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冲突与发展:东帝汶应对性健康和生殖健康需求面临的挑战

Conflict and development: challenges in responding to sexual and reproductive health needs in Timor-Leste.

作者信息

Wayte Kayli, Zwi Anthony B, Belton Suzanne, Martins Joao, Martins Nelson, Whelan Anna, Kelly Paul M

机构信息

Menzies School of Health Research and Graduate School for Health Practice, Charles Darwin University, Darwin, Australia.

出版信息

Reprod Health Matters. 2008 May;16(31):83-92. doi: 10.1016/S0968-8080(08)31355-X.

DOI:10.1016/S0968-8080(08)31355-X
PMID:18513610
Abstract

In April and May 2006, internal conflict in Timor-Leste led to the displacement of approximately 150,000 people, around 15% of the population. The violence was most intense in Dili, the capital, where many residents were displaced into camps in the city or to the districts. Research utilising in-depth qualitative interviews, service statistics and document review was conducted from September 2006 to February 2007 to assess the health sector's response to reproductive health needs during the crisis. The study revealed an emphasis on antenatal care and a maternity waiting camp for pregnant women, but the relative neglect of other areas of reproductive health. There remains a need for improved coordination, increased dialogue and advocacy around sensitive reproductive health issues as well as greater participation of the health sector in response to gender-based violence. Strengthening neglected areas and including all components of sexual and reproductive health in coordination structures will provide a stronger foundation through which to respond to any future crises in Timor-Leste.

摘要

2006年4月和5月,东帝汶的内部冲突致使约15万人流离失所,约占该国人口的15%。暴力冲突在首都帝力最为激烈,许多居民被迫进入该市的营地或其他地区。2006年9月至2007年2月,通过深入的定性访谈、服务统计和文件审查开展了研究,以评估危机期间卫生部门对生殖健康需求的应对情况。研究表明,重点放在了产前护理和为孕妇设立的产妇等候营地,但生殖健康的其他领域相对受到忽视。仍需要改善协调、围绕敏感的生殖健康问题加强对话和宣传,以及让卫生部门更多地参与应对基于性别的暴力。加强被忽视的领域,并将性健康和生殖健康的所有组成部分纳入协调结构,将为应对东帝汶未来的任何危机奠定更坚实的基础。

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