Theobald Sally, MacPherson Eleanor, McCollum Rosalind, Tolhurst Rachel
International Public Health Department, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
BMC Proc. 2015 Dec 18;9(Suppl 10):S8. doi: 10.1186/1753-6561-9-S10-S8. eCollection 2015.
Universal health coverage is gaining momentum and is likely to form a core part of the post Millennium Development Goal (MDG) agenda and be linked to social determinants of health, including gender; Close to community health providers are arguably key players in meeting the goal of universal health coverage through extending and delivering health services to poor and marginalised groups; Close to community health providers are embedded in communities and may therefore be strategically placed to understand intra household gender and power dynamics and how social determinants shape health and well-being. However, the opportunities to develop critical awareness and to translate this knowledge into health system and multi-sectoral action are poorly understood; Enabling close to community health providers to realise their potential requires health systems support and human resource management at multiple levels.
全民健康覆盖正蓄势待发,很可能成为后千年发展目标议程的核心部分,并与包括性别在内的健康社会决定因素相联系;贴近社区的卫生服务提供者可以说是实现全民健康覆盖目标的关键角色,他们通过向贫困和边缘化群体提供和拓展卫生服务来达成这一目标;贴近社区的卫生服务提供者扎根于社区,因此可能处于战略优势地位,从而能够了解家庭内部的性别和权力动态,以及社会决定因素如何塑造健康和福祉。然而,对于培养关键意识并将这些知识转化为卫生系统和多部门行动的机会,人们了解甚少;要使贴近社区的卫生服务提供者发挥其潜力,需要各级卫生系统的支持和人力资源管理。