旨在实现印度尼西亚全民健康覆盖的性别变革议程

IF 1.2 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY
R. Sciortino
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引用次数: 0

摘要

摘要在2019年全民健康覆盖高级别会议上,妇女团体及其盟友成功游说,要求承认性别公平以及全面的性健康和生殖健康与权利对全民健康覆盖至关重要。然而,保守派的反对意见仍然存在,实现当时批准的政治宣言将需要他们继续参与,追究政府的责任,促进变革性改革。这篇文章聚焦于印度尼西亚的国家健康保险(JKN),阐述了在现有障碍和变革机会的背景下,在全民健康保险中推进妇女健康和权利观点的可能干预措施。特别是,它介绍了妇女团体在新冠肺炎大流行前在澳大利亚-印度尼西亚促进性别平等和妇女赋权伙伴关系(MAMPU)下所做的部分努力,以促进妇女参与国家保险计划并提高其对SRHR的覆盖率。根据观察数据、研究结果和文献综述,文章表明,这些举措有助于弱势妇女接受该计划,并引起政策制定者的重大性别偏见。然而,该计划还需要做更多的工作,以全面和包容的方式涵盖性健康和生殖健康资源,并认识到性别反应是改善印度尼西亚妇女健康的关键因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aiming for a gender-transformative UHC agenda in Indonesia
Abstract At the 2019 High-Level Meeting on Universal Health Coverage (UHC), women’s groups and their allies successfully lobbied for the recognition of gender equity and comprehensive sexual and reproductive health and rights (SRHR) as critical to UHC. Conservative opposition, however, remains, and realization of the then-approved political declaration will require their continued engagement to hold governments accountable and foster transformative reforms. This article, focusing on Indonesia’s national health insurance or JKN, provides an illustration of possible interventions to advance a women’s health and rights perspective in UHC in the context of existing barriers and opportunities for change. In particular, it presents women’s groups’ efforts, in part undertaken under the Australia-Indonesia Partnership for Gender Equality and Women’s Empowerment or MAMPU before the COVID-19 pandemic, to promote women’s participation in the national insurance scheme and improve its coverage of SRHR. Based on observational data, research findings and literature review, the article shows that these initiatives have contributed to the uptake of the scheme among disadvantaged women and brought significant gender biases to the attention of policy makers. However, much more will need to be done for the scheme to cover SRHR in a comprehensive and inclusive manner and recognize gender-responsiveness as a key element in improving women's health in Indonesia.
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来源期刊
Gender Technology & Development
Gender Technology & Development SOCIAL SCIENCES, INTERDISCIPLINARY-
CiteScore
3.00
自引率
12.00%
发文量
23
期刊介绍: Gender, Technology and Development is an international, multi-disciplinary, refereed journal serving as a forum for exploring the linkages among changing gender relations, technological change and developing societies. The journal"s main focus is on the shifting boundaries and meanings of gender, technology and development, addressing transnational phenomena and engaging in dialogues that cut across geographical boundaries.
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