scholarly journals The potential value of priority-setting methods in public health investment decisions: qualitative findings from three English local authorities

2016 ◽  
Vol 26 (5) ◽  
pp. 578-587 ◽  
Author(s):  
D. J. Hunter ◽  
L. Marks ◽  
J. Brown ◽  
S. Scalabrini ◽  
S. Salway ◽  
...  
Author(s):  
G Maniatopoulos ◽  
D J Hunter ◽  
J Gray

ABSTRACT Background Findings are presented from the evaluation of Public Health England’s (PHE) Prioritization Framework (PF) aimed to assist local authority commissioners with their public health investment and disinvestment decisions. The study explored the take up of the PF in three early adopter local authority settings. Methods Semi-structured interviews (n = 30) across three local authorities supplemented by participant observation of workshops. Results Participants acknowledged that the PF provided a systematic means of guiding priority-setting and one that encouraged transparency over investment and disinvestment decisions. The role performed by PHE and its regional teams in facilitating the process was especially welcomed and considered critical to the adoption process. However, uptake of the PF required a significant investment of time and commitment from public health teams at a time when resources were stretched. The impact of the political environment in the local government was a major factor determining the likely uptake of the PF. Ensuring committed leadership and engagement from senior politicians and officers was regarded as critical to success. Conclusions The study assessed the value and impact of PHE’s PF tool in three early adopter local authorities. Further research could explore the value of the tool in aiding investment and disinvestment decisions and its impact on spending.


2021 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Cameron E. Webb ◽  
Philippe G. Porigneaux ◽  
David N. Durrheim

Exotic mosquitoes, especially container-inhabiting species such as Aedes aegypti and Aedes albopictus, pose a risk to Australia as they bring with them potentially significant pest and public health concerns. Notwithstanding the threat to public health and wellbeing, significant economic costs associated with the burden of mosquito control would fall to local authorities. Detection of these mosquitoes at airports and seaports has highlighted pathways of introduction but surveillance programs outside these first ports of entry are not routinely conducted in the majority of Australian cities. To assist local authorities to better prepare response plans for exotic mosquito incursions, an investigation was undertaken to determine the extent of habitats suitable for container-inhabiting mosquitoes in over 300 residential properties adjacent to the Port of Newcastle, Newcastle, NSW. More than 1500 water-holding containers were recorded, most commonly pot plant saucers, roof gutters, and water-holding plants (e.g., bromeliads). There were significantly more containers identified for properties classified as untidy but there was no evidence visible that property characteristics could be used to prioritise property surveys in a strategic eradication response. The results demonstrate that there is potential for local establishment of exotic mosquitoes and that considerable effort would be required to adequately survey these environments for the purpose of surveillance and eradication programs.


2014 ◽  
Vol 12 (3) ◽  
pp. 564-572 ◽  
Author(s):  
Saverio Giampaoli ◽  
Nathalie Garrec ◽  
Gérard Donzé ◽  
Federica Valeriani ◽  
Lothar Erdinger ◽  
...  

Natural swimming ponds (NSPs) are a new type of recreational water facility characterized by the substitution of traditional disinfection with biodepuration. While this feature meets esthetic desires of users, specific concerns on public health issues have been raised by the scientific community and local authorities. The absence of a European directive applicable to these environments leaves each country without specific and harmonized indications. The present work describes the local/national policy situation, describing adopted parameters and monitoring activities. All documents underline the need for appropriate microbiological analysis and correct water management.


Demography ◽  
2008 ◽  
Vol 45 (4) ◽  
pp. 885-905 ◽  
Author(s):  
Aparna Lhila ◽  
Kosali I. Simon

2021 ◽  
Vol 70 (1) ◽  
pp. 30-38
Author(s):  
Anna B. Agafonova ◽  

The article describes the history of creation and activities of sanitary guardians in the cities of the Russian Empire. The study aims to identify organizational and social contradictions in guardianships’ activities, which hindered citizens from involvement in solving local sanitary problems. Boards of sanitary guardians were established by order of local authorities to involve the population in the fight against epidemics and conducting sanitary measures. The sanitary guardians’ activities consisted of timely notification of local authorities about the emergence of epidemics, participation in sanitary inspections of households, and conducting preventive conversations with homeowners about their compliance with public health and urban improvement regulations. The practice of citizens social participation in monitoring the urban area’s cleanliness was intended to level out the contradictions between homeowners and temporary doctors and sanitary executive commissions “alien” to the city community. Still, it often provoked conflicts between sanitary guardians and homeowners who defended the rights to inviolability of their property. In general, public oversight conducted by sanitary guardians has proven ineffective in the long term.


Author(s):  
Edward L. Trimble ◽  
Preetha Rajaraman ◽  
Ann Chao ◽  
Thomas Gross ◽  
Carol Levin ◽  
...  

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