Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, Illinois 60608, USA.
J Womens Health (Larchmt). 2010 Nov;19(11):2091-9. doi: 10.1089/jwh.2010.2119. Epub 2010 Oct 25.
This article uses Scale of Change theory as a framework to guide global health researchers to synergistically target women's health outcomes in the context of improving their right to freedom, equity, and equality of opportunities. We hypothesize that health researchers can do so through six action strategies. These strategies include (1) becoming fully informed of women's human rights directives to integrate them into research, (2) mainstreaming gender in the research, (3) using the expertise of grass roots women's organizations in the setting, (4) showcasing women's equity and equality in the organizational infrastructure, (5) disseminating research findings to policymakers in the study locale to influence health priorities, and (6) publicizing the social conditions that are linked to women's diseases. We explore conceptual and logistical dilemmas in transforming a study using these principles and also provide a case study of obstetric fistula reduction in Nigeria to illustrate how these strategies can be operationalized. Our intent is to offer a feasible approach to health researchers who, conceptually, may link women's health to social and cultural conditions but are looking for practical implementation strategies to examine a women's health issue through the lens of their human rights.
本文以变革规模理论为框架,指导全球卫生研究人员在改善妇女自由、公平和机会平等权利的背景下,协同努力实现妇女健康成果。我们假设卫生研究人员可以通过以下六种行动策略来实现这一目标。这些策略包括:(1)充分了解妇女的人权指令,将其纳入研究;(2)在研究中实现性别主流化;(3)在当地环境中利用基层妇女组织的专业知识;(4)在组织基础设施中展示妇女的公平和平等;(5)向研究地点的政策制定者传播研究结果,以影响卫生重点;(6)宣传与妇女疾病相关的社会状况。我们探讨了在使用这些原则进行研究时遇到的概念和逻辑难题,并提供了尼日利亚减少产科瘘管病的案例研究,说明如何将这些策略付诸实践。我们的目的是为那些可能从概念上将妇女健康与社会和文化条件联系起来但正在寻找实用的实施策略的卫生研究人员提供一种可行的方法,以便通过其人权视角来审视妇女健康问题。