scholarly journals Green Deal as a Climate Changes Dam on the Road to Health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Jevtic ◽  
C Bouland

Abstract Public health professionals (PHP) have a dual task in climate change. They should persuade their colleagues in clinical medicine of the importance of all the issues covered by the GD. The fact that the health sector contributes to the overall emissions of 4.4% speaks to the lack of awareness within the health sector itself. The issue of providing adequate infrastructure for the health sector is essential. Strengthening the opportunities and development of the circular economy within healthcare is more than just a current issue. The second task of PHP is targeting the broader population. The public health mission is being implemented, inter alia, through numerous activities related to environmental monitoring and assessment of the impact on health. GD should be a roadmap for priorities and actions in public health, bearing in mind: an ambitious goal of climate neutrality, an insistence on clean, affordable and safe energy, a strategy for a clean and circular economy. GD provides a framework for the development of sustainable and smart transport, the development of green agriculture and policies from field to table. It also insists on biodiversity conservation and protection actions. The pursuit of zero pollution and an environment free of toxic chemicals, as well as incorporating sustainability into all policies, is also an indispensable part of GD. GD represents a leadership step in the global framework towards a healthier future and comprises all the non-EU members as well. The public health sector should consider the GD as an argument for achieving goals at national levels, and align national public health policies with the goals of this document. There is a need for stronger advocacy of health and public-health interests along with incorporating sustainability into all policies. Achieving goals requires the education process for healthcare professionals covering all of topics of climate change, energy and air pollution to a much greater extent than before.

Sustainability and nutrition 380 Sustainable development 382 Food security 383 Climate change and obesity 384 Useful websites and further reading 388 The public health nutrition field has identified a need to encompass the inter-relationship of man with his environment (The Giessen Declaration, 2005). Ecological public health nutrition places nutrition within its wider structural settings including the political, physical, socio-cultural and economic environment that influence individual behaviour and health. As a consequence, it includes the impact of what is eaten on the natural environment as well as the impact of environmental and climate change on all components of food security, i.e. on what food is available, accessible, utilizable and stable (...


2021 ◽  
Author(s):  
◽  
Gregor David Coster

<p>Health needs assessment (HNA) is one of the features of the New Zealand health system established by the New Zealand Public Health and Disability Act 2000. District Health Boards (DHBs) are to conduct HNAs, and planning of health services is intended to take into account the health needs of the population. Key questions for research relate to the impact of HNA on DHB planning and purchasing in a political/bureaucratic model of governance. This research was undertaken within a public policy framework that focused on evaluating the reforms against policy goals and expectations, and particularly against the influences that might be predicted from the HNA and prioritisation policy. Consideration was given to the range and effectiveness of past HNAs as well as the expectations and experiences of the DHB model in regard to HNA. Document analysis and 34 interviews were conducted regarding 50 HNAs conducted in the public health sector from 1991-2000 to assess their impact on service delivery, decision-making, and policy. Document analysis was undertaken on DHB HNAs, prioritisation frameworks, board priorities, District Strategic Plans, and District Annual Plans for each of 20 DHBs. Planning and Funding managers were interviewed using semi-structured interview techniques to ascertain their experiences and views regarding the use of HNAs in planning. Grounded theory approaches were mainly used for the interview analysis. Case studies of five DHBs provided an in-depth understanding of the connections between health needs assessment, prioritisation, District Strategic Plans and District Annual Plans. Collection of contextual data provided an understanding of the influence of other policy decisions made locally or nationally. Using triangulation, conclusions were drawn regarding the effectiveness and impact of HNA and prioritisation on planning and health service purchasing by DHBs. The implications for public policy were then considered. Recent needs assessments conducted by DHBs mostly met the minimum requirements of the Ministry of Health, but the quality was variable. DHB Planning and Funding Managers were unanimously positive regarding the usefulness of HNAs, and felt that there were good connections between them and the planning process (Connection Score). However, the impact of HNAs on planning and purchasing measured using document analysis (Impact Factor) was lower than expected. A number of barriers to effective use were identified. More focused HNA by DHBs is recommended with the use of mixed scanning approaches and service development groups directed towards specific service planning areas. Recommendations are made regarding future policy for HNA and prioritisation.</p>


2021 ◽  
Vol 11 (2) ◽  
pp. 350-364
Author(s):  
Chinedu Anthony Umeh ◽  
Chinedu Daniel Ochuba ◽  
Ugochukwu Remigius Ihezie

The study examined the impact of government budget deficits on the public health sector output in Nigeria over a period of 1980 to 2018. The specifically study sought to: investigate the impact of government budget deficits affect the public health sector output in Nigeria, ascertain the impact of external borrowing on the public health sector output in Nigeria and evaluate the impact of domestic borrowing budget deficits financing on the public health sector output in Nigeria. The methods of data analysis range from argument dickey fuller unit root test, Johansen co-integration test and finally error correction method. The following results were the basic findings of the study: (1) government budget deficits have positive insignificant impact on public health sector output in Nigeria (t – statistics (0.5663) < t0.05 (1.684); (2) external borrowing of financing budget deficits has negative insignificant impact on Health sector output in Nigeria (t – statistics (-1.2746) < t0.05 (1.684) and (3) domestic borrowing of financing budget deficits has positive significant impact on Health sector output in Nigeria (t – statistics (2.1711) > t0.05 (1.684). This study concludes that the budget deficits of government have positive insignificant impact on Health sector output in Nigeria because more budget allocations are put in health recurrent government expenditure than health capital expenditure whereas health capital expenditure is the engine of growth in health sector output. The study recommended that the Federal Government should commence and continue to execute the National Health Act. Allocation’s map-out for the Basic Health Care Provision Fund (BHCPF) should be drawn directly from the National Health Act, which is not less than 1% of the Consolidated Revenue (CRF) Fund of the Federation and is to flow from the FG's share of revenue.


2020 ◽  
Vol 8 (Spl-1-SARS-CoV-2) ◽  
pp. S79-S86
Author(s):  
Manish Dhawan ◽  
◽  
Steffy Angural ◽  
Manisha Parmar ◽  
◽  
...  

The corona virus disease 2019 (COVID-19) has caused substantial disruptions to health services due to overburdening the health system. Hence, there are severe obstructions in tuberculosis (TB) services in India's primary health care and hospital settings. Several restrictions, such as lockdown, self-isolations, and other public health guidelines to prevent viral transmission, impacted the delivery of essential facilities for TB management. A significant reduction in tuberculosis testing in the public health sector has been noticed, which is an alarming situation in India. However, there are several risks in managing TB due to rising cases of COVID-19 but maintaining the most critical prevention activities and healthcare services for tuberculosis could substantially reduce the overall impact of the COVID-19 pandemic. This review focuses on the impact and challenges of COVID-19 on tuberculosis. Further, the strategies to eradicate tuberculosis in the era of COVID-19 are also discussed.


2021 ◽  
Author(s):  
◽  
Gregor David Coster

<p>Health needs assessment (HNA) is one of the features of the New Zealand health system established by the New Zealand Public Health and Disability Act 2000. District Health Boards (DHBs) are to conduct HNAs, and planning of health services is intended to take into account the health needs of the population. Key questions for research relate to the impact of HNA on DHB planning and purchasing in a political/bureaucratic model of governance. This research was undertaken within a public policy framework that focused on evaluating the reforms against policy goals and expectations, and particularly against the influences that might be predicted from the HNA and prioritisation policy. Consideration was given to the range and effectiveness of past HNAs as well as the expectations and experiences of the DHB model in regard to HNA. Document analysis and 34 interviews were conducted regarding 50 HNAs conducted in the public health sector from 1991-2000 to assess their impact on service delivery, decision-making, and policy. Document analysis was undertaken on DHB HNAs, prioritisation frameworks, board priorities, District Strategic Plans, and District Annual Plans for each of 20 DHBs. Planning and Funding managers were interviewed using semi-structured interview techniques to ascertain their experiences and views regarding the use of HNAs in planning. Grounded theory approaches were mainly used for the interview analysis. Case studies of five DHBs provided an in-depth understanding of the connections between health needs assessment, prioritisation, District Strategic Plans and District Annual Plans. Collection of contextual data provided an understanding of the influence of other policy decisions made locally or nationally. Using triangulation, conclusions were drawn regarding the effectiveness and impact of HNA and prioritisation on planning and health service purchasing by DHBs. The implications for public policy were then considered. Recent needs assessments conducted by DHBs mostly met the minimum requirements of the Ministry of Health, but the quality was variable. DHB Planning and Funding Managers were unanimously positive regarding the usefulness of HNAs, and felt that there were good connections between them and the planning process (Connection Score). However, the impact of HNAs on planning and purchasing measured using document analysis (Impact Factor) was lower than expected. A number of barriers to effective use were identified. More focused HNA by DHBs is recommended with the use of mixed scanning approaches and service development groups directed towards specific service planning areas. Recommendations are made regarding future policy for HNA and prioritisation.</p>


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Rispel

Abstract Prof Laetitia Rispel is Immediate past President of the WFPHA, and Professor of Public Health at the University of the Witwatersrand: Johannesburg. She has a strong research background and publication record on public health governance, health workforce education, ethics, policy and practice. Following talks on the relationship between climate change and food and water insecurity presenting a public health emergency, and case examples of recent disasters, Professor Rispel will outline the WFPHA vision for the public health sector's role in the coming decades. The expanding need for well resourced, and well-trained public health sector at national and regional levels will be outlined. As the world careers ever closer to existential threats from unabated climate change, a key theme covered will be the imperative for multilateral climate negotiations to include public health experts Following this presentation, the panel will invite questions and discussion from the floor to share experience and develop solutions-based model for expanded role of public health, and how we transition to that new world.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract National public health societies face specific national challenges but also common challenges in several countries but in specific national contexts. At EPH2018, a first workshop entitled ‘ Can national public health societies work together for mutual support on their daily challenges? “ had allowed the national public health societies represented to highlight their interest and their ability to work together. Among the different lines of work identified, one of them was particularly emphasized: ‘How to make allies and influence health policies?’. This line of work brings different reflections: When adopt postures of conflict and / or cooperation with the public authorities? How to choose to argue from evidence based public health and / or to build and tell simple and consistent stories? What are the situations where we risk going from ‘collaborating with’ actors to’being manipulated by’ actors? What are the conditions for forming effective alliances in public health? Several topics have been identified as common issues facing the different national public health societies: migration and health, alcohol, food and information of public, physical activities and active mobility, environmental pollution. As part of this workshop we want to share the feedback of experiences presented by several national public health companies on common public health issues to learn lessons to strengthen their actions. The feedback presented will help identify and construct shared analysis frameworks, to identify the conditions favoring the influence of national public health societies. The development of these common tools will strengthen their interventions at a national level and enhance their collective effectiveness at the European level. EUPHA is the relevant framework for inscribing this approach in time and space. Key messages Eupha is the ideal place to meet other public health companies and find opportunities to develop practical transnational collaborations for a better impact of public health at the national level. The sharing of experience on common topics will strengthen the influence of the SNSPs and the impact of their actions at the country level.


2020 ◽  
Author(s):  
Azzeddine Madani ◽  
Saad Eddine Boutebal

Abstract The aim of this study was to investigate the impact of the COVID-19 pandemic on the attitudes towards the lifting of confinement. Methods: The data were collected using a questionnaire applied to 344 people in different regions of Algeria from April 21, 2020, for two weeks afterward, in order to determine the attitudes of the Algerian people towards the post-coronavirus COVID -19 phase. Results: The results of this study indicate that 94.2% of respondents insist on lifting the confinement to apply gradually and partially. Accordingly, there is a significant impact of gender and age on social attitudes towards the post-coronavirus phase. Similarly, the results highlighted the existence of a positive level of attitude towards the post-coronavirus phase COVID-19 in the need to digitize education, digitize social transactions, and develop sustainable transport and the public health sector. Results: People living in confinement indicate that it is necessary to prepare for the post-coronavirus period, in particular through the vital sectors linked to daily life.


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