Isidingo Esibucayi Sezixazululo Zezempilo Ezisekelwe Emkhakheni Womphakathi

Kuyo yonke i-United States nasemhlabeni, izigidi zabantu zibhekene nezithiyo eziphawulekayo zokuthola imingcele efike ngesikhathi, entengo, neyokunakekela impilo. Lemingcele ayikona nje ukuthatha imingcele; igxile kakhulu emphakathini, ngokwezomnotho, nasezimweni zendawo ezungezile eziye zashiya abantu ababoshelwe ngokulandelana kwesimiso sezempilo. Ukuzihlukanisa ngokwezimali, ukuvinjelwa kwezezimali, ukungafani kolimi, nokungathembani okungokomlando kwezinhlangano zezokwelapha konke kufaka isandla ekwandeni kokuwohloka kwempilo. Izindlela zezempilo ezingokwesiko zokunikeza izakhamuzi ngokuvamile ziyahluleka ukufinyelela kule miphakathi, zishiya ngaphandle kokuvimbela okubalulekile kwesimiso sezifo ezimahlala njalo, nezinkonzo eziphuthumayo. Izinhlelo zomphakathi ziye zavela ziphumelela kakhulu, ziphumelela kakhulu, zivumelana nezinqubo ezivumelanayo ngokunakekela ngokuqondile lapho abantu behlala khona, besebenza, futhi ziqoqana. Ngokusebenza ezinhlanganweni zezenhlalakahleni zempilo, nalezo zinhlangano zempilo, lezi zithola ithuba lokusebenza futhi zithola izinhlangano zezisebenzi ezingokwezinhlala.

Ukuqonda Izithiyo Izinhlelo Zomphakathi Eziphazamisayo

Ukuze siqonde indima yezinhlelo zomphakathi, kubalulekile ukuqaphela kuqala izithiyo eziningi ezivimbela abantu ukuba bathole ukunakekelwa kwempilo.

Izithiyo Zokwakha Nezobuciko

  • Ibanga eliphakathi kwe-: emaphandleni nasezindaweni ezikude ngokuvamile azinazo izibhedlela, imithola-mpilo, nochwepheshe, bephoqelela izakhamuzi ukuba zihambe amabanga amade ziyonakekelwa.
  • Izintengo ze-transportation:[ Abantu abaningi abathola imali ephansi abanazo izinto zokuhamba ezinokwethenjelwa noma zomphakathi ukuze bafinyelele ezindaweni zokwelapha.
  • Amahora omtholampilo aqinisiwe:[ isigaba 9 kuya ku-5 uhlelo lokusebenza olungqubuzana nomsebenzi nemithwalo yemfanelo yomkhaya, ikakhulukazi abaholi beholo ngehora.
  • [[I-FLT:0] Izinkonzo ezifinyelelwe:[ Iziguli kuvame ukuvakashela izindawo eziningi ukuze zinakekele i-operator, umsebenzi, nokuhlola okukhethekile, ukwenza izithiyo ezilawulayo.

Izithiyo Zezimali Nezomshuwalense

  • Amanani aphezulu angaphandle entengo yephayiphu: Ngisho nabantu abadumele babhekene nezingakhokhi, izikhokhelo, nokukhokha okungavimbela ukufuna ukunakekelwa.
  • Izikhala zemali: Izigidi zihlala zingafakelelwanga noma zingenayo, ikakhulukazi ezizweni ezingandisiwe i-Medicaid.
  • Izindleko ezifihlekile: Iholo elilahlekile, izindleko zokunakekela izingane, nezindleko zomthetho wezokugunyazwa kwezincwadi zenezela emthwalweni wemali wokuthola ukunakekelwa.

Izinkinga Zempucuko Nezomuntu Siqu

  • Ulimi kanye nokufunda kwezempilo: izikhulumi ezingayi siNgisi nabantu abangakwazi ukufunda nokubhala kakhulu ukuba basebenzise izinqubo zokwelapha nokuqonda iziyalezo zezokwelapha.
  • I-Misqum quality yezinhlangano:[ ubandlululo lwezomlando nemikhuba yokucwaninga okungenazimiso kuye kwabangela ukungathembani okukhulu phakathi kwezinhlanga namaqembu amancane, ikakhulukazi amaBlack nama-Indica.
  • Stigma kanye nempilo engokwengqondo kuyinto engafanele: Ukwesaba ukwahlulela kuvimbela abaningi ukuba bafune ukunakekelwa kwempilo yengqondo, ukusebenzisa izinto ezisemzimbeni, noma izinkinga zempilo yokuzala.

Izinhlelo zomphakathi zinezimo ezikhethekile zokusingatha lemingcele ehlukahlukene ngoba ziklanyelwe ukuthonywa yimiphakathi eziyikhonzayo futhi ezisebenza kuyo kunokuba zihlome ngezindlela zangaphandle.

Indlela Izinhlelo Zomphakathi Ezikhuluma Ngayo Nezinqubo Zempilo

INhlangano yezempilo yezwe ichaza ukuthi ukuvimbela impilo (SDOH) kuyizimo abantu abazalwa kuzo, bakhule, baphile, basebenze, baphile, bakhule. Lezi zimo ziveza imiphumela efinyelela ku-80% yempilo, iveza imiphumela yokunakekelwa kwezempilo. Izinhlelo zomphakathi zithuthukisa ukunakekelwa kwempilo ngokungenela ngokuqondile kulezi zinqanda zifo.

Ukuqina Kwezomnotho

Izinhlelo ezihlanganisa iziguli nosizo lwemisebenzi, ukunikeza iseluleko sezimali, usizo lokudla, nezindawo zokuhlala zisusa izingcindezi ezisheshayo zezomnotho eziphazamisa ukunakekelwa kwempilo. Ngokwesibonelo, izisebenzi zezempilo zomphakathi (CHWs) zivame ukuhlola iziguli ezidinga ukudla futhi zizifake ezimisweni ezinjenge-SNAP, zithuthukisa ukudla kanye kanye kanye nokukhulula imithombo yasekhaya yezidingo zezokwelapha. Ukuhlola okunyatheliswe [[FLT:] [[FLT:]] [[FLT]] Iziguli ezithola ukuthi iziguli ezithola ukudla okungenamfaneleyo zifakwe ezinkonzweni zezenhlalakahle zifundwe isibhedlela ezifundwa izicelo zezezezezenhlalakahle ezifundwa nge 25% (bona ] lemikhanka yezempilo [[FLT]]]]).

Ukufinyelela Emfundoni Nezinga

Izindawo zokufundisa kwezempilo ezinikezwa ezikhungweni zomphakathi, emasontweni, nasezikoleni zihlomisela abantu ulwazi ngokuvinjelwa, ukunakekelwa kwezifo ezingamahlalakhona, kanye nalapho kufanele bafune ukunakekelwa kwezokwelapha. Izinhlelo ezihlanganisa ukufunda ezempilo ezifundweni zemfundo zabantu abadala ziye zaboniswa ukuze kwandiswe amazinga omdlavuza futhi kuncishiswe ukuhambela komnyango wezesimo esiphuthumayo. I-guayn Health Resources and Services Administration (HSA) inikeza izimali zokusekela imizamo enjalo yokuthola imfundo (bona HRASA [FLT]] ka-ongemuva ngemfundo yezempilo yomphakathi).

Ukutholakala Kwempilo Nezinga Lempilo

Imithola-mpilo ehambayo, izikhungo zezempilo ezisekelwe ezikoleni, nezinhlelo zezenhlalakahle zomphakathi zinikeza izinkonzo zokwelapha ngokuqondile ezindaweni ezifinyelelekayo. Le zinhlelo zivame ukuqeda isidingo sokuhamba futhi zinikeze izindleko zesilinganiso esisheshisiwe noma ukunakekelwa kwangakho. Iprojekthi ye-Mobile Health Map eYunivesithi yaseVirginia ilandela ithonya lemitholampilo yamasondo ezweni lonke; ukwaziswa kwazo kubonisa njalo ukuthi lezinhlelo zinciphisa ukuvimbela ukuvaleka kwesibhedlela kanye nokusetshenziswa kwegumbi lokuphuthuma phakathi kweziguli ezigulayo (bona i-[FLT] 0] [FLT]] iMaphu yempilo ephathwa amahlala njalo [[FLT]]]).

Indawo Ezungezile Neyakhekile

Izinhlelo ezisekela izindlela eziphephile zokuhamba, ukufinyelela emapaki, kanye nokuthengisa ukudla okunempilo kuthuthukisa indawo engokomzimba ethinta ukuziphatha kwempilo. Izinhlelo zengadi zomphakathi nabalimi i-̱ izinhlelo zokuqinisekisa ukuthengiswa ziyizibonelo zokungenela komphakathi okuthinta kokubili ukufinyelela kokudla nokuhlangana kwezenhlalo.

Isizinda Sezenhlalo Nesomphakathi

Ukwehlukaniswa nokungasekelwa kwezenhlalo yizimpawu eziqinile zempilo ebuthaka. Izinhlelo zomphakathi zidala izinhlanganisela zokusekela kontanga, amaqembu okusekela, kanye nezimiso zokuhamba ngezinyawo ezikhuthaza ukuxhumana kwezenhlalo. Ngokwesibonelo, iSigungu se-Antitient Navigator eMgabeni woMzabalazo we-American Cancer Society siqeqeshela iziguli ezihleliwe ukuba ziqondiswe ekwelapheni, ukunciphisa ukungalingani kwemiphumela yokunakekelwa komdlavuza (bona i-[FLT: 0]] i-American Cancervigate Society Patient Navigator Program[FL:1]).

Izinhlobo Eziyinhloko Zezinhlelo Zomphakathi Nendlela Ezisebenza Ngayo

Ukuqonda izinhlobonhlobo zezimiso kusiza abanikazi beziteshi nabaqongeleli bezimali ukuba bakhethe indlela efanele yokusekela umongo wabo.

Izibhedlela Zempilo Ezihambayo Nezinhlayiya

Amasondo ahambayo ayimitholampilo ehamba ngamasondo ehamba ezindaweni eziseduze, izikole, izindawo zokukhosela, nendawo yomsebenzi. Anikeza ukunakekela okuyinhloko, ukugoma, ukuxilonga izifo ezingapheli (isibonelo, umfutho wegazi, isifo sikashukela), izinkonzo zezempilo zamama, nokunakekela amazinyo. Ukusiza indawo kanye nenkonzo yosuku olulodwa kunciphisa kakhulu izinga lokubukisa. Ezinye izinhlelo zezimoto zezokuhamba kanye nezinkampani zendawo zokudayisa imithi. Umthola-mthola mpilo owodwa ungasiza iziguli ezingu-20 000 ngonyaka.

Izisebenzi Zezempilo Zomphakathi (I - CHWS) NeziQhingi Zokusakaza I - de Salud

I-CHWs ingamalungu omphakathi athenjwayo asebenza njengamabhuloho phakathi kweziguli nesimiso sokunakekela impilo. Zinikeza imfundo yempilo engcono ngokwesiko, zisiza iziguli ukuba zihlele ukuhlelwa, zisiza ngokuthola umshuwalense, futhi zinikeza ukusekela okulandelayo. I-Community Health Works iye yaphumelela kakhulu emiphakathini ye-Latino ne-Inivertics. Iziko lezezifo Control kanye ne-CPrevention (CDC) liye lafaka ubufakazi obukhulu bokusebenza kwezinhlelo ze - CHW ekulawuleni izifo ezimahlala njalo nasekuthuthukiseni ukunakekelwa (bona CDC ku-Unicial Health Workers )].

Izikhungo zezempilo ezisekelwe esikoleni (SBHCs)

I-SBHC iletha ukunakekelwa okuyinhloko, ukunikezwa iseluleko sempilo, nemfundo yezempilo ezikoleni. Isusa izithiyo ezinjengezokuthutha nezimiso zomsebenzi zabazali, futhi inikeza intsha indawo ejwayeleneyo, engaguquguquki. Ukuhlola kubonisa ukuthi izikole ezine-SBHC zibona ukuba inani labafundi lithuthukile, linciphisa ukuziphatha okuyingozi, kanye nokuphumelela kangcono kwemfundo ngenxa yokuthuthukisa impilo engokomzimba nengqondo. Isikole esisekelwe kwezempilo i-Alliance sithatha ulwazi lwesizwe futhi sinikeze amathuluzi okumisa lezi zikhungo (bona i-Scool-Sced Health Alliance[FL:1]).

Ukunakekela Okungokoqobo Ne - Telehealth

Phakathi nobhadane lwe-COVID-19, kwaqhuma ukunakekela okufana nokunakekela, kodwa ukuhlukana kwezimiso kuyaqhubeka. Izinhlelo zomphakathi zivala leligebe ngokunikeza ama-telehealth kiosk emitatsheni yezincwadi yomphakathi, izikhungo zomphakathi, ngisho nezindawo zokudlela ezisheshayo. Iziguli zingangena endlini yangasese nge-webcam nomhlengi noma umhumushi ukuze zisize ekuhambeleni. Le mishini exubile ivula indlela yokungena ezindaweni zasemaphandleni ngaphandle kokuba ifune ukuba kufakwe izimpahla ezibanzi kuwo wonke amakhaya.

Izinto Zokuhamba Nosizo Lokuhamba Ngemikhumbi

Ezinye izinhlelo zinikeza imishini yokufaka amashadi, izinhlangano zomshayeli wokuzithandela, noma izinhlangano zeziphathimandla zendawo zokuthutha ukuze zinikeze izinto zokuhamba mahhala noma ezizothunyelwa ezindaweni zokwelashwa. Ezinye zithatha inyathelo elingaphezulu ngokunikeza isiguli uhambo ngemikhumbi oluhambisana nokuhlangana, ukusiza ngezincwadi, nokulandela izingcingo.

Izinhlangano Ezisekelwe Ukholo Nezomphakathi

Amasonto, amathempeli, amathempeli, nezikhungo zomphakathi ziyizindawo ezithenjwayo lapho kungatholakala khona izivivinyo zempilo, izingcingo zokugoma, nezifundo.

Izinzuzo Ezilinganiswayo Nomphumela Wangempela Wezwe

Ukuphumelela kwezinhlelo zomphakathi akuyona into engekho; inqwaba yobufakazi obuningi ibonisa intuthuko ephawulekayo emiphumeleni yempilo, izindleko zokulondoloza imali, nokwaneliseka kwesineke.

  • Izinhlelo eziye zasetshenziswa kumnyango wesimo esiphuthumayo: Uhlelo olunikeza ukunakekela okuyinhloko kanye nokuphatha amabhokisi abasebenzisi abaphezulu kunganciphisa ukuhambela kwe-ED ngo-30-50% phakathi nonyaka.
  • Ukulawula izifo ezingamahlalakhona okungalungiseki: Ukungenela kwe-CHW-mad diabetes nomfutho wegazi ngokuqhubekayo kuphumelela kangcono u-glucose nokuphathwa komfutho wegazi uma kuqhathaniswa nokunakekelwa okuvamile.
  • Izinga eliphezulu lokugoma: imithola-khaya ehambayo nemikhankaso yokugoma esekelwe emphakathini kufinyelela amazinga okuhlanganisa alingana nemithola-mpilo engokwesiko, ikakhulukazi emitholampilo enzima ukufinyelela kuyo.
  • Imiphumela:[ Ukuhlaziywa ngo-2019 yi-RAND Corporation yathola ukuthi ngazo zonke iR1,00 ezifakwe ezimisweni zezempilo zomphakathi, u-R2.47 ulondoloziwe ezindlekoni zokunakekela impilo esikhathini esithatha iminyaka emithathu.
  • Ukwaneliseka okuphakathi nokunika umphako:[ Umbiko weziguli zizizwa zihlonishwa futhi ziqondwa kakhulu uma zinikezwa ukunakekela ezimisweni zomphakathi, futhi abanikezeli bazisa ukuncishiswa kwamazinga okungabonisi nokunamathela okuthuthukisiwe.

Ukunqoba Izinselele Zezinhlelo Zomphakathi Zokondla

Naphezu kokubaluleka kwazo okuqinisekisiwe, izinhlelo zomphakathi zibhekana nezithiyo eziphikelelayo ezisongela ubude babo bokuphila nokuwohloka.

Ukusekela Imali Nokusekela Izimali

Izinhlelo eziningi zomphakathi zincike ezinkokhelweni zesikhashana, iminikelo yokusiza abantu, noma izivumelwano zikahulumeni ezingaqinisekisiwe unyaka nonyaka. Zimbalwa izinhlelo ezifanelekele ukukhokhelwa i-Medicaid ngenxa yokuthi azifanelani nenkokhelo yenkokhelo yesizwe ye-service. Abenzi bomthetho bahlola izindlela ezifana namalungiselelo asekelwe entengo ne-Medicaid Ingxenye ye-1115 ye-'i-'process' ukuze bavumele izinhlelo zomphakathi zikhokhele izinkonzo ezifana nokusebenza kokunakekela nokuqondisa nokuhamba ngesineke. Ngaphandle kokusekela izimali ezingokwesiko, izinhlelo zisebenza ephethelweni yommese.

Ukusebenza Kanye Nokuzigcina Umatasa

Izisebenzi zezempilo zomphakathi kanye nezisebenzi zasemtholampilo ezihambayo ngokuvamile zikhokhelwa kancane futhi ziswele intuthuko yomsebenzi. Ukuvuvukala kuphakeme, ikakhulukazi uma izisebenzi zithathwa emiphakathini efanayo esele zikhonza futhi zibhekene nabacindezeli abafanayo. Ukutshala imishado yokuncintisana, ukuqeqesha, ukugunyaza, nokuqondisa kubalulekile. Iprojekthi yeCHW Core Consensusus (C3) inikeza iziphakamiso ezihleliwe zempikiswayo kanye nesitebhisi somsebenzi (bona i-'FLT] iProject

Ukuhlanganyela Nokwethembana Komphakathi

Izinhlelo eziklanywe zaphezulu ngaphandle komfakela womphakathi ngokuvamile azikwazi ukudonsa abahilelekile. Ukwethemba kudinga ukuba khona isikhathi eside, ukuba sobala, nokuthatha isinyathelo esiqinile emaqenjini abekwe kude ngokomlando. Izinhlelo kufanele zisebenzise amabhodi okuhlola umphakathi kanye nokwenza izinqumo ezivamile ezidinga usizo ukuqinisekisa ukuthi ziyasebenza.

Ukuqoqwa Kwemininingwane Nokuhlolwa

Ukubonisa ithonya kudingekile ukuze kuqhubeke ukuxhaswa kwemali, kodwa izinhlelo eziningi zomphakathi azinakho ikhono lobuchwepheshe noma izimali zokuqoqa ukwaziswa okuqinile. Amarekhodi alula empilo ye-electronic, ukubhalisa kweziguli, kanye nokubambisana nezinhlangano zezemfundo kungasiza. Imali etholakalayo kufanele idlule ngalé kwemitayela yezobuchwepheshe ukuze ihlanganise imiphumela engokwenhlalo enjengokulondeka kokudla, ukuqina kwezindlu, nokuzibika kahle.

Izinselele Zokuqondisa

Imithetho esetshenziswayo, izimfuneko zemishini ehambayo, kanye nemingcele ezindaweni ezihlukene zika-telhealth ingavimbela ukwanda kohlelo. Ukulawula ushintsho lwenqubo kuhulumeni nakuhulumeni kubucayi. Izinhlangano ezinjenge-National Association of Community Health Centers (NACHC) zisebenza ngenkuthalo ekuthuthukiseni inguquko yenqubo ukuze zisekele ukunakekelwa komphakathi (bona NACC[FLT]).

Ukuhlola Izenzakalo: Izindaba Eziye Zaphumelela Ensimini

Ukunakekelwa Kwempilo Kwesimiso Semoto Esingenamakhaya – Baltimore, EMaryland

Loluhlelo luthumela amashadi amabili empilo ahambayo avakashela izindawo zokukhosela ezingenamakhaya, amakhishi esobho, kanye namakamu eBaltimore eBaltimore izinsuku ezinhlanu ngesonto. Lunikeza ukunakekela okuyinhloko, ukunakekelwa kwamanxeba, ukunikeza usizo lwempilo, nokusebenzisa imithi. Onyakeni wayo wokuqala, uhlelo lwasiza abantu abangaphezu kuka - 1 200 ababengazange bavakashelwe kwezokwelapha eminyakeni engaphezu kwemibili. Ukuhambela amagumbi okuphuthuma phakathi kwalabo abahlanganyela abahlali behla ngo- 44%, kanye no-78% weziguli ezinezimo ezingalapheki ezingcono. Uhlelo lubuye luxhumanise iziguli ukuba zihlale phakade ngesivumelwano sedolobha i-̱ linezikhundla.

I - Internet — Izwe LamaNavajo

Ukuma kwezwe okukhulu kwesizwe samaNavajo, kuhlangene nezimiso zezempilo ezilinganiselwe, kwenza kube nzima kakhulu ukufinyelela. Isimiso sezisebenzi zezempilo zeDiné, eziqeqeshwe kokubili kwezokwelapha zaseNtshonalanga nangezindlela zokuphilisa ezingokwesiko, zinikeza izimpindelo zasekhaya, imfundo yezempilo, kanye nokusebenza kwe-telemedicine. Eminyakeni emihlanu, uhlelo luye lwanciphisa ukuhlalisana kwezifo zesifo sikashukela ezihlobene nomdlavuza ngo-28% nangaphezulu ngo-40%. I-CHWs futhi ikhuluma ngezindaba zempilo yempilo eNtshona zokwenza uranium ngokuhlola i-uranium, nokunikeza izisethi ze-mediactive syntine sy.

Imfundo Yezempilo Nezokuvimbela Emakhaya – Appalachian Kentucky

Iqembu lamasonto endawo, izikole, nesimiso sezempilo sesifunda sakha uchungechunge lwemfundo yezempilo ejikelezayo egxile empilweni yenhliziyo nasemkhubeni womdlavuza. Lo hlelo lunikeza izivivinyo zomfutho wegazi wangaphandle, amakilasi okudla, kanye namaqembu angokomzimba emadolobheni amancane antula isitolo noma isikhungo sokudla. Amaqembu abonisa ukuncipha kwesilinganiso se 8 mg/dL eLDL proterol kanye nokwanda kwezithelo zansuku zonke kanye nokudla imifino okubikwayo ngemva kwezinyanga eziyisithupha. Uhlelo lwaqeqesha izakhamuzi zendawo njenge-̴health projests &821; eziqhubeka nomsebenzi ngokuzimele, ziqinisekisa ukuthi isilinganiso eside sokuziphilisa.

Iziqondiso Nezimiso Zesikhathi Esizayo

Izinhlelo zomphakathi ezilinganiselayo ukuze zifinyelele inani labantu elingasenezelelwe zidinga ukuhlanganiswa kwabaphethe izingxube ezisezingxenyeni. Okubalulekile kuhlanganisa:

  • [ Ukuxhasa ngemali yesisekelo sesisekelo sesisekelo sesisekelo: Izikhomishane kufanele zinikeze imali enikezelwe ekuthengeni okuhambayo emtholampilo, ukufakwa kwe-telehealth kiosk, nezinhlelo zokuqeqesha i-CHW.
  • [ Imbuyiselo ye-Medicaid: Isambathezelo esinwebekayo sezinkonzo ezingezona ezesiko njenge-implate-parent, izidingo zomphakathi, kanye nokusizana komphakathi kuyokwenza ukuba inzuzo ihlale ikhona.
  • Ukubambisana:[ ukutshala ekuhwebelaneni ngolwazi lwempilo oluhlanganisa ukwaziswa kohlelo lomphakathi kuvumela ukulandelelwa kangcono kwemiphumela yeziguli ezihlelweni.
  • Ama-coros-kampanysult:[ Izimiso zokunakekela impilo kufanele zihambisane ngokusemthethweni neziphathimandla zezindlu, amabhange okudla, iminyango yezokuthutha, nezikole ukuze zakhe inetha lokuphepha elingenamthungo.
  • Ukubusa okuhamba-hambayo: Izinhlelo kumele ziklanywe futhi zihlolwe ngokufakwa okunengqondo kwabantu abakhonza kubo, kuqinisekiswe ukuthi amakhambi afaneleke ngokwesiko futhi asekelwe ekuthembekeni.

Isiphetho

Izinhlelo zomphakathi zimelela ukusabela okusheshayo, okunesihawu, nophumelelayo enkingeni eqhubekayo yokunakekela impilo engenela phakathi kwabantu abangaphansi kwenani eligciniwe. Ngokukhuluma nabanqanda impilo, ukususa izithiyo zokwakha, nokusebenzisa izinhlelo zobuhlobo obuqinile, lezi zinyathelo ziveza intuthuko engcono kakhulu emiphumeleni yempilo, izindleko zokulondoloza imali, nokwaneliseka kwesineke. Ayisona isithakazelo esithathelwa indawo isimiso sempilo esiqinile, kodwa ingumphelelisi odingekile ongafinyelela abantu abashiywe ngemuva yizibonelo zezenkambiso. Ukusetshenziswa kwemali, inguquko yezimiso, kanye nokubo bonke abantu kubalulekile ukuqinisekisa ukuthi lezinhlelo zingasekela ngokulinganayo futhi zivale igebe yezempilo yabo bonke.