使用Talanoa,一个泛太平洋土著的方法,以确定解决公共卫生问题的解决方案
Chantelle E Matagi1, J Ke'alohilani Worthington2, Donna-Marie Palakiko3,4
1Center for Pacific Islands Studies, University of Hawai'i at Mānoa, Honolulu, HI (CEM).
Hawai'i journal of health & social welfare
|October 30, 2023
概括
像Talanoa这样的土著方法改善了夏威夷原住民和太平洋岛民 (NHPI) 社区的COVID-19疫苗接种率. 这种方法促进了信任,并确定了以社区为中心的解决方案,克服了传统公共卫生策略的局限性.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 土著研究土著研究.
背景情况:
- COVID-19大流行突出了夏威夷原住民和太平洋岛民 (NHPI) 社区的健康差异.
- 现有的公共卫生政策不足以满足NHPI的需求,导致高病率和低疫苗接种率.
- 为了解决这些问题,夏威夷州卫生部 (HDOH),医疗提供者和NHPI组织之间建立了合作伙伴关系.
研究的目的:
- 调查NHPI社区COVID-19疫苗接种率低的原因.
- 为了确定有效的,社区特定的解决方案,以提高疫苗接种率.
- 在文化安全框架内评估土著研究方法的实用性.
主要方法:
- 在文化安全框架内使用了土著的定性采访方法,Talanoa.
- 在西方的数据收集方法被证明是不够的后,雇佣了Talanoa.
- 专注于通过文化敏感的方法直接从NHPI社区收集数据.
主要成果:
- 在文化安全中嵌入的Talanoa方法,与传统方法相比,产生了更丰富的数据.
- 确定了针对NHPI人群的特定需求量身定制的社区解决方案.
- 促进了卫生组织和社区之间发展可持续的,信任的伙伴关系.
结论:
- 像Talanoa这样的土著方法对于了解和解决边缘化社区的健康差异是有效的.
- 文化安全对于在NHPI群体中成功收集数据和设计干预措施至关重要.
- 合作,以社区为中心的方法对于建立信任和改善健康结果至关重要.
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