Community-based health care in disasters

1991 ◽  
Vol 31 (284) ◽  
pp. 524-532
Author(s):  
Bruce Dick

“Health for All by the Year 2000” has been a major goal, an important rallying cry for individuals and organizations around the world concerned about improving the physical, mental and social well-being of vulnerable people. Of course it has been a somewhat idealistic goal, as has the World Health Organization's definition of health. However, it has served a useful function, both in terms of what it says positively about our vision for the future and also by reminding us, implicitly if not explicitly, that for many hundreds of millions of people the reality is still very far from the dream.

Author(s):  
Susan B. Rifkin

In 1978, at an international conference in Kazakhstan, the World Health Organization (WHO) and the United Nations Children’s Fund put forward a policy proposal entitled “Primary Health Care” (PHC). Adopted by all the World Health Organization member states, the proposal catalyzed ideas and experiences by which governments and people began to change their views about how good health was obtained and sustained. The Declaration of Alma-Ata (as it is known, after the city in which the conference was held) committed member states to take action to achieve the WHO definition of health as “state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Arguing that good health was not merely the result of biomedical advances, health-services provision, and professional care, the declaration stated that health was a human right, that the inequality of health status among the world’s populations was unacceptable, and that people had a right and duty to become involved in the planning and implementation of their own healthcare. It proposed that this policy be supported through collaboration with other government sectors to ensure that health was recognized as a key to development planning. Under the banner call “Health for All by the Year 2000,” WHO and the United Nations Children’s Fund set out to turn their vision for improving health into practice. They confronted a number of critical challenges. These included defining PHC and translating PHC into practice, developing frameworks to translate equity into action, experiencing both the potential and the limitations of community participation in helping to achieve the WHO definition of health, and seeking the necessary financing to support the transformation of health systems. These challenges were taken up by global, national, and nongovernmental organization programs in efforts to balance the PHC vision with the realities of health-service delivery. The implementation of these programs had varying degrees of success and failure. In the future, PHC will need to address to critical concerns, the first of which is how to address the pressing health issues of the early 21st century, including climate change, control of noncommunicable diseases, global health emergencies, and the cost and effectiveness of humanitarian aid in the light of increasing violent disturbances and issues around global governance. The second is how PHC will influence policies emerging from the increasing understanding that health interventions should be implemented in the context of complexity rather than as linear, predictable solutions.


2021 ◽  
Vol 49 (131) ◽  
pp. 175-192
Author(s):  
Malene Breunig

The research-based Danish therapy garden Nacadia, which opened in 2011, can be viewed as a holistically oriented realization of the World Health Organization’s (WHO) broad definition of health from 1948: health is not just the absence of disease, but a state of both physical, mental and social well-being in which individuals may develop their abilities, deal with everyday challenges and stress, as well as socialize with other people. Nacadia’s raison d’être and relevance are indisputable. But the questions this article addresses are what perception of nature the therapy forest garden promotes and what social diagnosis it springs from and reproduces. Nacadia’s interdisciplinary research team provides no explanation, but these questions inform my analysis. Based on Nacadia’s concept manual and the therapy garden itself, as well as some literary accounts of engaging with nature, I develop two answers: First, that the researchers behind Nacadia operate with both a discourse and a physical-aesthetic presentation of nature as a peaceful and accessible place for both self-immersion and connection with ‘something greater’. Secondly, the implementation of such a sanctuary encourages romantically tinted modes of experience which certainly seem invigorating but may also evoke an element of alienation for people in a modern society.


1996 ◽  
Vol 1 (1) ◽  
pp. 3-8
Author(s):  
Elna Gross ◽  
Anna Nolte ◽  
Dawie Smith

This article presents a realistic perspective on the definition of health. Debates in tins article include amongst others the World Health Organization's definition on health and the'7 Nursing for the Whole Person " health definition." Opsomming Die term gesondheid was nog altyd moeilik om te definieer, omdat daar soveel uiteenlopende beskouiings is oor wat die begrip gesondheid behels. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


1989 ◽  
Vol 5 (1) ◽  
pp. 103-109 ◽  
Author(s):  
J. Cohen

This article examines the meaning of appropriate technology in the World Health Organization's comprehensive definition of primary care. The author concludes that broad-ranging aspects of health maintenance, such as public health, personal lifestyles, and scientific research, as well as traditional diagnostic and therapeutic practices, need to be subjected to clear and careful scrutiny. It is vital that the results of these technology assessment studies be disseminated as widely as possible to both health care professionals and the public.


2021 ◽  
Author(s):  
Rafał Gerymski ◽  
Ezgi Nur Güvem

Sexual well-being is often mistakenly operationalized simply as sexual satisfaction. The concept of sexual well-being has been often used as an umbrella term for positive aspects of sexuality, apart from its negative spheres. A new concept of sexual well-being was proposed in line with the World Health Organization (WHO) definition of sexual health. The definition tried to enrich the concept of sexual well-being, but it did not solve the problem of its operationalization. Two separate studies were conducted for the psychometric validation of the Short Sexual Well-Being Scale. Short Sexual Well-Being Scales shows good psychometric properties in its original version. These properties are yet unknown for the its Turkish translation.


2006 ◽  
Vol 55 (5) ◽  
Author(s):  
A. Mancini ◽  
R. Festa ◽  
G. Grande ◽  
L. De Marinis ◽  
A.G. Spagnolo ◽  
...  

Il concetto di prevenzione si è imposto sempre più nel panorama medico, divenendo elemento centrale della pratica clinica. In andrologia ciò significa sottolineare l’importanza di ridurre le cause di sterilità o disfunzioni nella sfera sessuale, spesso prima che la stessa funzione sessuale abbia inizio. In tale ambito l’intervento avviene su più livelli, comprendendo il singolo, la coppia e l’ambiente. La prevenzione, dunque, è un fondamentale elemento in grado di ridurre l’incidenza della sterilità da causa maschile. La definizione dell’Organizzazione Mondiale della Sanità indica primariamente come la salute sessuale sia un complesso stato di benessere fisico, emozionale, mentale e sociale, connesso alla sessualità, e non soltanto l’assenza di disfunzioni, malattie o infermità. Occorre, allora, riconsiderare il concetto di prevenzione alla luce di tale visione olistica e personalista della sessualità, sia nell’approccio alla sterilità di coppia, favorendo una maturazione verso una più completa visione della genitorialità e della fecondità, che nel processo di sviluppo dell’identità sessuale, favorendo la maturazione di una personalità autonoma ed aperta alla comunicazione con l’altro. ---------- The concept of prevention become more and more important in the pratical medicine. In andrology it means to reduce the causes of sterility or dysfunctions in the sexual sphere, often before that the same sexual function begins. Within the prevention, the intervention happens on more levels, including the single one, the couple and the background. The prevention, therefore, is fundamental element that can reduce the incidence of sterility from male factor. The definition of the World Health Organization indicates that the sexual health is a complex state of physical, emotional, mental and social well-being in relation to sexuality and not merely the absence of disease, dysfunction or infirmity. It is then necessary to reconsider the prevention under an olistic and personalistic point of view, both in couple sterility, favouring a maturation towards a more complete vision of the being parents and the fecundity, and in the process of development of the sexual identity, promoting the maturation of an autonomous personality open to the communication with the others.


1987 ◽  
Vol 7 (4) ◽  
pp. 353-366 ◽  
Author(s):  
Ehigie Ebomoyi ◽  
Joshua D. Adeniyi

The World Health Organization's goal of “Health for All by Year 2000” through Primary Health Care (PHC) is commendable, but can only be attained with the involvement and collaboration of the non-health sectors as well as the health community. Thirteen rural and urban communities in Nigeria were assessed to develop social, health and primary health care profiles. A model for introducing PCH applicable to these communities was prepared.


2014 ◽  
Vol 7 ◽  
pp. HSI.S13283 ◽  
Author(s):  
Wadi B. Alonazi ◽  
Shane A. Thomas

The aim of this study was to explore the impact of quality of care (QoC) on patients’ quality of life (QoL). In a cross-sectional study, two domains of QoC and the World Health Organization Quality of Life-Bref questionnaire were combined to collect data from 1,059 pre-discharge patients in four accredited hospitals (ACCHs) and four non-accredited hospitals (NACCHs) in Saudi Arabia. Health and well-being are often restricted to the characterization of sensory qualities in certain settings such as unrestricted access to healthcare, effective treatment, and social welfare. The patients admitted to tertiary health care facilities are generally able to present themselves with a holistic approach as to how they experience the impact of health policy. The statistical results indicated that patients reported a very limited correlation between QoC and QoL in both settings. The model established a positive, but ultimately weak and insignificant, association between QoC (access and effective treatment) and QoL ( r = 0.349, P = 0.000; r = 0.161, P = 0.000, respectively). Even though the two settings are theoretically different in terms of being able to conceptualize, adopt, and implement QoC, the outcomes from both settings demonstrated insignificant relationships with QoL as the results were quite similar. Though modern medicine has substantially improved QoL around the world, this paper proposes that health accreditation has a very limited impact on improving QoL. This paper raises awareness of this topic with multiple healthcare professionals who are interested in correlating QoC and QoL. Hopefully, it will stimulate further research from other professional groups that have new and different perspectives. Addressing a transitional health care system that is in the process of endorsing accreditation, investigating the experience of tertiary cases, and analyzing deviated data may limit the generalization of this study. Global interest in applying public health policy underlines the impact of such process on patients’ outcomes. As QoC accreditation does not automatically produce improved QoL outcomes, the proposed study encourages further investigation of the value of health accreditation on personal and social well-being.


1988 ◽  
Vol 28 (267) ◽  
pp. 519-530
Author(s):  
Andrei K. Kisselev ◽  
Yuri E. Korneyev

In 1977 the Thirtieth World Health Assembly decided that the main social goal of governments and WHO should be “the attainment by all citizens of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life”.The International Conference on Primary Health Care (PHC), meeting in Alma Ata, USSR, in 1978, asserted that health is a human right and that health care should be accessible, affordable and socially relevant.


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