A Public Health Approach to Child Protection: Why Data Matter

2014 ◽  
Vol 40 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Karen Broadley ◽  
Chris Goddard

In Australia, many researchers and policy makers believe that statutory child protection systems are overburdened and ineffective. The way forward, they suggest, is a public health model of child protection. A public health approach comprises four steps: (1) collecting surveillance data; (2) establishing causes and correlations; (3) developing and evaluating interventions; and (4) disseminating information about the effectiveness of intervention activities to the public health community. However, in Australia there are no reliable surveillance data. There is no information about ‘person’. Information is not collected about the characteristics of children (e.g., ethnicity) and parents (e.g., mental illness) reported to child protection services. Data are not comparable across place. This is because the states and territories have their own child protection legislation, definitions and data recording methods. Data are not comparable over time. This is because many jurisdictions have introduced new data recording systems over recent years. This paper concludes that it is essential to develop an effective child protection surveillance data system. This will ensure that services are located in areas and targeted towards populations in greatest need. It will enable large-scale evaluation of the effectiveness of prevention and intervention activities.

2021 ◽  
pp. 002203452110493
Author(s):  
M. Jacob

Public health organizations typically try to raise literacy or counter misinformation with fact sheets and other data-centric messages. Yet research shows that disseminating more information does not necessarily combat myths. Storytelling offers the oral health community another option for engaging audiences and complementing the facts. The early–20th century research into fluoride is one example of an interesting story. Data and stories can complement each other. Using the elements of storytelling to report or summarize research findings could make such findings more relevant to health policy makers, whose decisions are often driven by values and evidence. Although the scientific literature has not produced a definitive template for instilling stories in a study manuscript, I provide several techniques and caveats for oral health researchers to consider.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Kallel ◽  
L Zakraoui ◽  
Y Ben Othman ◽  
M Jouini ◽  
F Selaouati

Abstract Introduction The Centres for Evidence into Health Policy created by the CONFIDE project are multidisciplinary; they are dedicated not only to health professionals but also to researchers, policy makers as well as other social, environmental and economic stakeholders. Good dissemination and awareness among all stakeholders are the basis of the success and sustainability of the project results. The progress Since the start of the project in October 2017 and after developing a dissemination plan, the first and large-scale dissemination action was the creation of a communication platform and a website. Subsequently, we have setup Facebook, Twitter and LinkedIn pages targeting people more involved in the project. These pages are regularly updated (progress of the project, actions carried out). Two press conferences have taken place in order to reach all targeted audiences in Tunisia. Indeed, our press conferences attracted journalists as well as representatives of NGOs, and health decision-makers in the ministry. A poster and a portfolio were designed in order to introduce the project to partner organizations that provide the students` internships and field trainings. The project also includes a policy game as a tool to bring to the same table the policymakers, researchers and other stakeholders in the community that will further contribute to the dissemination of the CONFIDE project results. Due to the dissemination activities of the Tunisian partners, the academic community in Tunisia has been exposed to a different approach and understanding of public health. The dissemination activities of the CONFIDE results have shed a new light on public health in Tunisia. Conclusions A good diffusion of the project, using tools adapted to the various audiences, will make it possible to reach a large and multidisciplinary target public and to associate them with the project. This is a key success factor for the sustainability of the Centres for Evidence into Health Policy.


Author(s):  
Melinda R. Weathers ◽  
Edward Maibach ◽  
Matthew Nisbet

Effective public communication and engagement have played important roles in ameliorating and managing a wide range of public health problems including tobacco and substance use, cardiovascular disease, HIV/AIDS, vaccine preventable diseases, sudden infant death syndrome, and automobile injuries and fatalities. The public health community must harness what has been learned about effective public communication to alert and engage the public and policy makers about the health threats of climate change. This need is driven by three main factors. First, people’s health is already being harmed by climate change, and the magnitude of this harm is almost certain to get much worse if effective actions are not soon taken to limit climate change and to help communities successfully adapt to unavoidable changes in their climate. Therefore, public health organizations and professionals have a responsibility to inform communities about these risks and how they can be averted. Second, historically, climate change public engagement efforts have focused primarily on the environmental dimensions of the threat. These efforts have mobilized an important but still relatively narrow range of the public and policy makers. In contrast, the public health community holds the potential to engage a broader range of people, thereby enhancing climate change understanding and decision-making capacity among members of the public, the business community, and government officials. Third, many of the actions that slow or prevent climate change, and that protect human health from the harms associated with climate change, also benefit health and well-being in ways unrelated to climate change. These “cobenefits” to societal action on climate change include reduced air and water pollution, increased physical activity and decreased obesity, reduced motor-vehicle–related injuries and death, increased social capital in and connections across communities, and reduced levels of depression. Therefore, from a public health perspective, actions taken to address climate change are a “win-win” in that in addition to responsibly addressing climate change, they can help improve public health and well-being in other ways as well. Over the past half decade, U.S.-based researchers have been investigating the factors that shape public views about the health risks associated with climate change, the communication strategies that motivate support for actions to reduce these risks, and the practical implications for public health organizations and professionals who seek to effectively engage individuals and their communities. This research serves as a model for similar work that can be conducted across country settings and international publics. Until only recently, the voices of public health experts have been largely absent from the public dialogue on climate change, a dialogue that is often erroneously framed as an “economy versus the environment” debate. Introducing the public health voice into the public dialogue can help communities see the issue in a new light, motivating and promoting more thoughtful decision making.


Author(s):  
David Clarke

There has been slow progress with finding practical solutions to health systems corruption, a topic that has long languished in policy-makers "too difficult tray." Efforts to achieve universal health coverage (UHC) provide a new imperative for addressing the long-standing problem of corruption in health systems making fighting corruption at all levels and in all its forms a priority. In response, health system corruption should be classified as a risk to public health and addressed by adopting a public health approach. Taking a public health approach to health systems corruption could promote a new paradigm for working on health system anti-corruption efforts. A public health approach could increase the space for policy dialogue about corruption, focus work to address corruption on prevention, help generate and disseminate evidence about effective interventions strategies, and because of its focus on multisectoral action would provide new opportunities for promoting cooperation on anti-corruption work across multiple agencies and sectors. Using a public health approach to tackle health system corruption could help address the current inertia around the topic and create a new positive mindset among policy-makers who would come to see corruption as a manageable public health problem rather than an intractable one.


2021 ◽  
Vol 118 (33) ◽  
pp. e2100814118
Author(s):  
Thiemo Fetzer ◽  
Thomas Graeber

Contact tracing has for decades been a cornerstone of the public health approach to epidemics, including Ebola, severe acute respiratory syndrome, and now COVID-19. It has not yet been possible, however, to causally assess the method’s effectiveness using a randomized controlled trial of the sort familiar throughout other areas of science. This study provides evidence that comes close to that ideal. It exploits a large-scale natural experiment that occurred by accident in England in late September 2020. Because of a coding error involving spreadsheet data used by the health authorities, a total of 15,841 COVID-19 cases (around 20% of all cases) failed to have timely contact tracing. By chance, some areas of England were much more severely affected than others. This study finds that the random breakdown of contact tracing led to more illness and death. Conservative causal estimates imply that, relative to cases that were initially missed by the contact tracing system, cases subject to proper contact tracing were associated with a reduction in subsequent new infections of 63% and a reduction insubsequent COVID-19–related deaths of 66% across the 6 wk following the data glitch.


2000 ◽  
Vol 2 (3) ◽  
pp. 309-314

The mental health field is transforming the culture of treatment research by moving from a narrow regulatory model geared to drug approval and registration to a more inclusive public health model. Thus, whereas regulatory antidementia trials will exclude patients with psychiatric or neurologic symptoms or substance abuse and require them to be physically healthy and living with a caregiver, ie, 90% of the presenting Alzheimer population, the public health model promises to improve patient care by addressing the types of practical questions and functional outcomes typically the concern of clinicians: Does treatment enhance function? How can we keep people well once they have been made well? Why do treatments not work as well in practice as in clinical trials? Public health studies are conducted in the world of actual practice with time-pressured clinicians taking care of large numbers of patients with uncertain clinical presentations, complex comorbidities, and varying degrees of interference with ideal levels of compliance. The exclusive focus on symptoms is expanded to include outcomes related to issues of function, disability, morbidity, mortality, resource use, and quality of life. Highly controlled efficacy research is still needed to establish treatment merit, but efficacy now marks only the beginning of the process of inquiry.


2018 ◽  
Vol 32 (8) ◽  
pp. 1378-1388 ◽  
Author(s):  
Samar M Aoun ◽  
Lauren J Breen ◽  
Ishta White ◽  
Bruce Rumbold ◽  
Allan Kellehear

Aims: To determine who provides bereavement support in the community, what sources are perceived to be the most or least helpful and for what reason, and to identify the empirical elements for optimal support in developing any future compassionate communities approach in palliative care. Design: A population-based cross-sectional investigation of bereavement experiences. Sources of support (informal, community and professional) were categorised according to the Public Health Model of Bereavement Support; most helpful reasons were categorised using the Social Provisions Scale, and least helpful were analysed using inductive content analysis. Setting and participants: Bereaved people were recruited from databases of funeral providers in Australia via an anonymous postal survey (2013–2014). Results: In total, 678 bereaved people responded to the survey. The most frequently used sources of support were in the informal category such as family, friends and funeral providers. While the professional category sources were the least used, they had the highest proportions of perceived unhelpfulness whereas the lowest proportions of unhelpfulness were in the informal category. The functional types of helpful support were Attachment, Reliable Alliance, Social Integration and Guidance. The five themes for least helpful support were: Insensitivity, Absence of Anticipated Support, Poor Advice, Lack of Empathy and Systemic Hindrance. Conclusion: A public health approach, as exemplified by compassionate communities policies and practices, should be adopted to support the majority of bereaved people as much of this support is already provided in informal and other community settings by a range of people already involved in the everyday lives of those recently bereaved. This study has provided further support for the need to strengthen the compassionate communities approach, not only for end of life care for dying patients but also along the continuum of bereavement support.


2012 ◽  
Vol 20 (3) ◽  
pp. 323-342 ◽  
Author(s):  
Ruth Gilbert ◽  
Jenny Woodman ◽  
Stuart Logan

Calls for a public health approach to child maltreatment – a strategy that aims primarily to reduce risk factors for maltreatment - have been based on four main arguments. (O’Donnellet al. 2008; Reading et al. 2009; Barlow and Calam, 2011) The right of children to be protected from harm in the first place. The frequency of child maltreatment, which, if all occurrences were notified, would overwhelm child protection systems. The inaccuracy of identification systems, which miss the large majority of maltreated children. And fourth, the effectiveness and cost effectiveness of intervening to prevent child maltreatment comparing with intervention once child maltreatment has occurred. We review the evidence to support these arguments and trace the development of UK policy and health services towards a public health approach.


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