移工健康服務之行動研究：iACT－楠梓移工健康協作網絡發展之經驗分析

Health Services and Network Coordination for Migrant Workers: Action Research on the iACT Health Consultation Outreach Project in Nanzi

尤素芬(Su-Fen You) ； 鄭惠珠(Huei-Chu Cheng)

《社會政策與社會工作學刊》 15卷2期 (2011/12) Pp. 1-38

https://doi.org/10.6785/SPSW.201112.0003

摘要

在台灣的移工權益遭受侵害時，很難獲得制度性的協助，而非政府組織向來扮演協助爭取權益的重要角色，但很少著力於健康議題。本文旨在籍由台灣國際醫療行動協會（簡稱iACT）發端、透過社區結盟發展出來的協作網絡服務方案，說明社區型移工健康服務的可能樣貌與工作方法。楠梓方案是一種關照全面性健康的行動研究，重視移工身體與生活經驗的表述，經由互動的過程了解移工的健康問題與需求，做為形塑議題的基礎。此方案經驗呈現了資源很少的外來團體，如何利用志願結社的特性與資源網絡的連結，一方面解決資源不足的問題，另一方面發展出在地的網絡協作策略。在過程裡，實務工作者係藉由行動研究增強自身與服務對學之權能，以達成更有效的社會實踐。

關鍵字

行動研究 ； 健康協作網絡 ； 健康服務 ； 移工 ； 台灣國際醫療行動協會

並列摘要

In Taiwan, migrant workers are denied equal status concerning citizenship, even if they are curtailed of their rights. Non-governmental organization (NGOs) have therefore played an important role as a main supporter for migrant workers' interests, but not many have paid attention to health care issues yet. Although the network coordination between NGOs has proved to be useful within the Taiwanese community work, there are very few cases dealing with health service for migrant workers. This article reviews the iACT (International Action and Cooperation Team) project concerning health consultation outreach to migrant workers at some Catholic church in Nanzi. It concentrates on the format ion of health network coordination and the development of community-based working methods, especially how organizational dynamic empowerment can be put into practice. The Nanzi project was established on the basis of positive meaning of health, and the practitioners embraced action research approach to improve their working manners. The body and life experiences of Nanzi migrant workers were collected and estimated for the understanding of their health demands and particular health issues. In order to solve the problem of insufficient resources, the practitioners drew on voluntary association properties and resource network connection, and meanwhile a strategy of health network coordination on a local basis was gradually developed. As a result, the practitioners reached better social practice through the empowerment of their own and the migrants.

並列關鍵字

action research ； health network coordination ； health services ； migrant worker ； iACT

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