バングラデシュの子供の生存率における公平性の獲得を説明する:健康と開発における規模,速度,選択性
Alayne M Adams1, Atonu Rabbani2, Shamim Ahmed3
1Centre for Equity and Health Systems, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Lancet (London, England)
|November 26, 2013
まとめ
バングラデシュは,ジェンダーと社会経済的な不平等に対処することによって,子どもの健康に大きな利益を達成しました. 健康へのアプローチの社会的決定因子によって推進されるこの進歩は,開発における体系的な公平性指向の影響を強調しています.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 開発研究 開発研究
- 公共衛生政策 公共衛生政策
背景:
- バングラデシュの児童保健は,ここ数十年にわたって顕著な進歩を遂げています.
- 分析は,これらの利益に貢献するジェンダーと社会経済的不平等の有意な減少を明らかにしています.
- バングラデシュのユニークな健康の軌道を理解するために,健康の社会的決定因子の枠組みが採用されています.
研究 の 目的:
- バングラデシュの子どもの健康改善を分解する.
- 国の健康上の成果を説明する重要な開発要因を特定する.
- 健康と社会経済発展における平等の役割を検討する.
主な方法:
- 健康の社会的決定因子のアプローチを利用する.
- 子どもの健康上のアウトカムに関する分散データを分析する.
- 国家開発政策と実施戦略を検証する.
主要な成果:
- 子どもの生存率の大幅な改善は,ジェンダーと社会経済的格差の減少に関連しています.
- 主な推進要因は,体系的な公平性に焦点を当て,スケール,スピード,選択性の実装属性である.
- 進歩にもかかわらず,女子と低所得者層の不平等は依然として残っています.
結論:
- バングラデシュのプロ・エクイティ開発戦略は,健康の改善に不可欠でした.
- 都市化,慢性疾患,気候変動などの新たな課題に対処することが不可欠です.
- 保健の公平性を維持し,強化するには,包括的な開発のための強化されたガバナンスとシステム思考が必要です.
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