Garment sector health interventions in Cambodia: A comprehensive review
Garment sector health interventions in Cambodia: A comprehensive review
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柬埔寨服装业健康干预措施：全面审查
DOI：
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
A. Bajracharya
中科院分区：
文献类型：
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作者：
M. Heng;A. Bajracharya
作为工人健康项目的一部分，证据项目/人口理事会在过去五年中全面审查了柬埔寨服装行业的卫生干预措施，特别是以生殖健康和计划生育为重点的项目。审查的结果支持了WorkerHealth的目标，即通过记录服装行业健康干预措施的范围，并查明最佳做法和方案拟订和评价方面的差距，实现与柬埔寨服装厂女工的健康和福祉有关的循证决策和方案拟订。这项研究的主要结论包括：对经济上重要的女性占主导地位的服装行业来说，生殖健康和计划生育保健服务需求是最重要的，但大多数干预措施并没有具体或充分地解决这些问题。联合伙伴关系项目--无论是在领导能力方面还是在资金方面--在最大限度地利用专门知识和资源方面拥有尚未开发的潜力。政府实施者和捐助者之间的合作将使未来的项目能够扩大复盖面，采用更综合的补充干预办法，并减轻工厂管理的负担。政策宣传和创新的卫生筹资战略是未得到充分利用的办法：未来的项目应通过政策宣传与政府接触，特别是劳动和职业培训部。项目还可以积极支持政府改善工人健康的工作，包括制定补充国家社会保障基金(社保基金)的卫生筹资战略。迫切需要对项目成果和实施过程进行严格的监测和评估，以确定哪些有效，哪些无效，并为未来基于GF的健康干预设计提供信息。
As part of the WorkerHealth project the Evidence Project/Population Council conducted a comprehensive review of garment sector health interventions particularly RH- and FP-focused projects in Cambodia during the last five years. The results from the review support WorkerHealth’s objective of enabling evidence-based decisionmaking and programming related to the health and wellbeing of female garment factory workers in Cambodia by documenting the range of garment sector health interventions and identifying best practices and gaps in programming and evaluation. Key findings from the study included: RH and FP health service needs are paramount for the economically important female-dominated garment sector but most interventions do not specifically or adequately address these issues. Joint partnership projects -both in terms of leadership and finance -hold untapped potential for maximizing expertise and resources. Collaboration between government implementers and donors would enable future projects to increase coverage adopt more integrated complementary intervention approaches and reduce the burden on factory management. Policy advocacy and innovative health financing strategies are under-utilized approaches: future projects should engage with the government through policy advocacy especially the Ministry of Labour and Vocational Training (MoLVT). Projects can also actively support the government’s work to improve worker health including for example by developing health financing strategies that complement the National Social Security Fund (NSSF). There is an acute need for rigorous monitoring and evaluation of project outcomes and implementation processes to determine what works and does not work and to inform future GF-based health intervention design.