将非传染性疾病作为博茨瓦纳的健康“问题”:对非传染性疾病战略的批判性分析(2018-2023年)。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Pub Date : 2025-04-12 DOI:10.1177/13634593251332879
Tebogo B Sebeelo
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引用次数: 0

摘要

非传染性疾病(NCD’s)最近已成为博茨瓦纳决策者关注的焦点。与国际社会一致,该国一直有意应对非传染性疾病带来的挑战及其对人口构成的潜在威胁。尽管对非传染性疾病的担忧是合理的,但相对而言,人们不知道非传染性疾病是如何在博茨瓦纳被视为政策“问题”的。更重要的是,非传染性疾病的谱系及其出现的政治在很大程度上超出了主流政策制定的范围。本文借鉴了Carol Bacchi的“问题代表是什么”(WPR),这是一种结构后分析方法,用于研究博茨瓦纳预防和控制非传染性疾病的多部门战略(2018-2023)如何代表博茨瓦纳的非传染性疾病“问题”。这篇论文认为,博茨瓦纳的非传染性疾病战略是以一种强调个人责任而忽视更大的社会力量的新自由主义方法为框架的。此外,该论文强调,使用国际“专家”和顾问带来了可能破坏当地知识体系的国际证据。非传染性疾病战略基本上忽略了影响博茨瓦纳非传染性疾病风险的社会文化因素。这篇论文对非传染性疾病“问题”的构建可能如何破坏博茨瓦纳人民的日常经历进行了批判性分析。论文的结论部分概述了WPR分析确定的非传染性疾病“问题”的其他概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Producing non-communicable diseases(NCD's) as health 'problems' in Botswana: A critical analysis of the NCD strategy (2018-2023).

Non-communicable diseases (NCD's) have recently become a focus of attention for policymakers in Botswana. In line with the global community, the country has been intentional about dealing with the challenges posed by NCD's and the potential threat it poses to the population. Although the concern with NCD's is legitimate, it is relatively unknown how NCD's have been constructed as policy 'problems' in Botswana. More importantly, the genealogy of NCD's and the politics of their emergence has largely been outside the scope of mainstream policymaking. This paper draws from Carol Bacchi's 'What's the Problem Represented to Be' (WPR), a poststructural analytic approach to examine how the Botswana Multi-Sectoral Strategy for Prevention and Control of Non-Communicable Diseases (2018-2023) represents the NCD 'problem' in Botswana. The paper argues that the NCD strategy in Botswana is framed from a neoliberal approach that place emphasis on individual responsibility and neglect larger social forces. Furthermore, the paper highlights that the use of international 'experts' and consultants bring along international tropes of evidence that might undermine local knowledge systems. The NCD strategy essentially neglects the socio-cultural factors that shape NCD risk in Botswana. The paper provides a critical analysis of how the construction of NCD 'problems' might undermine the everyday experiences of the people of Botswana. Alternative conceptualisations of the NCD 'problem' identified by the WPR analysis is outlined in the conclusion of the paper.

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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
发文量
0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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