单元 10 - 中国社会性别与卫生公平案例的启示 Scarf 08.11.25

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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 reproductive health issues and their rights.

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 不为卫生系统所熟悉
Findings


Eyes were opened to the limitations of traditional topdown communication New ways of communicating technical information have been introduced
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

Projects exposed the depth of the commitment of local government officials to GHE and illustrate the importance of their understanding and involvement
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

妇女们很高兴能够了 解一些事情并能够表 达她们的观点 妇女们利用项目给予 她们的“许可”公开 讨论她们的生殖健康 现状并使其变得更好

Findings


Men became involved in the treatment of RTI The risk of transmission of STI and HIV has been reduced when migrant husbands return to villages.

传统的健康教育方式 无法使文盲农村妇女 了解基础的生殖健康 问题和她们的权利
Lesson

The projects effectively conveyed knowledge by using methods that meet the needs of those learning rather than those teaching

男性开始参与生殖道 感染的治疗 出外务工的丈夫回村 时带来的生殖道感染 及艾滋病传染的风险 降低了

Lessons


Informed and empowered women will take bold steps to seek safe delivery and reduce their risk of reproductive tract infection and HIV Communities will support this change

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 for higher subsidies for hospital delivery in NCMS Subsequent NCMS benefit adjustments now make normal delivery free in project township hospitals

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 demonstrating the benefits of GHE to local government leaders and to winning their commitment to the principles

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

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

具备知识和权力的妇 女将采取果敢的措施 一步步寻求安全的分 娩方式并降低生殖道 感染及艾滋病的风险 社区将支持这一改变

Findings

Health seeking behaviour has been transformed. Women now actively seek reproductive health checks and necessary treatment

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

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

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 and minor equipment has enabled primary care providers to effectively diagnose and manage reproductive health problems
Findings

Both projects met their goals. Substantially
Make health services more responsive to women’s needs Partially Viable model of gender and local governance to improve accountability of local health officials and health workers

妇女们在对自己以及 家人的健康问题方面 的权威性得到加强 妇女们在家庭中及社 区会中的地位正在提 升

Findings


Many women were happy to be informed and to be able to express their opinions. Women had taken advantage of the “permission” given by the project to openly discuss their reproductive health status and to change it for the better.

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.

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

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

Baidu Nhomakorabea
Knowledge engendered confidence and won respect Long held attitudes and myths about birthing, RTI, immunization were abandoned

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 delivery and attractive rebates for RTI management have a major impact on GHE

以满足学习者而不是 教授者需求的方法, 项目有效地传播了相 关的知识
Findings


Women’s authority over their own and their family’s health has been strengthened Women’s status in their families and in the community appears to be stronger

项目受益于新出现的 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


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 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
部分地

Findings

The projects drew on excellent technical assistance providing clear ideas about what should be done and how to do it
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