ABSTRACT

This qualitative case study examines a pilot community mobilisation initiative to increase access to qualified primary health care services among slum dwellers in Bangladesh. Emerging from analysis are a series of key considerations in the design and implementation of mobilisation activities in poor urban settlements. These include who best to mobilise in highly stratified social settings; how to bridge communities in need with outside resources; the role of development agents in organising participation; whether mobilisation processes can be phased over time; and the imperative of policy advocacy to shift complex structural inequities that preclude investments in health care for the urban disadvantaged.

摘要

这个定性案例研究检验了一项试点社区动员计划，以增加孟加拉国贫民窟居民获得合格初级卫生保健服务的机会。从分析中得出了一系列在贫困城市住区动员活动的设计和实施过程中的关键考虑因素。其中包括谁最能在高度分层的社会环境中动员起来；如何将有需要的社区与外部资源联系起来；发展代理人在组织参与方面的作用；动员过程是否可以分阶段进行；政策宣传势在必行，以扭转复杂的结构性不平等现象，这些不平等现象阻碍了城市弱势群体对医疗保健的投资。