数字化社区卫生工作:关于全球卫生政策价值的斗争

Tine Hanrieder, Eloisa Montt Maray
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引用次数: 2

摘要

数字技术的引入引发了关于低收入和中等收入国家社区卫生工作者价值的新辩论。这场辩论提供了对与全球公共卫生有关的各项公约的重要见解。社区卫生工作者在20世纪70年代的初级卫生保健运动中已经受到赞扬,近年来正在显着复苏,无数行动者寻求通过移动设备扩大其影响。我们对评估这一影响的公共卫生文献的内容分析揭示了调和公平和成本效益问题的尝试的中心地位,因此存在相当大的规范性紧张关系。此外,我们发现,关于隐私和性别角色等“国内”价值观的讨论带有家长式的基调,呼吁女权主义者和后殖民主义参与社区卫生工作的数字化。
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Digitalizing Community Health Work: A Struggle over the Values of Global Health Policy
The introduction of digital technology has sparked new debates about the value of community health workers in low-and-middle-income countries. This debate offers important insights into the conventions that are relevant in global public health. Community health workers, a workforce that was already celebrated during the 1970s Primary Health Care movement, are having a remarkable revival in recent years, and myriad actors seek to boost their impact through mobile devices. Our content analysis of the public health literature evaluating this impact reveals the centrality of attempts at reconciling equity and cost effectiveness concerns, and thus considerable normative tensions. Additionally, we find that discussions about “domestic” values such as privacy and gender roles come with a paternalistic undertone, calling for feminist and postcolonial engagement with the digitalization of community health work.
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