使用塔拉诺阿,一种泛太平洋土著方法,确定公共卫生问题的解决方案。

Q4 Medicine
Chantelle E Matagi, J Ke'alohilani Worthington, Donna-Marie Palakiko
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引用次数: 0

摘要

新冠肺炎大流行是一场公共卫生紧急事件,需要在州和联邦层面制定各种公共卫生政策和计划,以保护国家的健康和安全。事实证明,这些主流政策和计划不足以满足夏威夷原住民和太平洋岛民社区的具体需求,这些社区的高病例数和低疫苗接种率证明了这一点。为了更好地了解和解决高病例数和低疫苗接种率的问题,夏威夷州卫生部(HDOH)、医疗服务提供者和NHPI服务组织网络之间建立了伙伴关系。在西方数据收集方法失败后,该伙伴关系的领导人使用了一种名为Talanoa的土著定性访谈方法,该方法位于文化安全框架内,以了解疫苗接种率低的原因,并确定NHPI特定的解决方案。研究结果表明,塔拉诺阿及其根深蒂固的文化安全框架的使用使我们能够收集更丰富的数据,确定基于社区的解决方案,并有助于建立可持续的信任伙伴关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using Talanoa, a Pan Pacific Indigenous Approach, To Identify Solutions to Public Health Issues.

The COVID-19 pandemic was a public health emergency that required various public health policies and programs at the state and federal level to be established to protect the health and safety of the nation. These mainstream policies and programs proved to be inadequate in addressing the specific needs of Native Hawaiian and Pacific Islander (NHPI) communities as evidenced by the high case counts and low vaccination rates in these communities. In an effort to better understand and address the high case counts and low vaccination rates, a partnership was developed between the Hawai'i State Department of Health (HDOH), medical providers, and a network of NHPI-serving organizations. After the failure of Western approaches for data gathering, leaders of the partnership used an Indigenous qualitative interview method called Talanoa situated within a cultural safety framework to learn reasons for low vaccine uptake and identify NHPI-specific solutions. Findings suggest that the use of Talanoa and its ingrained cultural safety framework allowed us to gather richer data, identified solutions grounded in community, and assisted with building sustainable trusting partnerships.

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