社会资本与结核病预防措施
本论文的目的是探讨社会资本与结核病(TB)预防实践之间的关系在阿姆哈拉民族地区州，埃塞俄比亚的北Shoa区。社会资本的概念受到皮埃尔·布迪厄的实践理论的启发，该理论于1972年首次在法语中发表(Bourdieu 1972:1-2)。布迪厄认识到，个人的行为受到社会中存在的文化和客观结构的影响。然而，本论文侧重于决定社会资本对-à-vis医疗保健实践的使用的行为(例如Fine 2008:57-58)。采用社会网络分析(SNA)方法的定性研究设计来探讨社会资本在结核病预防实践中的作用。采用有目的抽样技术，选择卫生保健提供者、结核病患者和当地治疗师作为参与者。访谈、实地观察和文件(政策和战略)审查被用作从参与者收集数据的手段。雷竞技苹果下载该研究表明，旨在预防结核病的生物医学方法没有考虑到各种利益相关者(例如结核病患者、护理提供者、传统治疗师)对结核病预防做法的看法。对保健提供者的培训不考虑以任何有利于以社区为基础的预防精神的方式与社会行为者合作。该研究还表明，结核病患者和社区对卫生保健系统的消极看法以及(另一方面)他们对长期存在的地方传统结核病治疗做法的积极看法阻碍了生物医学结核病预防做法。 The findings showed that the biomedical TB prevention practices were greatly hampered by sociocultural factors including age and gender (i.e. being old or being female), and by TB patients’ (and their family members) extremely low levelof education and income and poor housing and living conditions. The study found that female and aged TB patients suffered such difficult life conditions because of abject poverty that they were forced to live in destitution within their social networks (family members and neighbours). It was also found that TB patients’ lives were characterized by social isolation and stigmatisation. The study suggests that in order for the biomedical approach to TB prevention to be effective, it should be based on the notion of social capital as argued in the theory of Critical Medical Anthropology (CMA).
伊蒂娜·格布雷博士我害怕”我害怕”
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