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[在被忽视热带病项目中将性别与交叉性纳入主流的途径]

[Paths to mainstreaming gender and intersectionality in neglected tropical disease programsCaminhos para a inclusão da perspectiva de gênero e interseccionalidade nos programas de doenças tropicais negligenciadas].

作者信息

Neves-Silva Priscila, Saleh-Ramírez Aysa, Luciañez Ana

机构信息

Programa Regional de Enfermedades Tropicales Desatendidas Departamento de Prevención, Control y Eliminación de Enfermedades Transmisibles Organización Panamericana de la Salud Washington D.C. Estados Unidos de América Programa Regional de Enfermedades Tropicales Desatendidas, Departamento de Prevención, Control y Eliminación de Enfermedades Transmisibles. Organización Panamericana de la Salud, Washington D.C., Estados Unidos de América.

Departamento de Determinantes Sociales y Ambientales para la Equidad en la Salud Organización Panamericana de la Salud Washington D.C. Estados Unidos de América Departamento de Determinantes Sociales y Ambientales para la Equidad en la Salud, Organización Panamericana de la Salud, Washington D.C., Estados Unidos de América.

出版信息

Rev Panam Salud Publica. 2025 Jul 21;49:e82. doi: 10.26633/RPSP.2025.82. eCollection 2025.

Abstract

Neglected tropical diseases affect more than one billion people worldwide, over 55 million of whom are in the Region of the Americas. These conditions can cause long-term disability and death, and disproportionately affect populations living in poverty. It is well known that adopting the gender perspective and incorporating intersectionality in the development of health programs can help reduce inequities. Based on this idea, this article suggests specific actions for the mainstreaming of gender and intersectionality. These actions include the collection of disaggregated data, the implementation of affirmative actions and inclusive communication, intersectional gender analysis, capacity building for health care providers, mental health and stigma management, and the implementation of a human rights-based approach. Adoption of the gender perspective with an intersectional approach is not only advisable but essential to achieving comprehensive person- and community-centered health care. Integration must occur from the strategic level through to the local level, to elucidate and tackle the barriers that people face in accessing health care as a result of their axes of identity. Community participation should be encouraged and capacity built both within health services and in communities themselves.

摘要

被忽视的热带病影响着全球超过10亿人,其中超过5500万人在美洲地区。这些疾病会导致长期残疾和死亡,对贫困人口的影响尤为严重。众所周知,在卫生项目的制定过程中采用性别视角并纳入交叉性分析有助于减少不平等现象。基于这一理念,本文提出了将性别和交叉性分析纳入主流的具体行动。这些行动包括收集分类数据、实施平权行动和包容性沟通、进行交叉性性别分析、开展医护人员能力建设、进行心理健康和消除污名管理,以及实施基于人权的方法。采用具有交叉性方法的性别视角不仅是可取的,而且对于实现以个人和社区为中心的全面医疗保健至关重要。必须从战略层面到地方层面进行整合,以阐明和解决人们由于其身份特征而在获得医疗保健方面面临的障碍。应鼓励社区参与,并在卫生服务机构和社区内部进行能力建设。

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