Li V C, Shaoxian W, Kunyi W, Wentao Z, Buchthal O, Wong G C, Burris M A
UCLA School of Public Health, Los Angeles, CA 90272, USA.
Soc Sci Med. 2001 Jan;52(2):279-92. doi: 10.1016/s0277-9536(00)00132-5.
The Women's Reproductive Health and Development Program (WRDHP) is an ambitious attempt to operationalize two important tenets of health development thinking within a rural reproductive health context. First, it is important for communities to participate in decisions about the services and programs that affect them. Secondly, the complex nature of healthcare is best addressed by intervention processes which call for a multi-functional approach to planning and coordination. In both planning and intervention approach, the WRHDP recognizes the social, cultural and economic realities that affect women's efforts to secure the health and well-being of themselves and their families. The focus of the WRHDP is on capacity-building within a rural reproductive health environment, in this case Yunnan Province in rural China. Rather than using international donor funding to provide a specific intervention, the WRDHP used Ford Foundation funding as a lever to encourage community investment in environmental resources that affect health, to improve the technical skills of individuals within the existing health bureaucracies, and to promote structural changes within existing health and development bureaucracies to support interagency collaboration and community empowerment within the region's health and development agencies. This article describes how the WRHDP created new methods for provincial and local agencies to overcome obstacles and work with one another to improve women's health. It also describes the processes used in the rural areas of Chengjiang and Luliang counties to assess local conditions and needs, and the supported and expanded local efforts in improving woman's reproductive and family health that resulted from the processes.
妇女生殖健康与发展项目（WRDHP）是一次雄心勃勃的尝试，旨在将健康发展理念的两个重要原则在农村生殖健康背景下付诸实践。其一，社区参与影响自身的服务和项目决策至关重要。其二，医疗保健的复杂性最好通过干预过程来解决，这需要一种多功能的规划和协调方法。在规划和干预方法中，妇女生殖健康与发展项目都认识到影响妇女保障自身及其家庭健康和福祉努力的社会、文化和经济现实。妇女生殖健康与发展项目的重点是在中国农村云南省这样的农村生殖健康环境中进行能力建设。妇女生殖健康与发展项目并非利用国际捐助资金来提供特定干预措施，而是将福特基金会的资金作为杠杆，鼓励社区对影响健康的环境资源进行投资，提高现有卫生机构中个人的技术技能，并推动现有卫生和发展机构内部的结构变革，以支持该地区卫生和发展机构之间的跨部门合作以及社区赋权。本文描述了妇女生殖健康与发展项目如何为省级和地方机构创造新方法，以克服障碍并相互合作来改善妇女健康。它还描述了澄江县和陆良县农村地区用于评估当地情况和需求的过程，以及这些过程如何支持并扩大了当地在改善妇女生殖和家庭健康方面所做的努力。
