在印度尼西亚东部,社会生态障碍阻碍了妇女在卫生领域的赋权
Ni Made Utami Dwipayanti1, I Desak Ketut Dewi Satiawati Kurnianingsih2, Angelina Mustafa3
1Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia.
由于性别不平等,有限的决策能力和社会角色,妇女面临卫生设施获取障碍. 解决这些问题需要全面的战略,以赋予妇女在水,环境卫生和卫生 (WASH) 计划中的权力.
科学领域:
- 公共卫生 公共卫生
- 性别研究是性别研究.
- 环境科学 环境科学
背景情况:
- 由于性别不平等,水,环境卫生和卫生 (WASH) 的不足不成比例地影响了低收入和边缘化群体,特别是妇女和女孩.
- 妇女和女童在获得卫生设施和参与WASH计划方面面临重大障碍,特别是在印度尼西亚东部.
研究的目的:
- 调查阻碍妇女进入和参与东印度尼西亚中部隆博克和西曼加拉伊的卫生计划的障碍.
- 分析导致WASH接入性别不平等的社会生态因素.
主要方法:
- 定性研究采用了对28名信息提供者的深入采访和6个焦点小组讨论.
- 专题分析用于分析定性数据,确定关键主题和模式.
主要成果:
- 妇女和女童由于参与家庭和社区WASH决策的参与有限,无法获得足够的卫生设施.
- 他们承担着维护设施和家庭照顾的双重负担,加上个人 (意识,教育,经济地位),社区 (父权主义规范,流动性限制) 和机构 (缺乏政府承诺,能力) 的障碍.
- 障碍物在社会生态层面上相互联系,突出了健康,地点和社会背景之间的联系.
结论:
- 解决妇女获得卫生设施不足的问题需要在个人,社区和机构层面解决相互关联的障碍.
- 综合和系统的战略对于将性别问题纳入国家卫生计划至关重要.
- 在WASH决策和实施中赋予妇女权力对于实现公平的卫生成果至关重要.
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