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中華公共衛生雜誌

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篇名 臺灣婦女健康政策的性別分析
卷期 19:5、19:5
並列篇名 Engendering Women's Health Policy in Taiwan
作者 張玨陳芬苓
頁次 366-380
關鍵字 婦女健康政策將性別分析融入主流政策歷史分析政策分析Women's health policyGender mainstreamingHistorical analysisPolicy analysisTSCI
出刊日期 200010

中文摘要

     目標:本文將探討何謂具性別概念的婦女健康政策,並對我國婦女健康政策做歷史性及批判性的解析,以助我國政府未來研擬婦女健康政策之參考。方法:本文採歷史研究法,針對歷年來政府所推行與婦女健康相關的重要政策進行分析。分析的時間界定在自1912年國民政府取得政權後至今,所分析的政策則包括各項法令、計畫活動、組織設置、首長談話、政府組織分工、行政業務及研究投入等。結果:我國長久以來一直視婦幼衛生為婦女健康政策,由我們的歷史分析中,可以歸納出幾項政策的特質:政策著重在女性生殖控制上且呈現「母性>女性」的思考模式;威權主導式 的政策擬定方式;經濟利益,醫療系統的利益>婦女的權益;衛生行政因應時代新問題上的無能;父權觀念壟斷;政策中具僵化及偏頗的性別概念。結論:我國衛生行政單位應配合聯合國最新工作模式「將性別分析融入主流政策」,未來所有健康政策在計畫、執行及評估過程中,便應進行性別影響預估,並有兩性共同參與。

英文摘要

     Objectives: This article attempts to classify the definition of 'women's health policy,' and to examine the policies in Taiwan related to women's health by way of gender analysis, from a historical and critical perspective. Methods: Historical analysis is adopted to examine health policies in Taiwan during 1912-present. Related legislation, schemes, activities, important announcements by political leaders, organizations, functional diffusions of government, administrative systems and research subsidized by central government are included to review the gender meaning of policies. Results: the government in Taiwan has regarded his work for promoting 'maternal and child health' the same as promoting women's health. Some important characteristics have been found by this historical analysis: policies have focused on controlling women's reproductive abilities, and on women's roles as mothers; policy decision-making has maintained the authoritarian model; governmental policies have been determined for business and specialists' benefits rather than women's benefits; the disability of health administration to cope with new social problems; policies have dominated by patriarchal ideology; health promotion work for women has been full of gender bias. Conclusions: The government in Taiwan should adopt UN's new working mode, mainstreaming a gender perspective across all health policies process, including plan, implement and evaluation. Women and men should fully participate in health decision-making and governmental sect ors.

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