atawa ukat jiltaskakiwa, wakiskirjam uñjatawa ukhamatix ukat ukham janiw kharinuqus qullañataxaspati.
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The checklist concept was developed further with the creation of the WHO Safe Childbirth Checklist, which focuses on reducing risk and adverse outcomes related to childbirth for both mothers and babies.
Uka lista arunakax k’achat k’achat uñartaniwayi, juk’ampis uka Safe Childbirth Checklist ay ukampi, jupanakax juk’ampis kunjamats ususir mamanakax jichha yurit wawanakas qhispipxaspan uk uñjapxi.
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The Checklist supports the delivery of essential maternal and perinatal care practices and addresses the major causes of maternal death, intra-partum related stillbirths, and neonatal deaths.
Uka listax juk’amp taykanakan ukhamarak jichha yurit wawanakan wakiskirinak uñji ukatx kunatpuns taykanakax jiwapxi, uka ususkis ukapachanaka, ukhamarak yurxatat jiwapki ukanak uñjapxi.
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The Safe Childbirth Checklist Collaboration has already made significant strides to improving maternal and neonatal health.
Safe Childbirth Checklist Collaboration uksankirinakax wali askinjam taykanakar ukhamarak jichha yurit wawanakar jaksuyanipxi.
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It is hoped that the Checklist can become an effective life-saving tool that can be used in a wide-range of settings.
Uka listax akat qhiparux juk’amp taykanak wawanak uñjañatakispan ukaw suyataski, ukhamat kunaymanatak apnaqañataki.
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These programmes – the two Global Challenges, the research and knowledge management programme, and the Patients for Patient Safety initiative – have all had a global reach.
Aka wakichäwinakax - Pä Uraqpachan Jan Uñjkayanaka, yatxatäwinaka ukhamarak yatiñ uñjañanak wakichäwi, ukatx Qullayasirix Qullayasir Uñjañataki wakichäwi - uraqpachan uñt’atawa.
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The WHO Patient Safety Programme has raised awareness across the world of the key concepts and strategies in patient safety.
WHO Patient Safety Programme ukax uraqpachan uka arunakxat ukhamarak kunjams jark’aqasiña ukxatx p’arxtayapxatayna.
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It has inspired passion for the universal cause of making health care safer.
Ukax uraqpachan kunjams qullañutqitx uñjasipxsna ukxatwa p’arxtayawayatayna.
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The United Nations Millennium Development Goal era has ended.
“United Nations“ jakawit sarawinakapax tukt’atajarakiwa.
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It has secured commitment at the highest level amongst health ministers and health leaders in Member States of the World Health Organization.
Akax kunjams sum uñjasipxsna ukatuqit tamacht’atawa, ukhamarak janiw aliqakikiti jan ukasti qullaña ministrus ukanrakiwa ukat wali yatxatanakax Uraqpachan Qullañtuqit Uñjirinaka.
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It has provided standards, evidence-based guidance and practical tools to support those involved in the design of patient safety programmes within nations’ health care systems.
Ukax sumpach utjnuqayaniwayi, juk’ampis yant’atanakarjam ukhamarak uñjatanakarjamaw juk’ampis taqi uka kunjams qullayasirinakarux uñjaña ukx markar ukhamarak qullañ sistimanakar yanapt’aniwayi.
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It has championed the use of the stories of patients and families who have been the victims of unsafe care.
Ukatx walpun kunjam jan wali uñjatas uka qullayasirinakax ukhamarak jan sum uñjatanakaxa, ukanakx uñakipanipxatayna.
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All of these approaches are fundamentally important in the drive to strengthen all elements of quality health service delivery - with safety being central to this, but not the whole story.
Taqi uka amuyunakax wali ancha wakiskirinakaw uka kunjams uka qullañtuqinx ch’amañchataspan uksan yanapañatakixa - qullayasiñax wali wakiskiripunispan ukat jan aliq parlakispati.
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To further shape the nature of Universal Health Coverage, and how it is delivered, WHO developed a Framework on Integrated, People-Centred Health Services.
Uraqpachan Qullañtuqit Uñjaña ukar ch’amachañatakixa, ukatakix Organización Mundial de la Salud ukax sapa jaqir kunjam yanapt’ataspas uk jikxatanipxatayna.
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This sought to promote a fundamental shift in the funding, management and delivery of health services.
Akax juk’ampis kunjamats qullqix jikxatataspa uk k’amphikipañ taqhatanawa ukat uka qullañtuqit yanapt’añataki.
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It also aimed to provide a blueprint to address two common adverse features of many healthcare systems: that they are poorly coordinated and fragmented.
Ukhamat akax pä wakiskir amtanakaninawa ukhamat uka qullañtuqin sartayañataki: ukanakax juk’a aruskipatakinawa ukhamarak t’aqanuqutatanawa.
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The framework eschews purely disease-based models of care, instead advocating putting people and communities at the centre of health systems.
Uka tununakax janiw uka usunak uñjañakikiti, jan ukasti kunjamats uka jaqinakas markachirinakas juk’ampix aka k’umar jakäw taypinx chiqpachapun uñjatapxaspa, ukawa.
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Development of the Framework drew on evidence demonstrating that health systems designed around people’s and communities’ needs are more effective, cost less, improve health literacy and patient engagement, and are more resilient to health crises.
Ukham uka chhijllatanakarjam sartäwix uka k’umar jakañ sistiman uñacht’ayasiski, juk’ampis uka jaqinakas ukhamarak uka ayllunakan wakisirinakaparjam taaqikunas wakt’ayatañapawa, chanis iraqata, uka qullasiñtuqit yatiyaña, qullayasirir chikañchaña, ukhamat uka jan walt’awinakar saykatañataki.
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Giving a clear priority to Universal Health Coverage has also meant that there is an imperative to measure and monitor progress, as well as to stimulate interest in the academic world to consider the effectiveness of new models of care and to evaluate progress.
Uka juk’ampis Uraqpachan K’umar Jakañar laqañchasaxa ukax juk’amp jak’at uñakipañ uñjañanakaw utjañapa, kunjamtix uka yatxatirinakax uraqpachan uka sum uñjañat amuyapki ay ukanakarjama.
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The Sustainable Development Goals are what matters now.
Jichha nayrar thakinchawinakax yäqatajarakiwa.
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The opportunity to prevent a vast swathe of human disease over a lifetime is the greatest development in the history of public health.
Ukham uka kunayman usunakat jark’aqasiñax aka jakäwinxa wali jach’a chillqtäwinakawa, juk’ampis uka kuwirnun qullañ utanakanxa.
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Lifelong protection, by immunization in childhood, is too often taken for granted.
Ukhamarak wiñayatak jark’aqasiñax uka wawanakar jan usuntir tukuyañax utjxiwa.
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The aim of the Global Vaccine Action Plan, launched by the World Health Assembly in 2012, was to create: “A world in which all individuals and communities enjoy lives free from vaccine-preventable disease”.
Uka Uraqpachan Wakunañ amtax khaya Markanakan Qullasiñtuqit Tantachäwinwa 2012 maran utt’ayapxatayna: “Aka uraqpachan kawkintix jaqinakas markanakas jakäw jikxatapkaspan uka wakunaktuqi”.
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Vaccines were already saving 2.5 million lives – mainly of children – every year.
Wakunanakax niy 2.5 millun jaqinak qhispiyxatayna - juk’ampis wawanaka - sapa mara.
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Yet, 1.5 million were dying from diseases that vaccination can prevent.
Maysatxa, 1.5 millunanakaw uka usunakatx jiwapxatayna, ukhamarus uka wakunanakax qhispiyasapanawa.
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The action plan sounded a clarion call: “Overwhelming evidence demonstrates the benefits of immunization as one of the most successful and cost-effective health interventions known.
Uka wakichäwix mä jawsawitaynawa: “Wali jach’a muspkay uñacht’awipunitaynawa kunjamtix uka qullanakax jan usuntaykaspati ukhamarak janirakiw walja chaninikataynati.
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Over the past several decades, immunization has achieved many things, including the eradication of smallpox, an accomplishment that has been called one of humanity’s greatest triumphs.
Aka pasir tunka maranakanx, inmunisasyinax walja kunanakpun phuqhatayna, uka sarampion usurux chhaqtayataynawa, ukax jaqin luratapamp atipjawitaynawa.
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Vaccines have saved countless lives, lowered the global incidence of polio by 99 percent and reduced illness, disability and death.” The World Health Organization had launched its Expanded Programme on Immunization (EPI) in 1974.
Wakunanakax jan jakt’kayanak qhipspiyatayna, walpun uka pulyu usx juk’aqtayatayna 99 sapa patakatx ukatx usunak juk’ampst’ayatayna, discapacidad ukhamarak jiwarayatayna. “Uka Uraqpachan K’umar Jakañatak Mayacht’äwix khaya Expanded Programme on Immunization (EPI) uka 1974 maran uñt’ayasitayna.
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At that time, great progress was being made towards eradicating smallpox – the first time (and, so far, the only time) that a human pathogen was wiped from the planet.
Ukapachanxa, wali jach’a chillqtäwinakapuniw uka sarampion usu chhaqtayañatakix utjatayna - qalltanxa (ukapachakipuniwa) uka jaqi usunakax uraqpachat chhaqtayatataynawa.
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This momentous feat demonstrated the immense power of vaccines, and created enthusiasm to spread the benefit more widely.
Ukham luräwinakax kuntix wakunanakax qullqaspan uk uñacht’ayasitayna ukatx juk’amp uka qullanakax ch’iqintarakitayna.
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Good Health and Wellbeing is the third Sustainable Development Goal.
“Health” ukhamas suma jakawix kimsir thakinchat wakiskir sarantawinakaniwa.
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When the Expanded Programme on Immunization was launched, just one in 20 of the world’s children received the basic set of vaccines: protection against polio, diphtheria, tuberculosis, pertussis, measles, and tetanus.
Kunawsatix uka Expanded Programme on Immunization ukax uñt’ayasitaynaxa, sapa 20 wawatxa maynikiw uka wakunx katuqatayna: pulyu usutaki, difteria usutaki, uju usutaki, pirtusis usutaki, piya piy usutaki, titanus usutakixa.
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By 2010, that earlier paltry figure of 5% coverage had grown to 85%.
Uka 2010 maratakix uka wali juk’akikan 5% ukax 85% ukharuw sapa patakatx jiltawayatayna.
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In the first decade of the new Millennium, a new focus and determination came into play.
Aka machaq waranqh pachanxa, yaqha usunakat qullañanakaw uñstaniwayarakitayna.
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Gavi, the vaccine alliance, was founded in 2000.
Gavi, wakunanakat mayacht’atax, 2000 utt’ayatataynawa.
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WHO then led the creation of the first Global Immunization Vision and Strategy, intended to cover the period 2006 to 2015.
KHITITIX uka Global Immunization Vision and Strategy uk uñstayañ amuyt’ankatayn uka, ukhamat 2006 - 2015 maranakan qullañataki.
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This established a global framework for regions and countries.
Akax uraq amuypach suyunakan ukhamarak markanakan uñstayatayna.
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But more was needed.
Ukampirus juk’ampiw munasïna.
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In January 2010, at the World Economic Forum in Davos, Bill Gates, Co-Chair of the Bill and Melinda Gates Foundation, announced that: “We must make this the decade of vaccines.
2010 chinuqa phaxsinxa, World Economic Forum khaysa Davostuqinxa, Bill Gates, Bill ukat Melinda Gates Foundation uksan p’iqiñchirix sataynawa: “Aka tunka marax wakunanakan marapaniwa.
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Vaccines already save and improve millions of lives in developing countries.
Wakunananakax uka pisin jakasir markanakanx waranqh waranqh jaqinakpun qhispiyanitaynawa.
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Innovation will make it possible to save more children than ever before”.
Uka jichhakipstanakax walja walja wawanakpun nayrapacchat sipanx qhispiyani”.
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Its 13 targets demand progress on maternal, childhood and communicable disease, as well as to: reduce premature mortality from non-communicable diseases by one third; halve the number of global deaths and injuries from road traffic accidents; reduce the number of deaths and illnesses from hazardous chemicals, as well as air, water and soil pollution and contamination; achieve universal health coverage; promote mental health and well-being; strengthen the prevention and treatment of substance abuse; and achieve universal access to sexual and reproductive healthcare services.
Uka 13 thakinchanakapanx kunayman mama warmi usunakat, wawanakan usunakata, ukhamas apkatir usunakat atiprantañ munasiraki, ukhamarurakiw jank’ak usump jiwirinakat apaqt’aña, chiji layku jan ukast usuchjat jiwatanak apaqt’aña, hazardous chemicals, apnaqatäta, jan wali ch’ijlli samanan usunakamp makhatayata, umansa pampansa apaqt’ayaña; ukhamaraki taqi markachirinakar aka yatiyawinakat yatintayäña, “mental health” suma jakawita yatintayäña, jan wali juk’amp usunakat apnaqawinakat yanapt’aña, ukjarust sexual and reproductive healthcare uksa tuqit sarant jikxataña.
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The coalescence of action necessary to deliver this transformation started to happen.
Uñt’ayasiñax ukham luräwimpix ukham mäkiptañapatakix ukhamäñ qalltatayna.
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In 2011, the World Health Assembly discussed and agreed on its strategic direction.
2011 maranxa, World Health Assembly ukham amuyump lurañx aruskipapxatayna ukhamarak iyapsapxataynawa.
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A substantial but rapid consultation received input from more than 1000 people in 140 countries.
Wali wakiskir ukhamarak jank’ak yatiyäwix 1000 jaqinakaruw jiskt’apxatayna 140 markanakana.
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And so, in 2012, the Global Vaccine Action Plan was launched.
Ukhamatxa, 2012 maranxa, Uraqpachan Wakuñan Lurañ Qalltañax qallantataynawa.
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The Global Vaccine Action Plan set out a number of key challenges: • Achieving global polio eradication – the last ever case of wild polio to occur no later than 2014 • Regional tetanus, measles and rubella elimination – there were no new targets, but reiteration of those already endorsed by the regional and global bodies • Improving vaccine coverage – goals at national level and the aim of enhancing the equity of coverage within countries • Introducing new vaccines – targets to expand use of existing vaccines to countries where they were not used • Research and development – making at least one new disease vaccine-preventable.
Uraqpachan Wakuñan Lurañ Qalltañax mä qawqha wakiskir amtanak utt’ayapxatayna: uraqpachan polio chhaqtayaña - qhip qhipa polio usux khaya 2014 uñtanitayna . Tetanus suyu usu, sarampyun usu, ruwyul usunak chhaqtayañataki - janiw yaqha usunakax utjkxanati, ukampirus taqi usunanakatix jichhakam utjaniwaykixa, ukanakar suyunakan uraqpachan ch’amañchañatakiw amtanipxi . Juk’amp wakunanak sumaptayasa - markpachataki ukhamarak taqpach markanakar puriñapataki. Machaq wakunanak uñstayasina - ukhamat kawki markanakantix jan utjkanax uka markanar puriyasa. Yatxatas sumaptayasa - ukhamat mä usut jark’aqañ wakun wakt’yasa.
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The Plan also pledged to help achieve the fourth Millennium Development Goal – reducing under-5 mortality – towards which vaccines were already making a substantial contribution.
Uka Amtax mayirakitaynawa uka pusïr Millennium Development Goal amtanakar yanapt’añataki - ukhamat 5 jiwatakar saraqañataki - kunjamtix uka wakunanakax wali askinjam yanapt’atayna.
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Since the Plan’s launch, great progress has been made to introduce new and under-utilised vaccines.
Kunawsattix uka wakun Amtax lurasinixa, wali askinjampun machaqanakampix qallantasiniwayi ukatx apnaqat wakunanakakis ukampi.
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Scaling up of pneumococcal and rotavirus vaccines was particularly promising, preventing the leading causes of under-5 deaths from pneumonia and diarrhoea respectively.
Ukham wakunanak jach’aptayasaxa uka neomococo ukatx rotavirus usunakatakixa, wali ancha wakiskirpuninawa ukhamat uka 5 maran wawanakarux neumoniyat wich’uch usut jark’aqatayna.
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Between 2000 and 2015, $10 billion was committed to Gavi – an alliance of which WHO is a key member.
Aka 2000 marampit 2015 marampitx, $10 willunanakaw Gavituqix utjaniwayi - uka WHO ukankir mayacht’atapxamaxa.
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Three-quarters of the money was to fund vaccine introductions directly.
Chikatan chikatap qullqiw uka wakunanak chiqak uchañatakix aptasiwayi.