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ʻO ka pule ola kino o ka lehulehu

By ʻO Carolyn Q

I koʻu wā i ke kula haʻahaʻa, noho koʻu ʻohana ma Mexico City. ʻO ka hale pule a mākou i hele ai i mālama i kahi keʻena olakino manuahi ʻole i kēlā me kēia mahina kahi i hāʻawi ai ke kauka ʻohana a me ka ophthalmologist i kā lākou manawa a me nā lawelawe. Ua piha mau nā hale lapaʻau, a pinepine, hele nā ​​kānaka no nā lā mai nā kauhale a me nā kūlanakauhale a puni e hele ai. He poʻe manawaleʻa koʻu ʻohana. I koʻu ulu ʻana, ua hāʻawi ʻia iaʻu ke kuleana nui e hoʻomākaukau i nā papa paʻi a me nā palapala, a no ka hoʻomaopopo ʻana ua mākaukau lākou a pau no ka hoʻopaʻa inoa maʻi. ʻAʻole wau i ʻike ʻo kēia mau hana liʻiliʻi kaʻu kamaʻilio maoli ʻana me ke olakino lehulehu, e lilo ia i mea paʻa i ke ola a me ka makemake. Loaʻa iaʻu ʻelua mau mea hoʻomanaʻo mai kēia mau keʻena lapaʻau. ʻO ka mea mua e nānā ana i kahi wahine 70 makahiki i loaʻa i kāna mau makaaniani mua. ʻAʻole ʻo ia i ʻike maopopo i ka honua a i ʻole nā ​​waihoʻoluʻu ʻōlinolino like ʻole, no ka mea, ʻaʻole ʻo ia i ʻike maka a i ʻole ke komo ʻana i nā aniani. Ua ʻakaʻaka ʻo ia me ka hauʻoli. ʻO kekahi mea hoʻomanaʻo ʻē aʻe no kahi makuahine ʻōpio ʻelima kāna kāne i hele e ʻimi hana ma ʻAmelika Hui Pū ʻIa, ʻaʻole naʻe i hoʻi mai. Me ka makemake ʻole, ua hōʻike ʻo ia ua ʻai ʻo ia me kāna mau keiki i ka lepo ma muli o ka nele o nā kumuwaiwai e kūʻai ai i ka meaʻai. Ke hoʻomanaʻo nei au i ka nīnau ʻana i ke kumu, ma nā hihia ʻelua, ʻaʻole i loaʻa i kēia mau wahine nā manawa like me nā poʻe ʻē aʻe e komo i ka mālama, a no ke aha i loaʻa ai kēlā mau ʻokoʻa. ʻAʻole hiki iaʻu ke ʻike i kēlā manawa, akā ma hope loa, ua hoʻomau kēia mau nīnau e hoʻopilikia iaʻu ma ke ʻano he mea noiʻi ma ʻEnelani a me ʻAmelika Hui Pū ʻIa. I kēlā manawa, ua ʻike wau he pono iaʻu e hoʻi i hope mai ka honua kulekele a loaʻa i kahi ʻike lima me nā papahana olakino lehulehu. I nā makahiki he 12 i hala iho nei, ua loaʻa iaʻu ka ʻike haʻahaʻa o ke komo ʻana i nā papahana makuahine pēpē maikaʻi ma Nigeria, nā papahana dengue ma Kolombia, nā hana ʻino i nā wahine no nā wahine malihini mai ʻAmelika Hui Pū ʻIa, ka hoʻomohala ʻana i nā haʻawina aʻo a me nā papa no nā kahu hānai olakino a puni. ʻAmelika Latin, nā hana i kākoʻo ʻia e nā ʻoihana olakino e hoʻomaikaʻi i ka loaʻa ʻana o ka lāʻau lapaʻau ma waena o ʻAmelika Hema a me nā mea hoʻoholo pili i nā papahana olakino ma ke kūlanakauhale ʻo Baltimore. He hopena koʻikoʻi ko kēlā me kēia o kēia mau papahana i koʻu ola pilikino a me koʻu ʻoihana, a me kēlā me kēia makahiki, ua nānā au i ka ulu a hoʻonui ʻana o ke olakino lehulehu. I nā makahiki ʻekolu i hala iho nei, ua lanakila ka maʻi maʻi maʻi honua i ka pae olakino o ka lehulehu, e hōʻike ana i nā pilikia lehulehu, mokuʻāina a me nā kūloko e pono ai ka nānā. Ke hoʻokokoke nei mākou i ka National Public Health Week 2023, makemake wau e kono iā ʻoe e nānā i ʻelua mau ala e komo ai i nā hoʻoikaika olakino lehulehu e hiki ke loaʻa nā hopena ʻike.  ʻO ka manaʻo o ke olakino lehulehu e hoʻoponopono i nā pilikia paʻakikī a me nā pilikia nui i kekahi manawa he mea weliweli, akā i ka mea nui, ʻo nā keʻena olakino lehulehu, nā kaiāulu olakino, a me nā hui kūkulu mana kaiāulu e hana ana kēlā me kēia me nā kaiāulu i hoʻopilikia nui ʻia e nā ʻōnaehana kūpono ʻole - e holomua i ke kaulike olakino. . No laila, pehea e hiki ai i nā poʻe ke kōkua i kēia mau hoʻoikaika olakino lehulehu i ko lākou mau kaiāulu?

E kii i ka hoihoi: 

  • Ua ʻike paha ʻoe i nā mea e hoʻoholo ai i ke olakino (SDoH) (ka meaʻai ʻole, ka palekana o ka hale, ka noho kaʻawale ʻana, ka hana ʻino, a me nā mea ʻē aʻe) e hoʻopilikia nui i kou kaiāulu? E nānā i ka Robert Wood Johnson Foundation a me ka University of Wisconsin's Health County Rankings mea hana e hiki ai iā ʻoe ke nānā i nā hopena olakino, pono SDoH ma ke kalana a me ka pae ZIP code. E ʻimi i kāu Kiʻi Paʻi | Nā kūlana olakino a me nā palapala alanui, 2022 Hōʻike Mokuʻāina ʻo Colorado | Nā kūlana olakino a me nā palapala alanui
  • ʻIke paha ʻoe i ka mōʻaukala o kou kaiāulu me ka hoʻāʻo ʻana e hoʻoponopono i nā pilikia kaulike olakino a i ʻole nā ​​hana olakino lehulehu? Aia nā hana i hana a inā pēlā, no ke aha? He aha ka mea i hana ʻole?
  • He aha nā hui kaiaulu a i ʻole nā ​​​​hui e hōʻike ana i nā hana kaiāulu e kūlike me nā pono o kou kaiāulu?

Hoʻohana i nā pūnaewele a me nā hoʻonohonoho akamai:

    • Loaʻa iā ʻoe nā pūʻulu akamai i hiki ke lilo i mea pono i kahi hui kaiaulu? ʻŌlelo ʻoe i kahi ʻōlelo ʻē aʻe e hiki ke kōkua i ka hoʻopaʻa ʻana i nā āpau i kou kaiāulu?
    • Hiki iā ʻoe ke hāʻawi manawaleʻa e kōkua i kahi hui kaiaulu i loaʻa ʻole ke kālā a i ʻole nā ​​kumuwaiwai kanaka lawa e hoʻokō i nā pono āpau o ke kaiāulu?
    • Loaʻa iā ʻoe nā pilina i loko o kāu pūnaewele e pili ana i nā papahana, nā manawa kālā, nā misionari o nā hui e hiki ke kōkua kekahi i kekahi?

ʻO nā manaʻo ma luna nei he mea maʻamau, a me nā wahi hoʻomaka wale nō, akā loaʻa iā lākou nā hopena ikaika. Ma ka lilo ʻana i ʻike maikaʻi aʻe, hiki iā mākou ke hoʻohana i kā mākou pilina pilikino ikaika a ʻoihana e lilo i poʻe kākoʻo maikaʻi loa no ke olakino lehulehu.