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首页> 外文期刊>Public health >Refugee participation in health relief services during the post-emergency phase in Tanzania.
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Refugee participation in health relief services during the post-emergency phase in Tanzania.

机译：坦桑尼亚的紧急情况后阶段，难民参与了健康救济服务。

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Introduction. While community participation in health activities has been examined extensively after Alma-Ata, few studies have focused on beneficiary participation in health services in a humanitarian disaster relief programme. This research scrutinized refugee participation in encamped health services, explored its achievement, and identified the further needs of refugees in pursuit of enhanced health services in the camp.Methods. The study was performed at Lugufu Camp, Tanzania, where a health information team (HIT) of Congolese refugees actively participated in health services. Structured questionnaires were used for this cross-sectional observational study, covering three types of respondents: i.e. (1) systematically selected refugee community members (n=576); (2) all HIT members (n=48); and all Tanzanian health staff in charge of preventive health (n=17). Additional information was also collected through focus group discussions.Results. HIT refugees used their own health initiatives, which resulted in a growth of self-confidence. There was an evidence of benefits, especially in promoting health education, affirmed by an almost established consensus among the refugee community, Tanzanian health staff and HIT members themselves. However, refugee community members who did not know any HIT members had less positive health-seeking behaviours than those who knew one or more HIT members, thus showing a need for further dissemination of HIT services.Conclusions. Participation in the health services led the HIT refugees to regain the sense that they could contribute to solving peers' health problems with their own knowledge and services, and by working together as a team. Beneficiary participation is a dynamic process that heightened responsibility and health consciousness, along with a concomitant gain in power over their destiny.
机译：介绍。虽然在阿拉木图之后对社区参与健康活动进行了广泛的调查，但很少有人研究将重点放在受益人参与人道主义救灾计划中。这项研究仔细审查了难民对营地医疗服务的参与，探索了其成就，并确定了难民在寻求改善营地医疗服务方面的进一步需求。这项研究是在坦桑尼亚卢古福营地进行的，刚果难民的健康信息小组（HIT）积极参与了卫生服务。本次横断面观察研究使用结构化问卷，涵盖了三种类型的受访者：（1）系统选择的难民社区成员（n = 576）; （2）所有HIT成员（n = 48）;以及所有负责预防保健的坦桑尼亚卫生人员（n = 17）。还通过焦点小组讨论收集了更多信息。 HIT难民使用了自己的健康计划，从而增强了自信心。有证据表明，特别是在促进健康教育方面有好处，这在难民社区，坦桑尼亚的卫生人员和HIT成员之间几乎已确立的共识中得到了肯定。但是，不认识任何HIT成员的难民社区成员的积极寻求健康行为要比认识一个或多个HIT成员的难民社区成员少，因此表明需要进一步传播HIT服务。参与医疗服务使HIT难民重新认识到他们可以通过自身的知识和服务，以及通过团队合作来为解决同龄人的健康问题做出贡献。受益人的参与是一个动态的过程，它增强了责任感和健康意识，并伴随着对其命运的掌控。

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