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Health policy triangle framework: Narrative review of the recent literature.健康政策三角框架:近期文献的叙述性综述
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Document analysis in health policy research: the READ approach.卫生政策研究中的文献分析:READ方法。
Health Policy Plan. 2021 Feb 16;35(10):1424-1431. doi: 10.1093/heapol/czaa064.
3
Exclusive breastfeeding policy, practice and influences in South Africa, 1980 to 2018: A mixed-methods systematic review.1980 年至 2018 年南非的纯母乳喂养政策、实践和影响:一项混合方法系统评价。
PLoS One. 2019 Oct 18;14(10):e0224029. doi: 10.1371/journal.pone.0224029. eCollection 2019.
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Reflexivity in Qualitative Research.质化研究中的反身性。
J Hum Lact. 2019 May;35(2):220-222. doi: 10.1177/0890334419830990. Epub 2019 Mar 8.
5
Does extending the duration of legislated paid maternity leave improve breastfeeding practices? Evidence from 38 low-income and middle-income countries.延长法定带薪产假时长能否改善母乳喂养情况?来自38个低收入和中等收入国家的证据。
BMJ Glob Health. 2018 Oct 11;3(5):e001032. doi: 10.1136/bmjgh-2018-001032. eCollection 2018.
6
Why invest, and what it will take to improve breastfeeding practices?为何要投资,以及需要采取哪些措施来改善母乳喂养做法?
Lancet. 2016 Jan 30;387(10017):491-504. doi: 10.1016/S0140-6736(15)01044-2.
7
Breastfeeding policy: a globally comparative analysis.母乳喂养政策:全球比较分析。
Bull World Health Organ. 2013 Jun 1;91(6):398-406. doi: 10.2471/BLT.12.109363. Epub 2013 Apr 18.
8
Comparison of maternal absenteeism and infant illness rates among breast-feeding and formula-feeding women in two corporations.两家公司中母乳喂养和人工喂养女性的产妇缺勤率与婴儿患病率比较
Am J Health Promot. 1995 Nov-Dec;10(2):148-53. doi: 10.4278/0890-1171-10.2.148.
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Reforming the health sector in developing countries: the central role of policy analysis.改革发展中国家的卫生部门:政策分析的核心作用。
Health Policy Plan. 1994 Dec;9(4):353-70. doi: 10.1093/heapol/9.4.353.

南非母婴保护权利的立法和政策:一个支离破碎的现状。

Legislation and Policies for the Right to Maternity Protection in South Africa: A Fragmented State of Affairs.

机构信息

School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, , Bellville, Western Cape, South Africa.

Department of Mercantile and Labour Law, University of the Western Cape, Bellville, Western Cape, South Africa.

出版信息

J Hum Lact. 2022 Nov;38(4):686-699. doi: 10.1177/08903344221108090. Epub 2022 Jul 8.

DOI:10.1177/08903344221108090
PMID:35808809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9596948/
Abstract

BACKGROUND

Maternity protection rights incorporate comprehensive benefits that should be available to pregnant or breastfeeding working women.

RESEARCH AIM

To describe South Africa's maternity protection legal and policy landscape and compare it to global recommendations.

METHOD

A prospective cross-sectional comparative policy analysis was used to review and describe national policy documents published from 1994-2021. Entitlements were mapped and compared to International Labour Organization standards. The document analysis was supplemented by interviews conducted with key national government department informants. Thematic analysis was used to evaluate policy and interview content.

RESULTS

Elements of maternity protection policy are incorporated into South Africa's constitutional dispensation, and some measures are consistent with international labor and social security standards. However, the policy framework is fragmented and difficult to interpret. The fragmented policy environment makes it challenging for employees to know their maternity rights' entitlements and for employers to understand their responsibilities. Confusion regarding maternity protection rights is amplified by the complexity of ensuring access to different forms of maternal protection in pre- and postnatal stages, oversight by multiple government departments, and heterogenous working environments.

CONCLUSIONS

Maternity protection in South Africa is fragmented and difficult to access. Overcoming these challenges requires legislative and implementation measures to ensure greater policy coherence and comprehensive guidance on maternity protection rights. Addressing gaps in maternity protection in South Africa may provide insights for other countries with shortcomings in maternity protection provisions and could contribute to improved breastfeeding practices.

摘要

背景

孕哺保护权益包含了应提供给怀孕或哺乳期工作女性的综合福利。

研究目的

描述南非孕哺保护的法律和政策现状,并将其与全球建议进行比较。

方法

采用前瞻性的横断面比较政策分析,对 1994 年至 2021 年期间发布的国家政策文件进行审查和描述。将权利进行映射,并与国际劳工组织的标准进行比较。文件分析补充了对国家政府部门主要知情人的采访。采用主题分析评估政策和采访内容。

结果

孕哺保护政策的一些要素被纳入南非的宪法分配中,并且一些措施与国际劳工和社会保障标准一致。然而,政策框架是分散的,难以解读。分散的政策环境使得员工难以了解其孕哺权益,雇主也难以理解其责任。由于确保在产前和产后阶段获得不同形式的孕哺保护的复杂性、多个政府部门的监督以及多样化的工作环境,孕哺保护权利的混淆问题更加严重。

结论

南非的孕哺保护是分散的,难以获得。克服这些挑战需要立法和实施措施,以确保更大的政策一致性和孕哺保护权利的综合指导。解决南非孕哺保护方面的差距可能为其他在孕哺保护规定方面存在不足的国家提供启示,并有助于改善母乳喂养实践。