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Assessing women's understandings of health in rural Papua New Guinea: Implications for health policy and practice

机译:评估巴布亚新几内亚农村妇女对健康的理解:对健康政策和实践的影响

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In Papua New Guinea (PNG), women's health is addressed by applying biomedical solutions which often ignore the complexity of women's histories, cultural contexts and lived experiences. The objective of this study was to examine adult and older women's perceptions of health and well-being to identify priority areas for public service interventions. Rapid ethnographic assessment was conducted in the Wosera district, a rural area of PNG from mid-2005 to early 2006, to examine the health concerns of women. Twenty-seven adult women and 10 older women participated in the study. Health was not limited to one aspect of a woman's life, such as their biology or maternal roles; it was also connected with the social, cultural and spiritual dimensions of women's daily existence. Participants also identified access to money and supportive interpersonal relationships as significant for good health. A disconnect was found to exist between women's understandings of good health and socio-political health policies in PNG, something likely to be repeated in health service delivery to different cultural groups across the Asia Pacific region. Health and development practitioners in PNG must become responsive to the complexity of women's social relationships and to issues relating to the context of women's empowerment in their programmes.
机译:在巴布亚新几内亚(PNG),通过采用生物医学解决方案来解决妇女的健康问题,而生物医学解决方案往往忽略了妇女历史,文化背景和生活经历的复杂性。这项研究的目的是检查成年和老年妇女对健康和福祉的看法,以确定公共服务干预措施的优先领域。 2005年中至2006年初,在巴布亚新几内亚农村地区Wosera区进行了快速的人种志评估,以检查妇女的健康问题。二十七名成年妇女和十名老年妇女参加了这项研究。健康不仅限于妇女生活的一个方面,例如她们的生物学或产妇角色;它也与妇女日常生活的社会,文化和精神层面有关。与会人员还认为,获得金钱和人际支持关系对身体健康至关重要。在巴布亚新几内亚,妇女对良好健康的理解与社会政治卫生政策之间存在脱节,在向亚太地区不同文化群体提供卫生服务时可能会重复这种情况。巴布亚新几内亚的卫生和发展从业人员必须对妇女的社会关系的复杂性以及在其方案中与赋予妇女权力的背景有关的问题作出回应。

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