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The individual, the government and the global community: sharing responsibility for health post-2015 in Vanuatu, a small island developing state
- Source :
- International Journal for Equity in Health
- Publication Year :
- 2015
- Publisher :
- BioMed Central, 2015.
-
Abstract
- Introduction The end of 2015 will see the creation of the sustainable development goals – the new global framework for development. The process of creating universally relevant goals has involved community consultation throughout the world. Within this process it is vital that Pacific Island countries are included as they face particular development challenges due to their size and geographical location. As small island developing states, many Pacific Island countries struggle to overcome high rates of poverty and poor health outcomes. In order to include Pacific voices in the new health related sustainable development goals, Vanuatu was selected as a representative of the Pacific for this qualitative study. This paper presents the perspectives of communities throughout Vanuatu on their essential health needs and how best to meet them. Methods This paper examines the perspectives of 102 individuals from throughout Vanuatu. Ten focus group discussions and 2 individual interviews were conducted within communities in September 2013. Discussions focused on community perceptions of health, essential health needs, and responsibility in achieving health needs. Discussions were audio recorded and transcribed. The transcripts were then analysed using a theoretical thematic approach in order to identify central themes and subthemes. Results Individuals in this study demonstrated a comprehensive understanding of health, defining health in a holistic manner. Participants identified clear environmental and societal factors that impact upon health, and emphasized failures within the current health system as important barriers to attaining good health. Participants described the challenges faced in taking responsibility for one’s health, and pointed to both the government and the international community as key players in meeting the essential health needs of communities. Conclusions As a small island developing state, Vanuatu faces accentuated development challenges – particularly as globalisation and climate change progress. The individuals and communities in this study demonstrate a clear understanding of their needs, and show a strong desire for change. They point to both the government and the international community to assist in meeting health needs, and stress that respect for traditional governance and community involvement in decision-making are vital in this process. In order to ensure that the new health goals effectively meet local needs in Vanuatu such factors must be incorporated into policy and implementation decision-making.
- Subjects :
- Male
medicine.medical_specialty
Economic growth
Pacific Island Countries
Climate Change
Decision Making
Sustainable development goals
Small island developing states
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
Vanuatu
Residence Characteristics
Political science
medicine
Humans
030212 general & internal medicine
Developing Countries
Health policy
Qualitative Research
Sustainable development
Government
Health Services Needs and Demand
Social Responsibility
030505 public health
Public health
Health Policy
Research
1. No poverty
Health services research
Public Health, Environmental and Occupational Health
International community
Post-2015 health agenda
Female
Small Island Developing States
0305 other medical science
Social responsibility
Subjects
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- International Journal for Equity in Health
- Accession number :
- edsair.doi.dedup.....66fbb2b1579eba18d65682bac413b6e2