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Redeeming Gender Imbalances: How Biblical Interpretation Can Affect Women’s Health in Indonesia 救赎性别失衡:圣经解释如何影响印度尼西亚妇女的健康
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.651
F. Zaluchu
Several health indicators suggest that the level of women's health globally remains poor. Indicators such as maternal mortality, domestic violence, and stunting, particularly in Africa and Asia, are also linked to poor women's health. There is evidence that the poor quality of women's health parallels the prevalence of gender imbalance. One system supporting gender imbalance is the subjective interpretation of normative gender relations. To address this issue, this qualitative study makes use of the approach developed by Joan W. Scott covering four dimensions of analysis: symbols for both sexes in a culture, normative conceptions that follow these symbols, gender division, and subjective identity. This subjective research took place in the island of Nias, Indonesia where Christianity is the primary religion. The result of this study shows that certain interpretations of biblical verses have negatively impacted women, such as women being considered inferior to men, experiencing loss of opportunity to maintain health due to excessive work responsibilities, and risking mental and physical violence. Certain interpretations of biblical verses are believed and accepted as an absolute and fixed self-identity for Christians. An analysis of gender roles using an approach offered by an historian like Joan W. Scott accurately explains the power of religion-based symbols and norms in maintaining gender imbalance, which in turn, affect women’s health. A way forward is suggested to expand biblical interpretations which could increase equality and improve women’s health.
一些健康指标表明,全球妇女的健康水平仍然很低。孕产妇死亡率、家庭暴力和发育迟缓等指标,特别是在非洲和亚洲,也与妇女健康状况不佳有关。有证据表明,妇女健康质量低下与性别失衡的普遍性相类似。支持性别失衡的一个系统是对规范性性别关系的主观解释。为了解决这个问题,这项定性研究使用了Joan W.Scott开发的方法,涵盖了四个维度的分析:文化中两性的象征、遵循这些象征的规范概念、性别划分和主观认同。这项主观研究发生在印度尼西亚尼亚斯岛,那里的基督教是主要宗教。这项研究的结果表明,对圣经诗句的某些解释对女性产生了负面影响,例如女性被认为不如男性,由于过度的工作责任而失去了保持健康的机会,以及面临精神和身体暴力的风险。对圣经诗句的某些解释被认为是基督徒的一种绝对和固定的自我认同。Joan W.Scott等历史学家采用的方法对性别角色进行了分析,准确地解释了基于宗教的象征和规范在维持性别失衡方面的力量,而性别失衡反过来又影响了女性的健康。有人提出了一条前进的道路,即扩大对圣经的解释,这可以增加平等,改善妇女的健康。
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引用次数: 0
A Just Mission by M. Haddis. InterVarsity Press, 2022 哈迪斯先生的《公正的使命》。校际出版社,2022
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.709
W. Cayley
In A Just Mission, Mekdes Haddis challenges the ways Western missions efforts have understood and responded to these concepts with both a critique and a way forward. This important book leaves the reader challenged to be open to the Spirit, open to the diversity of the global church, and open to working in humility alongside all sisters and brothers in Christ.
在《公正的使命》一书中,Mekdes Haddis挑战了西方使命对这些概念的理解和回应方式,既提出了批评,也提出了前进的方向。这本重要的书向读者提出挑战,向圣灵开放,向全球教会的多样性开放,向在基督里的所有姐妹和兄弟谦卑地工作开放。
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引用次数: 0
Vulnerable Populations and Communal Capacity-building 弱势群体和社区能力建设
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.735
H. Larson
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引用次数: 0
Engaging the Local Church to Tackle Stunting in Indonesia: A Case Study in Nias Island 让当地教会参与解决印尼的发育迟缓问题:以尼亚斯岛为例
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.649
F. Zaluchu
A field report of engaging the local church in stunting prevention in Nias Island, Indonesia. 
印度尼西亚尼亚斯岛当地教会参与预防发育迟缓的实地报告。
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引用次数: 3
Widows’ Self-help Groups in North India: A Tool for Financial and Social Improvement 印度北部寡妇自助小组:改善经济和社会状况的工具
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.699
Arun Sharma, N. Bishop, N. Grills
Background and Aims: Widows in India face immense challenges through enduring abuse, discrimination, and poor financial opportunities.  Whilst there are many non-governmental organisations (NGOs) undertaking women’s empowerment programs, there is a paucity of literature reviewing their impact.  Project Sampan, located in Uttarakhand, India, started by helping widows form self-help groups and provides financial education and agricultural skills training as well as group and private counselling.  This study aims to evaluate the experiences of participants in the Sampan widows’ empowerment program. Methods: This qualitative study involved conducting seventeen semi-structured interviews between February to March of 2021; fifteen with participant widows and two with program facilitators.  Widows who were minimum of 18 years of age and had 18 months of involvement were included.  Participants were recruited through convenience sampling.  Thematic analysis was undertaken to generate common themes relating to the impact of Sampan on the widows, and triangulation of this data was also conducted with observation diaries kept by program facilitators.  Results: The evaluation revealed four key themes.  Firstly, it was found that the agricultural education Sampan provides changed widows’ daily practices, leading to improved produce as well as corresponding sales and an increased opportunity to partake in community business.  This has helped improve widows’ confidence, agency, and independence.  Furthermore, the microfinancing component of the Sampan program was consistently found to be a strength of the project, providing widows with financial security.  Their improved productivity and contribution to their communities has led to increased recognition by society, helping to mitigate some of the social stigma surrounding widowhood.  The Sampan program has also strengthened solidarity among widows through opportunities to socialise together. Conclusions: This evaluation describes the plight of widows in Uttarakhand, who have been historically excluded and financially vulnerable, but are growing in confidence and emancipation though their involvement in Sampan.  This study serves to underscore the existing literature about the discrimination Indian widows face and demonstrate the value of self-help groups in empowering widows.
背景和目标:印度的寡妇因长期遭受虐待、歧视和经济机会匮乏而面临巨大挑战。虽然有许多非政府组织开展妇女赋权计划,但很少有文献回顾其影响。Sampan项目位于印度北阿坎德邦,最初帮助寡妇组建自助团体,提供金融教育和农业技能培训以及团体和私人咨询。本研究旨在评估桑潘寡妇赋权计划参与者的经历。方法:这项定性研究在2021年2月至3月期间进行了17次半结构化访谈;15名参与者遗孀,2名项目主持人。年龄至少为18岁且参与18个月的寡妇也包括在内。参与者是通过方便抽样招募的。进行了专题分析,以产生与桑潘对寡妇的影响有关的共同主题,并通过项目主持人保存的观察日记对这些数据进行了三角测量。结果:评估揭示了四个关键主题。首先,研究发现,Sampan的农业教育改变了寡妇的日常生活方式,提高了产品质量和相应的销售额,并增加了参与社区商业的机会。这有助于提高寡妇的信心、能动性和独立性。此外,Sampan项目的小额融资部分一直被认为是该项目的优势,为寡妇提供了经济保障。他们生产力的提高和对社区的贡献增加了社会的认可,有助于减轻围绕守寡的一些社会污名。桑潘计划还通过共同社交的机会加强了寡妇之间的团结。结论:这项评估描述了北阿坎德邦寡妇的困境,她们在历史上一直被排斥在外,经济脆弱,但通过参与桑潘,她们的信心和解放正在增强。这项研究旨在强调有关印度寡妇面临歧视的现有文献,并证明自助团体在赋予寡妇权力方面的价值。
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引用次数: 0
Biomedical Services’ Fit Amongst People with Relational Worldviews, and a ‘Middle Road’ 生物医学服务“适合具有关系世界观的人”和“中间道路”
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.671
Jim Harries
A critique of the imposition of technical biomedical solutions on cultures with relational worldviews, and some of the pitfalls of international global health solutions are presented from an East African context, toward a "middle road" approach which considers relational and spiritual world views as a localized approach to global health, with examples from the COVID-19 pandemic. 
对生物医学技术解决方案强加给具有关系世界观的文化的批评,以及国际全球卫生解决方案的一些陷阱,从东非背景出发,向“中间道路”方法提出,该方法将关系和精神世界观视为全球卫生的本地化方法,并以新冠肺炎大流行为例。
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引用次数: 1
May We Know 我们可以知道吗
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.685
Oyebode Dosunmu
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引用次数: 0
The Backward Glance 向后看
Q4 Medicine Pub Date : 2022-12-21 DOI: 10.15566/cjgh.v9i2.711
B. Quaranta
This is a short poem reflecting on the physician's commitment to abstain from killing. 
这是一首短诗,反映了医生戒除杀戮的承诺。
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引用次数: 0
Associations of Multisite Pain with Mental Ill Health Among Women in North India. 北印度妇女多部位疼痛与心理健康不良的关系。
Q4 Medicine Pub Date : 2022-06-20 DOI: 10.15566/cjgh.v9i1.559
N. Grills, Prerana Singh, P. Anderson
Physical triggers of multisite pain (MSP) have typically been the focus if treatment regimens for MSP in low and middle income countries (LMICS). We explored the non-physical dimension of MSP, particularly the presence of mental ill health and other possible risk factors. We conducted a case-control study among 140 female participants in North India in early 2019. We used structured interviews to assess pain, and validated mental health questionnaires to determine presence of depression and neurotic disorders. Statistical analyses of multisite pain, mental health and demographic data found strong associations between multisite pain and depression and neurotic disorder. Marital status (women who had been widowed, separated or unmarried) was the only demographic factor found to have a significant association with the experience multisite pain. We conclude that non-physical factors such as mental health need to be considered by treating practitioners, and included within national treatment guidelines in LMICs such as India.
在中低收入国家(LMICS),多部位疼痛(MSP)的物理诱因通常是MSP治疗方案的重点。我们探讨了MSP的非身体方面,特别是精神疾病和其他可能的风险因素的存在。2019年初,我们对北印度的140名女性参与者进行了一项病例对照研究。我们使用结构化访谈来评估疼痛,并验证心理健康问卷来确定抑郁症和神经症的存在。对多部位疼痛、心理健康和人口统计数据的统计分析发现,多部位疼痛与抑郁症和神经症之间有很强的相关性。婚姻状况(丧偶、分居或未婚的女性)是唯一被发现与多部位疼痛有显著关联的人口统计学因素。我们的结论是,治疗从业者需要考虑心理健康等非身体因素,并将其纳入印度等LMIC的国家治疗指南中。
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引用次数: 0
An Analysis of the Relationship between Resilience and Clinical Competence in Nurses : Descriptive-analytical Study 护士心理弹性与临床胜任力的关系分析:描述性分析研究
Q4 Medicine Pub Date : 2022-06-20 DOI: 10.15566/cjgh.v9i1.547
P. Aziznejadroshan, S. Goliroshan, Mojtaba Qanbari Qalehsari, S. Hosseini, Z. Geraili, Fatemeh Shaker Zavardehi
  Objective: Resilience and clinical competence are two important components of providing nursing care to patients. The goal was to determine the correlation between clinical competence and resilience in the nurses at Babol University of Medical Sciences. Methods: This descriptive and correlational study was conducted in 2019-20. A total of 424 nurses working in the intensive care units and general wards of six hospitals affiliated with Babol University of Medical Sciences were selected using the stratified sampling technique. Liou’s Nursing Clinical Competence Questionnaire was used to assess the clinical competence of the nurses, and Connor-Davidson Resilience Scale was used to assess the nurses’ resilience. The descriptive statistics, Pearson’s correlation coefficient, t student, and one-way ANOVA methods were used in data analysis. Results: The mean score on the seven dimensions of clinical competence was high (174.8624.19). The nurses had the highest mean scores on “clinical care” and “management and leadership” dimensions (4.7731.50, 4.728.61) in the order mentioned. They also had the lowest mean scores on the “mentoring and teaching” and “professional progress” dimensions in the order mentioned (3.5319.10, 3.4119.14). The meanstandard deviation of the nurses’ resilience score was 73.3612.66. The results of Pearson’s correlation test indicated a positive significant relationship between all clinical competence dimensions and nurses’ resilience (p<0.001, r=0.493). Conclusion: Given the strong relationship between resilience and clinical competence, nursing managers are recommended to carry out proper planning to improve the clinical competence and resilience of nurses.
目的:心理弹性和临床能力是护理患者的重要组成部分。目的是确定临床能力和心理弹性之间的相关性在巴博尔医科大学的护士。方法:本研究于2019- 2020年进行描述性和相关性研究。采用分层抽样方法,选取巴博勒医科大学附属六家医院重症监护室和普通病房的424名护士。采用刘氏护理临床能力问卷对护士的临床能力进行评估,采用康纳-戴维森弹性量表对护士的弹性进行评估。数据分析采用描述性统计、Pearson相关系数、t student和单因素方差分析方法。结果:临床能力七个维度的平均得分较高,为174.8624.19分。护士在“临床护理”及“管理及领导”各维度的平均得分最高(分别为4.7731.50、4.728.61)。他们在“指导与教学”和“专业进步”维度上的平均得分也最低(3.5319.10,3.4119.14)。护士心理弹性评分的平均标准差为73.3612.66。Pearson相关检验结果显示,临床胜任力各维度与护士心理弹性呈显著正相关(p<0.001, r=0.493)。结论:鉴于心理弹性与临床胜任力之间存在较强的关系,建议护理管理者对护士的临床胜任力和心理弹性进行适当的规划,提高护士的临床胜任力和心理弹性。
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引用次数: 1
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Christian Journal for Global Health
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