If interventions to improve health are truly to benefit women, they must be developed from the start with a critical understanding of women's own perceptions of their health problems and needs, and how these concerns are linked to other facets of women's lives.
To obtain such understanding, it is crucial for health planners to seek out women in the communities where they live, to encourage them to speak in their own voices about their health and lives, and to be genuinely committed to listening to what the women have to say.
This paper presents results of focus group discussions with village women in two rural counties in Yunnan, China.
The discussions were held to ascertain what village women themselves feel to be their most pressing health problems, and how these relate to work, family, social status and their use of health services.
Results show how women's health and their use of health services are rightly intertwined with their labor roles, harsh environmental conditions and oppressive poverty.
Widespread breakdowns in the village-level primary health care network lead village women to express a profound lack of confidence in local health services.
The tight intertwining of women's health, labor, poverty and harsh environmental conditions call for integrating reproductive health strategies with other efforts to improve women's social status, increase their educational and occupational opportunities, and alleviate their labor burdens.
Mots-clés Pascal : Femme, Utilisation, Service santé, Santé, Besoin, Milieu rural, Pauvreté, Planification, Education sanitaire, Programme sanitaire, Chine, Homme, Asie
Mots-clés Pascal anglais : Woman, Use, Health service, Health, Need, Rural environment, Poverty, Planning, Health education, Sanitary program, China, Human, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0529017
Code Inist : 002B30A03B. Création : 01/03/1996.