Reflections on Health Promotion and Disability in Low and Middle-Income Countries: Case Study of Parent-Support Programmes for Children with Congenital Zika Syndrome
Reflections on Health Promotion and Disability in Low and Middle-Income Countries: Case Study of Parent-Support Programmes for Children with Congenital Zika Syndrome
复制标题
DOI：
10.3390/ijerph15030514
复制
发表时间：
2018-03-01
影响因子：
--
通讯作者：
Duttine, Antony
中科院分区：
文献类型：
--
作者：
Kuper, Hannah;Smythe, Tracey;Duttine, Antony
许多国家已将全民健康覆盖作为2030年的国家目标。残疾人需要被纳入全民健康覆盖的努力中，因为他们是一个庞大的群体，占世界人口的15%，更容易受到健康状况不佳的影响。全民健康覆盖的重点是覆盖全体人口并提供所需的所有服务，并且必须强调健康促进以及疾病治疗和治愈。健康促进往往侧重于解决个人行为，如鼓励锻炼或良好的营养。然而，如果不进一步努力解决贫穷和不平等问题，这些活动就不足以改善健康状况，而贫穷和不平等是健康状况不佳的根本原因。在这篇文章中，我们确定了残疾人健康促进的共同挑战，机遇和例子，着眼于个人行为的改变以及解决健康状况不佳的驱动因素。我们提出了一个案例研究的照顾者支持计划的父母先天性寨卡综合征在巴西作为一个整体的健康促进计划的例子。该方案通过提高照顾者的技能来满足其子女的健康需求，并解决贫困和排斥问题。
Universal health coverage (UHC) has been adopted by many countries as a national target for 2030. People with disabilities need to be included within efforts towards UHC, as they are a large group making up 15% of the world's population and are more vulnerable to poor health. UHC focuses both on covering the whole population as well as providing all the services needed and must include an emphasis on health promotion, as well as disease treatment and cure. Health promotion often focusses on tackling individual behaviours, such as encouraging exercise or good nutrition. However, these activities are insufficient to improve health without additional efforts to address poverty and inequality, which are the underlying drivers of poor health. In this article, we identify common challenges, opportunities and examples for health promotion for people with disabilities, looking at both individual behaviour change as well as addressing the drivers of poor health. We present a case study of a carer support programme for parents of children with Congenital Zika Syndrome in Brazil as an example of a holistic programme for health promotion. This programme operates both through improving skills of caregivers to address the health needs of their child and tackling poverty and exclusion.