单元10-中国社会性别与卫生公平案例的启示Scarf08.11.25.ppt
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1、China Gender & Health Equity Projects: Luoping and Zhenning,Summary of Evaluation Findings and Key Lessons Learned 评估总结和主要的经验教训 Chris Scarf Dissemination Meeting November 2008,Findings,Both projects met their goals. Substantially Make health services more responsive to womens needs Partially Viable
2、model of gender and local governance to improve accountability of local health officials and health workers,两个项目都达到了预期的目的。 大体上 使卫生服务更顺应妇女的需要 部分地 为改善地方卫生官员及卫生工作者的问责制提供了切实可行的性别与地方治理的模式,Findings,The projects drew on excellent technical assistance providing clear ideas about what should be done and how
3、to do it,项目得到了优秀的技术援助,清楚“应该做什么”和“怎样做”,Lesson,Three projects (Luoping, Zhenning and Dafang) provide good templates for effective improvement of GHE,三个项目(罗平,镇宁及大方)为有效地改善社会性别与卫生公平性提供了良好的范本,Findings,Extensive baseline surveys identified major issues in GHE and to some extent informed action,内容广泛的基线调查指出了
4、社会性别卫生公平性方面的主要问题,并在某种程度上提出了行动方向,Findings,Projects exposed the depth of the commitment of local government officials to GHE and illustrate the importance of their understanding and involvement,项目揭示了地方政府官员对性别卫生公平性问题承诺的深度,阐明了官员的理解和参与对解决这些问题的重要性,Lesson,Dissemination should give high priority to demonstr
5、ating the benefits of GHE to local government leaders and to winning their commitment to the principles,宣传方面应高度重视向地方政府领导者展示关注性别卫生公平的益处并赢得他们对这一原则的承诺,Findings,Projects benefited from emerging health security policies (NCMS). The projects assisted NCMS implementation, and influenced benefit packages,项目
6、受益于新出现的卫生保障政策(新农合) 项目促进了新型农村合作医疗体系的实施,并影响了服务包的内容,Findings,Local Health Promotion Groups (HPG) allocated funds to subsidize hospital delivery Significant increases in hospital delivery rates followed,当地的健康促进小组计划资金补贴住院分娩 住院分娩率随之有了显著的提高,Findings,The HPG and township hospitals then successfully lobbied
7、for higher subsidies for hospital delivery in NCMS Subsequent NCMS benefit adjustments now make normal delivery free in project township hospitals,健康促进小组和乡镇卫生院进而为新农合中的住院分娩争取到了更高的补贴 相关部门随即作出了新农合受益调整,项目乡镇卫生院的住院分娩全部免费(顺产),Lesson,Health insurance packages that include high level benefits for hospital de
8、livery and attractive rebates for RTI management have a major impact on GHE,对住院分娩及生殖道感染诊治给予高额补贴的新农合对性别健康公平性有着很大的影响,Findings,Women and men have became informed about reproductive health issues and basic child development needs and make effective use of the knowledge,妇女和男士们都开始了解有关生殖健康和儿童基本生长需要等问题,并开始有
9、效地利用这些知识,Findings,Health Promotion Groups and demonstration households enjoyed learning Village doctors (especially if female) played pivotal roles in HPG coordination and planning,健康促进小组及示范户都喜欢参与学习活动 村医(特别是女村医)在健康促进小组的协调和计划过程中扮演着重要的角色,Findings,Knowledge engendered confidence and won respect Long he
10、ld attitudes and myths about birthing, RTI, immunization were abandoned,知识产生自信并赢得尊重 人们丢弃了对于生育、生殖道感染及免疫长久以来持有的旧观念和神秘感,Findings,Women made it clear that with this knowledge they will not accept wrong advice about birthing or RTI minimization.,妇女们宣告,有了这些知识,她们再不会接受有关生育或生殖道感染的错误建议,Findings,Good training
11、and minor equipment has enabled primary care providers to effectively diagnose and manage reproductive health problems,良好的培训和一些简单的设施使基层医疗保健提供者能够有效地诊断并管理生殖健康问题,Findings,Projects mobilised villagers in ways that are familiar to the communities but not to the health system,项目以一种对社区而言熟悉的方式动员了村民,但这些方式并不为
12、卫生系统所熟悉,Findings,Eyes were opened to the limitations of traditional top-down communication New ways of communicating technical information have been introduced,传统的自上而下的沟通方式已经被意识到存在着局限性 介绍了新的交流沟通技术信息的方式,Lesson,Orthodox health education methods have failed to inform illiterate rural women about basic
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- 单元 10 中国社会 性别 卫生 公平 案例 启示 Scarf08 11.25
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