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制定并实施泰国最南端“Orang Asali”少数民族的行动计划,以实现联合国可持续发展目标下公平获得公共医疗保健和公共服务的目标。

Developing and Implementing an Action Plan among the "Orang Asali" Minority in Southernmost Thailand for Equitable Accessibility to Public Health Care and Public Services Following the United Nations Sustainable Development Goals.

机构信息

Institute for Development of Civil Officials in Southern Border Provinces, Southern Border Provinces Administrative Center, Meung, Yala 95000, Thailand.

Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

出版信息

Int J Environ Res Public Health. 2023 Mar 12;20(6):5018. doi: 10.3390/ijerph20065018.

Abstract

Ending social inequality by 2030 is a goal of the United Nations' endorsed sustainable development agenda. Minority or marginalized people are susceptible to social inequality. This action research qualitatively evaluated the requirements for and barriers to full access to public services of the Orang Asali (OA), a minority people living in the Narathiwas province in southernmost Thailand. With the cooperation of the staff of the Southern Border Provinces Administrative Center (SBPAC), we interviewed the OA, local governmental officers and Thai community leaders regarding the OA's living conditions and health status. Then, an action plan was developed and implemented to raise their living standards with minimal disruption to their traditional cultural beliefs and lifestyle. For systematic follow-ups, a Thai nationality registration process was carried out before the assistance was provided. Living conditions and livelihood opportunities, health care and education were the main targets of the action plan. Universal health coverage (UHC), according to Thai health policy, was applied to OA for holistic health care. The OA were satisfied with the assistance provided to them. While filling the gap of social inequality for the OA is urgent, a balance between the modern and traditional living styles should be carefully considered.

摘要

到 2030 年消除社会不平等是联合国认可的可持续发展议程的目标。少数群体或边缘群体容易受到社会不平等的影响。本行动研究从质的角度评估了奥朗阿萨利(OA)全面获得公共服务的需求和障碍,奥朗阿萨利是生活在泰国最南端那拉提瓦府的少数民族。在南部边境省份行政中心(SBPAC)工作人员的合作下,我们采访了 OA、当地政府官员和泰国社区领袖,了解他们的生活条件和健康状况。然后,制定并实施了一项行动计划,在不干扰他们传统文化信仰和生活方式的情况下提高他们的生活水平。为了进行系统的跟踪,在提供援助之前,进行了泰国国籍登记程序。行动计划的主要目标是改善生活条件和生计机会、医疗保健和教育。根据泰国的卫生政策,全民健康覆盖(UHC)适用于 OA 人群的整体医疗保健。OA 对所提供的援助表示满意。虽然为 OA 填补社会不平等的差距迫在眉睫,但应谨慎考虑现代和传统生活方式之间的平衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4e/10049293/f914b07220f8/ijerph-20-05018-g001.jpg

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