Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA.
BMC Womens Health. 2012 Dec 10;12:42. doi: 10.1186/1472-6874-12-42.
This paper discusses the way in which women's health concerns were addressed in Mexico as part of a health system reform.
The first part sets the context by examining the growing complexity that characterizes the global health field, where women's needs occupy center stage. Part two briefly describes a critical conceptual evolution, i.e. from maternal to reproductive to women's health. In the third and last section, the novel "women and health" (W&H) approach and its translation into policies and programs in the context of a structural health reform in Mexico is discussed. W&H simultaneously focuses on women's health needs and women's critical roles as both formal and informal providers of health care, and the links between these two dimensions.
The most important message of this paper is that broad changes in health systems offer the opportunity to address women's health needs through innovative approaches focused on promoting gender equality and empowering women as drivers of change.
本文探讨了墨西哥在医疗体系改革中关注女性健康的方式。
第一部分通过考察全球健康领域日益复杂的特点,即女性需求占据中心舞台,为本文设定了背景。第二部分简要描述了一个关键的概念演变,即从产妇健康到生殖健康再到妇女健康。在第三部分也是最后一部分中,本文讨论了新颖的“妇女与健康”(W&H)方法及其在墨西哥结构性医疗改革背景下转化为政策和项目的情况。W&H 同时关注妇女的健康需求和妇女作为正式和非正式医疗服务提供者的关键作用,以及这两个方面之间的联系。
本文最重要的信息是,医疗体系的重大变革为通过创新方法解决妇女健康需求提供了机会,这些方法的重点是促进性别平等和赋予妇女作为变革推动者的权力。