The potential of health literacy to address the health related UN sustainable development goal 3 (SDG3) in Nepal: a rapid review.
The potential of health literacy to address the health related UN sustainable development goal 3 (SDG3) in Nepal: a rapid review.
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DOI：
10.1186/s12913-017-2183-6
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发表时间：
2017-03-27
影响因子：
2.8
通讯作者：
Osborne RH
中科院分区：
文献类型：
--
作者：
Budhathoki SS;Pokharel PK;Good S;Limbu S;Bhattachan M;Osborne RH
卫生知识普及与全世界各人口群体的卫生成果有关。尼泊尔是一个低收入国家，承受着传染性和非传染性疾病高度流行的双重负担。世界卫生组织（WHO）将健康素养定位为实现与健康相关的可持续发展目标（SDG3）的关键机制。然而，人们对尼泊尔等发展中国家的卫生知识普及状况知之甚少。本文旨在审查健康素养在尼泊尔实现可持续发展目标3的潜力。使用知识行动证据总结方法进行了快速审查。纳入综述的文章是2000年1月至2015年12月期间以英语发表的报告尼泊尔医疗保健参与障碍的文章。卫生保健参与的障碍包括知识和教育作为强有力的因素，其次是文化，性别角色，服务质量和服务成本。这些障碍影响尼泊尔社区不仅在个人层面，而且在家庭层面获得和参与服务，并作出和实施保健决定。这些因素与健康素养直接相关。卫生知识普及是理解、获取和使用卫生信息和卫生服务的关键决定因素，必须满足人们的卫生知识普及需求。当地确定和制定的卫生知识普及干预措施可能为尼泊尔系统改善健康状况提供机会，以解决卫生保健方面的障碍。进一步研究卫生知识普及和实施卫生知识普及干预措施可能有助于减少不平等现象，提高卫生系统的反应能力，这可能有助于尼泊尔实现可持续发展目标。虽然目前健康素养对可持续发展目标3的影响还很小，但本文对健康素养的潜在作用提出了见解。
Health literacy has been linked to health outcomes across population groups around the world. Nepal, a low income country, experiences the double burden of highly prevalent communicable as well as non-communicable diseases. The World Health Organization (WHO) has positioned health literacy as a key mechanism to meet the health-related Sustainable Development Goal (SDG3). However, there is little known about the status of health literacy in developing countries such as Nepal. This paper aims to review the potential of health literacy to address SDG3 in Nepal. A rapid review was conducted using the knowledge to action evidence summary approach. Articles included in the review were those reporting on barriers to health care engagements in Nepal published in English language between January 2000 and December 2015. Barriers for healthcare engagement included knowledge and education as strong factors, followed by culture, gender roles, quality of service and cost of services. These barriers influence the Nepalese community to access and engage with services, and make and enact healthcare decisions, not only at the individual level but at the family level. These factors are directly linked to health literacy. Health literacy is a pivotal determinant of understanding, accessing and using health information and health services, it is important that the health literacy needs of the people be addressed. Locally identified and developed health literacy interventions may provide opportunities for systematic improvements in health to address impediments to healthcare in Nepal. Further research on health literacy and implementation of health literacy interventions may help reduce inequalities and increase the responsiveness of health systems which could potentially facilitate Nepal to meet the sustainable development goals. While there is currently little in place for health literacy to impact on the SDG3, this paper generates insights into health literacy’s potential role.