健康扶贫政策目标与因病致贫情境的确认评价——以贵州省赤水市健康扶贫实践为例

The relevance validation between poverty situation and the objective of health poverty alleviation project in China: Evidence from Chishui city in Guizhou province

目的:探讨健康扶贫政策目标与因病致贫情境的匹配情况方法:采用案例研究法,对贵州省赤水市(国家集中连片特殊困难地区贫困县)42例因病致贫案例进行深度访谈,描绘因病致贫逻辑情境图,确认政策目标与情境的匹配情况。结果:通过大病和慢病的致贫逻辑情境图,呈现出了农户从健康冲击-应对策略-应对失败的"贫困-疾病-贫困"情境。结论:健康扶贫政策目标符合贫困情境;但目前仍存在政策情境例外的情况,如大病导致劳动力丧失、健康冲击后再面临应激事件等.例外情况体现健康扶贫的长期性和协同性,它需要持续开展,且将重点转移至疾病预防;同时,协同其他扶贫举措,能更好地推动贫困地区脱贫致富。

Objective: This paper aims to deliberation the justification of the objectives of the health poverty alleviation project. Methods: A theory-based case study is designed to understand the pathways from illness to poverty. In-depth interviews are carried out with 42 poverty households in Chishui City, Guizhou Province. Results: The scenarios from illness to poverty are presented. It shows the impacts of illness and the corresponding coping strategies to mitigate these impacts. Conclusion: The objective of the health poverty alleviation project is appropriate to the situation of poverty caused by illness. However, the interventions of the health poverty alleviation project do not consider the long-term effect of sequelae of illness and other simultaneous stressful events, which lead to long-term poverty.