首页> 外文期刊>International journal for equity in health >Multidisciplinary and participatory workshops with stakeholders in a community of extreme poverty in the Peruvian Amazon: Development of priority concerns and potential health, nutrition and education interventions
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Multidisciplinary and participatory workshops with stakeholders in a community of extreme poverty in the Peruvian Amazon: Development of priority concerns and potential health, nutrition and education interventions

机译:与秘鲁亚马孙州一个极度贫困社区的利益相关者进行多学科和参与性讲习班:发展重点关注事项以及潜在的健康,营养和教育干预措施

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Background Communities of extreme poverty suffer disproportionately from a wide range of adverse outcomes, but are often neglected or underserved by organized services and research attention. In order to target the first Millennium Development Goal of eradicating extreme poverty, thereby reducing health inequalities, participatory research in these communities is needed. Therefore, the purpose of this study was to determine the priority problems and respective potential cost-effective interventions in Belen, a community of extreme poverty in the Peruvian Amazon, using a multidisciplinary and participatory focus. Methods Two multidisciplinary and participatory workshops were conducted with important stakeholders from government, non-government and community organizations, national institutes and academic institutions. In Workshop 1, participants prioritized the main health and health-related problems in the community of Belen. Problem trees were developed to show perceived causes and effects for the top six problems. In Workshop 2, following presentations describing data from recently completed field research in school and household populations of Belen, participants listed potential interventions for the priority problems, including associated barriers, enabling factors, costs and benefits. Results The top ten priority problems in Belen were identified as: 1) infant malnutrition; 2) adolescent pregnancy; 3) diarrhoea; 4) anaemia; 5) parasites; 6) lack of basic sanitation; 7) low level of education; 8) sexually transmitted diseases; 9) domestic violence; and 10) delayed school entry. Causes and effects for the top six problems, proposed interventions, and factors relating to the implementation of interventions were multidisciplinary in nature and included health, nutrition, education, social and environmental issues. Conclusion The two workshops provided valuable insight into the main health and health-related problems facing the community of Belen. The participatory focus of the workshops ensured the active involvement of important stakeholders from Belen. Based on the results of the workshops, effective and essential interventions are now being planned which will contribute to reducing health inequalities in the community.
机译:背景技术极端贫困社区遭受各种不利后果的影响尤其严重,但经常被有组织的服务和研究关注所忽视或服务不足。为了实现消除极端贫困,从而减少健康不平等的第一个千年发展目标,需要在这些社区中进行参与性研究。因此,本研究的目的是利用多学科和参与性的研究方法,确定秘鲁亚马逊河极度贫困社区贝伦的优先问题和潜在的成本效益干预措施。方法与政府,非政府和社区组织,国家机构和学术机构的重要利益相关者共同举办了两次跨学科和参与性的研讨会。在讲习班1中,参与者优先考虑了Belen社区中的主要健康和与健康相关的问题。开发问题树以显示感知到的前六个问题的原因和结果。在第2讲习班中,在介绍了最近对Belen的学校和家庭人口进行的实地研究的数据之后,与会者列出了针对优先问题的潜在干预措施,包括相关障碍,促成因素,成本和收益。结果贝伦的十大优先问题是:1)婴儿营养不良; 2)婴儿营养不良。 2)青春期怀孕; 3)腹泻; 4)贫血; 5)寄生虫; 6)缺乏基本卫生条件; 7)文化程度低; 8)性传播疾病; 9)家庭暴力; 10)延迟入学。前六个问题,拟议的干预措施以及与实施干预措施有关的因素的因果关系是多学科的,包括健康,营养,教育,社会和环境问题。结论两次研讨会对贝伦社区面临的主要健康和健康相关问题提供了宝贵的见解。讲习班的参与重点确保了Belen重要利益攸关方的积极参与。根据讲习班的结果,目前正在计划采取有效和必要的干预措施,这将有助于减少社区中的健康不平等现象。

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