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[社区对农村健康的需求和资源. 在哥伦比亚武装冲突后的两座城市进行了定性描述性研究]
Camilo A Correal-Muñoz1, Natalia Reinoso Chávez2, Mónica Alexandra Segura Esguerra2
1Facultad de Medicina. Universidad de La Sabana. Chía. Colombia.
哥伦比亚农村社区面临着由于不平等和缺乏服务的机会而面临的健康挑战. 解决这些问题需要利用社区资源和社区卫生循环,特别是在受冲突影响的地区.
科学领域:
- 公共卫生 公共卫生
- 农村卫生 农村卫生
- 健康 公平 卫生 公平
背景情况:
- 哥伦比亚的结构性不平等造成了健康社会决定因素的差异,特别影响农村人口.
- 获得医疗保健服务是农村地区的一个关键问题,武装冲突加剧了这一问题.
- 社区卫生循环为加强农村卫生系统提供了一个潜在的框架.
研究的目的:
- 描述两座受武装冲突影响的哥伦比亚农村城市居民所识别的卫生需求和社区资源.
- 了解社区对健康挑战和可用的资源的看法.
主要方法:
- 质量描述性研究涉及86个社区成员在两个哥伦比亚农村市.
- 对小组讨论和参与性社区健康评估文件进行主题分析.
- 在社会冲突的背景下,专注于社区识别的需求和资源.
主要成果:
- 确定的主要健康问题包括服务获取和质量的问题,以及环境健康问题.
- 医疗保健获得和质量的缺陷导致居民寻求替代医疗保健代理人,包括传统和非正式的从业者.
- 社区参与卫生倡议被认为是象征性的,源于对政府的不信任,无效的机制和低社区归属.
结论:
- 农村,受冲突影响地区的卫生问题可以通过社区卫生循环来解决.
- 干预措施必须纳入现有的社区资源,并积极努力克服不信任和低参与率.
- 加强农村健康需要以社区为中心的方法,承认和解决社会政治因素.
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