### Summary box Armed conflict and war, directly and indirectly, affect health and health systems.1 2 Globally, conflict was responsible for over 63 000 deaths and over 2.7 million years of lives lost due to disability in 2019.3 The war in the Tigray region of Ethiopia, which started in November 2020, has already caused a considerable number of casualties, massive internal displacement and over 70 000 refugees in neighbouring Sudan.4 A recent report by World Food Program suggests that 91% of the region’s six million people require immediate emergency humanitarian assistance, and 400 000 people had crossed the ‘threshold into famine’.5 6 Evidence also revealed that women and girls were subjected to sexual abuse and gender-based violence in this war.6 In addition, the destruction, vandalisation and looting of health facilities have left millions of people without access to essential healthcare.7 The process of restoring and rebuilding Tigray’s health system will likely be shaped by many factors and take several years. In this paper, we outline three interrelated action points that we think should guide any future effort: health system adaptation; protecting, reskilling and …

中文翻译：

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重新定位和重建埃塞俄比亚饱受战争蹂躏的提格雷的卫生系统


### 摘要框 武装冲突和战争直接和间接影响健康和卫生系统。1 2 2019 年，全球范围内，冲突导致 63 000 多人死亡，并因残疾而失去了超过 270 万年的生命。3 提格雷战争2020 年 11 月开始的埃塞俄比亚地区疫情已造成大量人员伤亡、大规模境内流离失所，并在邻国苏丹造成 7 万多名难民。 4 世界粮食计划署最近的一份报告显示，该地区 600 万人中的 91% 需要援助紧急人道主义援助，40 万人跨过了“进入饥荒的门槛”。5 6 证据还显示，妇女和女童在这场战争中遭受性虐待和基于性别的暴力。6 此外，毁坏、破坏和对卫生设施的抢劫导致数百万人无法获得基本医疗保健。7 提格雷卫生系统的恢复和重建过程可能会受到多种因素的影响，并且需要数年时间。在本文中，我们概述了三个相互关联的行动点，我们认为这些行动点应该指导未来的努力：卫生系统适应；保护、再培训和……