106年嘉義縣輔導經驗分享

 

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本人從事部落社區健康營造經驗從民國99年至今有8年,輔導策略隨經驗調整與改變,本縣原住民鄉營造點為阿里山南三村及北四村,族群分布(分布指樂野、達邦、來吉、里佳、山美、新美、茶山等7村),以鄒族及漢族為主,總人口數,約計約5千多人, 營造單位分別由南三村由戴德森教育事務基金會北四村天主教聖馬爾定醫院承接。

阿里山鄉現存問題由於年輕人出外求學、工作,居住在老年人居多,經由營造中心家戶普查分析表顯示,以代謝症候群及慢性病問題居多原因則與營養攝取不健康及運動不足有很大的關聯。由於地緣廣闊,村與村距離花費1小時-2小時時間造成村民交通不便利。再經由阿里山高齡友善問卷需求分析結果其實其實部落長輩希望能在自己部落安全、舒適與熟悉的環境下學習及終老一生。

經由兩家營造中心十大死因、年齡層分布、健康篩檢、高齡友善需求評估、家戶普查資料等問卷調查結果及推動委員會之委員建議,產生文化照護健康部落及部落有禮樂活長青兩大議題,並朝著因地制宜、高齡友善、健康樂活、永續發展策略執行計畫目標。因此衛生局協助議題資源盤點將阿里山鄉公所、本府原民處、農會等納入計畫資源,聘請兼具學術、實務及在地專家擔任輔導委員並採用分區主責,共同輔導方式輔導兩家營造中心。

為提升計畫執行人員知能,採用多元資源整合整合本府、部落相關單位資源及建立中區部落共識聯盟,辦理教育訓練課程,並做課程滿意度調查及分析,以了解課程內容是否符合需求。

近年來透過部落及外縣市交流激發創意及提升營造動力,來達到經驗交流及良性競爭的效益,今年參訪台東縣部落營造中心看到加拿部落強調陪伴長輩重要性,電光部落強調共識、凝聚自主自主經營並沒有依賴公部門經費,另外我們自行參訪鸞山部落它順應自然林貌並維護原住民文化自然生態,做在地體驗及在地文化及禁忌說明導覽3月23日南投縣政府衛生局參訪本局來吉村營造點,內容安排衛生局及兩家營造中心經驗分享外,參觀來吉工作室飾品雕刻外,為了提升部落整體營運績效與特色,也安排局與局之間經驗意見交流相互學習。

為了降低因營造人員異動,造成銜接斷層,並促進業務順利推展本局經與輔導委員及營造人員共同討論後擬定業務交班sop流程,將作業進度分為準備期、執行期、評價期、完成期共四期。除電話公文方式外,另組成嘉義縣部落群組隨時回應問題,解決問題、追蹤結果,若無法解決問題請示主管或長官。本局,本縣也利用大型活動、設攤、利用嘉義縣政府官網、.顧健康博感情fb及line群組、影片製作拍攝來作為行銷工作策略。

本局輔導2家營造單位,多年來深入部落已能從醫療服務提供到健康需求協助,激發民眾對健康議題的關注,並由主導,提供者角色,發展為共同經營,以由下對上、上對下連結部落資源,共同形成工作生活圈,推動部落社區健康營造工作。長年以來中心積極介入整合部落現有人力、物力及文化等資源,以及結合產官學相關專業,建立輔導機制,透過專業輔導協助營造單位完成各項工作項目,並進行績效檢討,找到問題癥結、嘗試解決,使營造中心營運組織及自我動能真正提昇。

未來輔導推動願景推動以文化照護健康生活化,生活健康化,在地化高齡友善部落。

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