Community Based Health Care in the Philippine Highlands: The Hanunuo Mangyans of Mindoro
Community Based Health Care in the Philippine Highlands: The Hanunuo Mangyans of Mindoro
复制标题
菲律宾高地的社区医疗保健：民都洛岛的哈努诺曼吉安人
DOI：
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发表时间：
1988
影响因子：
2.5
通讯作者：
J. Okamura
中科院分区：
文献类型：
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作者：
TS Osteria;J. Okamura
本文介绍了菲律宾高地Hanunuo Mangyans社区参与卫生保健服务规划和提供的可行性和有效性。哈努努人是民都洛岛森林内陆的七个土著少数民族之一。以前的Mangyan研究表明，他们健康状况不佳，普遍营养不良，经常容易感染传染病。迫切需要制定可行的战略来解决他们的健康问题，因为民都洛缺乏足够的保健设施和人员，而且曼吉安人很少得到保健服务。对项目区哈努诺人健康和营养状况的基线调查表明，以下疾病最为普遍：上呼吸道感染、皮肤病、寄生虫病、贫血和疟疾。哈努诺人较严重的健康问题包括环境卫生差、缺乏医务人员和药品、缺乏治疗和预防保健知识、缺乏适当的产前保健、营养状况差和缺乏健康教育。还介绍了社区参与项目规划和决策、社区志愿者培训讲习班和资源手册、保健工作者的覆盖范围和分配的任务，以及村保健委员会的组织情况。
The feasibility and effectiveness of community participation in the planning and delivery of health care services among the Hanunuo Mangyans in the Philippine highlands is described. The Hanunuo are swidden cultivators and one of seven indigenous ethnic minorities in the forested interior of Mindoro island. Previous Mangyan studies have shown that they have poor health, are generally malnourished and continually susceptible to communicable diseases. The need to develop viable strategies to counter their health problems is pressing since Mindoro suffers from insufficient health care facilities and personnel, and health services are rarely available to Mangyans. Baseline surveys on the health and nutritional status of the Hanunuo population in the project site indicated that the following illnesses are most prevalent: upper respiratory tract infection, skin diseases, parasitism, anaemia and malaria. The more significant health problems of the Hanunuo include poor environmental sanitation, lack of medical personnel and drugs, inadequate knowledge of curative and preventive care, lack of adequate prenatal care, poor nutritional status and lack of health education. Also described are the participation of the community in project planning and decision making, the training workshops and resource manual for the community volunteers, the coverage areas and assigned tasks of the health workers, and the organisation of village health committees.