臺灣博碩士論文加值系統

台灣在世界二次大戰後經由國際社會的經濟援助，也包括衛生方面的協助，各方面得以快速發展而獲致所謂「台灣奇蹟」。作為一個國際社會的受惠者，台灣理應嘗試對國際社會有所回饋，幫助有需要的國家及人民。但是台灣自退出聯合國之後，就被屏除於大部分國際組織之外，故未能參加大部分的國際活動，尤其是在聯合國之下的衛生組織、活動及會議。因而在國際衛生合作方面較缺乏實務上的經驗和基礎管道，若要從事這方面的工作，也就必須抱定篳路藍縷以啟山林的心情從頭開創起。因此在開發國際衛生合作的初始，要從對於國家背景、衛生環境的分析研究以及合作模式的探討以及與當地機構的合作著手，方可保證國際衛生合作計畫的有效及成功。
方法：透過廣泛的文獻探討，以蒐集巴布亞新幾內亞的基本國情背景資料、相關健康指標及對該國重要疾病及健康問題之分析探討；親赴當地實地探訪，與當地政府、學術研究機構、國際及社區組織、及一般民眾接觸，了解當地的衛生制度、社會型態、傳統文化及風俗民情；找出可能合作的當地組織機構，透過SWOT可行性分析模式，分析我方在當地進行國際衛生合作的優勢與弱點以及該國客觀環境上的機會與威脅；經由更進一步的與當地相關機構的溝通及評估找出最適合可行的合作對象、研究主題及合作模式。再經由後續的溝通與協調，確定實際的合作對象與選定社區生育衛生為初步計畫項目；進一步的進行尋求台灣方面在行政上及經費上的支持，以支持後續的至當地建立合作據點與共同合作規劃執行適合當地的、有效的、成功的國際合作健康促進計畫。
結果與展望：首先完成了巴布亞新幾內亞的國情衛生資料概況及國際組織運作情況報告，且與巴布亞新幾內亞大學醫學院達成初步的合作共識，並得到國立陽明大學醫學院、台北榮民總醫院、衛生署及外交部的支持。將於獲得經費支持下，進行雙方互訪、規劃未來的合作模式及就社區生育衛生計畫，進行資訊諮詢及工作內容的討論，並期許延伸至有其他共同合作或研究構想之加入。此模式亦可為其他組織機構至國外進行國際衛生合作方式的參考。

Women’s health is one of the most important health problems in Papua New Guinea（PNG）. Obstetrical complications are also recognized as a major health problem and improving reproductive health in PNG communities is imperative. Improvement of women and children’s health involves an integration of the services provided by government, community groups, churches and non-governmental organizations. The aim of this study is first to establish a common country profile report of PNG and then to develop strategies for building bilateral cooperation that will enhance reproductive health programs in PNG.

Methods: (1) Priority setting: A comprehensive review of literature to collect health related information in PNG was performed and a field visit to PNG by the author and medical personnel from the Changhua Christian Hospital in Taiwan was conducted to have direct contact with local communities, government authorities, and citizens. The information collected was used for the application of priority setting. (2) Preliminary assessment: Used Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis to evaluate the most appropriate topic for initial research and the best strategy for the method to implement bilateral cooperative project. (3) Feasibility assessment: Developed strategies to assess potential collaborative counterparts, technical issue, related environment and regulation, and administration and financial support to delineate the acceptance of this program. （4） Seeking potential sponsors for authority and financial support to put this program into practice. (5) Further communication will be undertaken to establish international cooperative models between institutions. Among the agenda are advisory of proposal, policy and strategy for programs, information and data sharing, details of fieldwork implementation, and technical and financial support for the programs.

Results: (1) Achieved a more profound understanding of the PNG and established a common country profile report of PNG. (2) Achieved initial agreement on establishing bilateral collaboration with the School of Medicine and Health Sciences, University of PNG. (3) Gained the support from school authorities and submitted a proposal applying for grant support. （4）Formulated strategies for developing a successful collaborative model, combating obstacles involved in the process, and evaluation methods. (5) Continued ongoing communication for mutual exchanges and visits in the future to discuss details about international cooperative research programs.

Prospects: Conducting the present assessment program can actually open up channels for professors and students who are interested in further research and study in PNG. In addition to the initial reproductive health program, there are many other programs forming, such as HIV/AIDS studies and tropical medical researches.

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