Misago C, Kendall C, Freitas P, Haneda K, Silveira D, Onuki D, Mori T, Sadamori T, Umenai T
National Institute of Public Health, Tokyo, Japan.
Tulane University, New Orleans, Louisiana, USA.
Int J Gynaecol Obstet. 2001 Nov;75 Suppl 1:S67-S72. doi: 10.1016/S0020-7292(01)00511-2.
Brazil has become a country known as having one of the most extreme examples of the consequences of the hospital-based medicalization of delivery care, while a model of humanization of birth was developed in the State of Ceará in the 1970s. The Government of Japan, through the Japanese International Cooperation Agency (JICA), collaborated with the Federal Ministry of Health of Brazil and the Government of the State of Ceará, in implementing the Maternal and Child Health Improvement Project in north-east Brazil (1996-2001). This project focused on 'humanization of childbirth', with training based intervention activities. Behavioral changes among health professionals who received the project's participatory type of training were described using rapid anthropological assessment procedure (RAP) survey results. Changes from 'a culture of dehumanization of childbirth' to 'childbirth as a transformative experience' were observed.
巴西已成为一个以分娩护理医院化后果最为极端的例子之一而闻名的国家，而20世纪70年代在塞阿拉州形成了一种人性化分娩模式。日本政府通过日本国际协力机构（JICA），与巴西联邦卫生部和塞阿拉州政府合作，在巴西东北部实施了母婴健康改善项目（1996 - 2001年）。该项目专注于“分娩人性化”，开展了基于培训的干预活动。利用快速人类学评估程序（RAP）调查结果描述了接受该项目参与式培训的卫生专业人员的行为变化。观察到了从“分娩非人性化文化”到“分娩是一种变革性体验”的转变。
