全球卫生公平视角下的妇女赋权:挑战、最佳做法和社会影响的文献综述

W. Al-Chetachi, Agafya Krivova, Hana’a Badran, S. Azam, E. Radwan, Yasmine Shalaby, Mithila Orin, E. Quintanilla, S. Bhuiyan
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摘要

简介:妇女赋权是指加强妇女的社会、经济和教育权力。已经实施了许多全球倡议,使妇女能够对自己的健康和生活作出决定。本次文献审查的目的是审查妇女健康障碍、相关最佳做法及其在全球范围内对增强妇女权能的影响。方法:综合检索PubMed、CINAHL、Google Scholar等数据库及重点项目网站。为了扩大我们的审查范围,我们采用了滚雪球策略来扫描全球项目和最佳实践的文章、文件、报告和研究成果,以克服障碍。此外,我们还筛选了致力于增强妇女权能和监测可持续发展目标进展的组织网站上发布的出版物。结果:调查结果表明,在过去二十年中,妇女的健康状况取得了重大进展。然而,2019冠状病毒病大流行加剧了健康障碍,阻碍甚至逆转了进展,导致全球妇女在获得卫生保健服务方面的不平等现象进一步扩大。结论:研究结果表明,成功和可持续的项目应采用多部门、多层次、多利益相关方、多元化的干预方法,并赋予社会权力,同时需要立法执法,消除对妇女的歧视和有害做法。
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Women’s empowerment under the lens of global health equity: Literature review of challenges, best practices, and societal impact
Introduction: Women’s empowerment refers to strengthening the social, economic, and educational powers of women. Numerous global initiatives have been implemented to enable women to make decisions about their health and lives. The purpose of this literature review was to review women’s health barriers, related best practices, and their impacts on women's empowerment in the global context. Methods: We comprehensively searched databases: PubMed, CINAHL, and Google Scholar and key program websites. To expand our review, we used a snowball strategy to scan articles, documents, reports, and research outputs of global programs and best practices to overcome barriers. Also, we screened publications posted on websites of organizations working on women’s empowerment and monitoring the Sustainable Development Goals progress. Results: Findings suggest significant advancements have been made in the status of women's health over the past two decades. However, the COVID-19 pandemic has aggravated health barriers, impeding, and even reversing progress, which has resulted in widening women’s inequity in access to health care services worldwide. Conclusions: Findings suggest that successful and sustainable programs should have a multisectoral, multilevel and multistakeholder, diversified interventions approach with social empowerment, as well as the need for legislative enforcement against discrimination and harmful practices towards women.
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