Cultural mediators are needed to fulfill Right to health for all

Abstract The Right to health framework supports available, accessible and acceptable health care of high quality for all (AAAQ). Health of migrants often worsen in the new country. AAAQ may be hindered by poverty, discrimination, health cares' shortcomings and misunderstandings, respectively. Advocating for marginalised groups' Right to health include action. Interventions based on shared influence, participation and control need to be launched. Cultural mediators (CM), i.e. persons that are knowledgeable in both cultures and with networks in migrant groups help overcome lingual problems, lack of trust and uneven power relations. This resource needs to be further examined. How can a CM strengthen AAAQ in a public health setting? Women with Somalian origin living in an underserved neighborhood in Sweden contacted the Public Health Unit of a local hospital, asking for support for a health focused group-activity. Weight loss after delivery was a primary concern. Women gathered monthly 2018-19. The objective was to support healthy life style habits drawing on issues raised by the women. The intervention was conducted by group talks, led by the CM and a public health planner. Methods were based on Social Cognitive Theory focusing on self-efficacy. The CM recruited women, helped them to find the venue, encouraged them to trust the public health planner and broadened perspectives to include female genital mutilation, children's food, how to seek care and workforce issues. Trust developed over time. 70 women participated. Reported gains were raised awareness of ones' rights, increased self-efficacy in relation to food, physical activity and how to support children to a healthy life style. Support for a healthy lifestyle was made more available, accessible and acceptable by the cooperation with the CM, as was the quality of the support. A CM bridges distances regarding spoken language, trust and cultural understanding. S/he puts forward perspectives and needs from the group in question Key messages The Right to health framework highlights areas that need to be in focus when advocating for health equity. Health care workers in settings with many migrants should strive to include cultural mediators in planning, execution and evaluation of interventions.

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Are the SUS and the Right to Health Incompatible with Universal Health Coverage? Challenging Misconceptions around the Concept of UHC in the Public Health Scholarship in Brazil

Novos Estudos - CEBRAP ◽

10.25091/s01013300202000030009 ◽

2020 ◽

Vol 39 (3) ◽

pp. 599-618

Author(s):

Daniel Wei Liang Wang

Keyword(s):

Public Health ◽

Universal Health Coverage ◽

Right To Health ◽

Health Coverage ◽

The Public ◽

The Right ◽

Universal Health

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Forma podmiotu leczniczego a świadczenia zdrowotne

Prawo ◽

10.19195/0524-4544.323.12 ◽

2017 ◽

Vol 323 ◽

pp. 113-127

Author(s):

Tadeusz Kocowski ◽

Mateusz Paplicki

Keyword(s):

Public Health ◽

Health Care ◽

Health Service ◽

Public Health Service ◽

Practical Implementation ◽

The Public ◽

Medical Entity ◽

Care Health ◽

The Right ◽

Protection Of Life

Form of medical entity and medical servicesHealth undoubtedly belongs of the fundamental existential values for human. Current legal regulations state that everyone is entitled to health care. Health care is agovernment task, executed especially by local government units. An individual has the right to claim medical services related to the protection of life and health from the public health service. For their practical implementation, government establishes a system of entities obliged to take action in this field. Unfortunately, the actions taken do not create a unified system in which the patient and his health are the most important value.

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REPRODUKSI WACANA METABO LAW DALAM PEMBENTUKAN STEREOTYPE FAT CHARACTER PADA ANIME JEPANG

IZUMI ◽

10.14710/izumi.7.1.11-21 ◽

2018 ◽

Vol 7 (1) ◽

pp. 11

Author(s):

Santi Andayani ◽

Ni Made Savitri Paramita

Keyword(s):

Metabolic Syndrome ◽

Life Style ◽

Japanese Government ◽

The Body ◽

Healthy Life ◽

The Public ◽

The Metabolic Syndrome ◽

Healthy Life Style ◽

Normalization Process ◽

Health Guidance

(Title: The Reproduction Of Metabo Law Discourse In Constructing Fat Characters Stereotype In Japanese Animes) Japanese government through Ministry of Health, Labor and Welfare (MHLW) in 2008 issued the Metabo Law regulation, which is the standard of medical and health guidance that is done specifically with the purpose to decrease the number of obesity which cause the metabolic syndrome. This regulation put the body of each individual to be open to the public. Using Foucault’s perception, this study look how Metabo Law works and how the reproduction of Metabo Law discourses constructing stereotype of fat character in Japanese anime. This study took data from 14 fat character in 13 anime, airing in 2008’s until 2015’s. To complete the data, interview were conducted on 5 Japanese about their understanding about Metabo Law. This study shows that with the normalization process using yearly general checkup and the reproduction of Metabo Law discourses, Japanese government successfully change the Japanese mindset and their behavior in maintained a healthy life style and to stay slim. The stereotype of the fat character that emerge as the product of reproduction of Metabo Law discourses is greedy, careless, cowardly, shy/ have low self-confident, and an otaku.

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On the methodology research of organizational technologies of health preservation

10.33920/med-03-2108-01 ◽

2021 ◽

pp. 6-15

Author(s):

Vasily Sergeevich Nechaev ◽

Irina Petrova

Keyword(s):

Public Health ◽

Health Policy ◽

Life Style ◽

Public Health Policy ◽

Health Condition ◽

Healthy Life ◽

Longitudinal Approach ◽

Concepts Of Health ◽

Key Concepts ◽

Healthy Life Style

The article considers methodological studying of problematic of health preservation and its organizational technologies. The health preservation is considered in the context of public health policy. The necessity of complex interdisciplinary and longitudinal approach to studying this problematic is substantiated. The results of analysis of semantics of key concepts of health preservation are presented. The patient-centralized principles of activities and communication as applied to health preservation are substantiated. The differentiation between concepts of «value» and «utility» of organizational technologies of health preservation for health are discussed. The possible areas of studying positioning of health preservation in the system of personality values, including health culture, are proposed. The possible structurization of factors determining health condition and healthy life-style are proved. The scope of principles and approaches for subsequent elaboration of methods, standards, instruments and regulations of complex methodology of studying issues of health preservation and its organizational technologies are established

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Health care system of the Republic of Serbia in the period 2004-2012

Stomatoloski glasnik Srbije ◽

10.2298/sgs1401036g ◽

2014 ◽

Vol 61 (1) ◽

pp. 36-44 ◽

Cited By ~ 1

Author(s):

Milena Gajic-Stevanovic ◽

Jovana Aleksic ◽

Neda Stojanovic ◽

Slavoljub Zivkovic

Keyword(s):

Public Health ◽

Health Care ◽

Health Insurance ◽

Health System ◽

Health Care System ◽

Insurance Fund ◽

The Public ◽

The Republic ◽

The Right ◽

Care System

Introduction. The backbone of Serbian health system forms the public healthcare provider network with 355 institutions and around 112,000 employees, owned and controlled by the Ministry of Health and financed mainly by the Republican Health Insurance Fund. The law recognizes private practice that was not included, till recently, in the public funding scheme. New Health Insurance Law (2005) decreased the number of entitlements in the basic health service package. It abolished the right to dental health care for adults (exceptions are: children, older than 65, pregnant women and emergency cases) as well as the right to compensate travel expenses. The aim of this study was to evaluate the effects of health care system of the Republic of Serbia and indicate parameters that determine the state of health of the population, on the ground of data obtained by the Institute of Public Health of Serbia. Results. In the period 2004-2012, cardiovascular diseases represented the main cause of illness in Serbia (50%). In 2012 digestive system diseases were on the second place. Neoplasm and nervous system diseases were on the third place. From 2007 to 2012 there was slight decline in the birth rate and number of deaths, but the death rate increased from 13.9 to 14.2. Health care system in Serbia is funded through the combination of public finances and private contributions. Primary care is provided in 158 health care centres and health care stations, secondary and tertiary care services are offered in general hospitals, specialized hospitals, clinics, clinico-hospital centers and clinical centres. Conclusion. A significant but not satisfactory progress has been achieved in the field of health status indicators as the most important outcome of the final performance of the health system. The transition of public health care system in Serbia since the communist period to present and slow integration with European Union is unfinished process.

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Penggalian Riwayat dan Nasihat Tentang Gaya Hidup Sehat oleh Dokter Pelayanan Primer

Kesmas National Public Health Journal ◽

10.21109/kesmas.v8i5.388 ◽

2013 ◽

Vol 8 (5) ◽

pp. 221 ◽

Cited By ~ 1

Author(s):

Yayi Suryo Prabandari

Keyword(s):

Health Care ◽

Life Style ◽

Communicable Disease ◽

History Taking ◽

Healthy Life ◽

High Fiber ◽

Primary Health ◽

Fiber Diet ◽

Healthy Life Style ◽

High Fiber Diet

Di Indonesia, sejak lebih dari dua dekade, terjadi transisi epidemiologi. Prevalensi penyakit tidak menular (PTM) meningkat menggeser penyakit menular. Sejak tahun 2004, tiga perilaku hidup bersih sehat (PHBS) terkait PTM, yang meliputi tidak merokok, aktivitas fisik, konsumsi tinggi serat belum memenuhi target. Penelitian ini bertujuan mengetahui penggalian riwayat dan nasihat gaya hidup sehat yang dilaporkan oleh pasien dan dokter. Penelitian dilakukan dengan rancangan potong lintang pada 57 dokter dan 251 pasien puskesmas. Data dikumpulkan dengan kuesioner terstruktur dan wawancara di empat puskesmas di Kota Yogyakarta dan delapan puskesmas di Kabupaten Sleman mulai September 2011 sampai dengan Januari 2012. Hasil penelitian menunjukkan bahwa lebih banyak dokter yang memberikan nasihat tentang gaya hidup sehat daripada menanyakannya. Dokter lebih sering melakukan penggalian riwayat dan nasihat tentang kebiasaan merokok daripada tentang olah raga dan pola makan. Penggalian riwayat dan nasihat yang dilaporkan oleh dokter dan pasien berbeda. Menurut pasien, dokter seharusnya bertanya dan memberi nasihat gaya hidup sehat. Karakteristik dokter tidak berhubungan dengan penggalian riwayat dan nasihat gaya hidup sehat yang dilakukan. Penggalian riwayat tentang hidup sehat menjadi prediktor kuat dalam memberikan nasihat untuk melakukan gaya hidup sehat.Epidemiological transition has been occurred in Indonesia in the last two decades. The increasing prevalence of non communicable disease (NCD) has shifted the communicable disease. This pattern has been predicted since the 2004. National health survey reported that the Indonesian’ clean and healthy behavior (PHBS) related to NCD, namely, not smoking, exercise and high fiber diet were still far from the target. The role of physician, particularly primary health care is crucial to overcome those health problems. This cross sectional study aimed to assess history taking and advice on healthy life style reported by patient and physician. Participants were 57 physicians and 251 patients of primary health care (Puskesmas). Data were collected by structured questionnaires and interviews at 4 Puskesmas in Yogyakarta City and at 8 Puskesmas in Sleman District, started between September 2011 and January 2012. The results showed that physicians more carried out health advice on healthy life style than ask about them. Patients and physicians reported differently in the history taking and advice on healthy life style. Physician was more asking and advice about smoking habits than exercise and high fiber diet. Characteristics of physicians did not correlate with history taking and advice of healthy lifestyle. History taking of healthy life style was a strong predictor to conduct advice on healthy life style.

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ENSURING THE CITIZENS’ RIGHTS AND FREEDOMS IN CASE OF COVID-19 VACCINATIO IN THE PUBLIC HEALTH SYSTEM

Wiadomości Lekarskie ◽

10.36740/wlek202111201 ◽

2021 ◽

Vol 74 (11) ◽

pp. 2863-2869

Author(s):

Nataliya Gutorova ◽

Vitalii Pashkov ◽

Tetyana Kaganovska

Keyword(s):

Public Health ◽

Health System ◽

Legal Status ◽

Public Health System ◽

Essential Element ◽

Legal Regulation ◽

Right To Health ◽

The Public ◽

The Right ◽

Restrictive Measures

The aim: To study the legal and regulatory framework for ensuring the right to health of patients depending on the legal status of coronavirus vaccines in different countries as an essential element influencing the right to public health and other rights of citizens. Materials and methods: In this paper, we study the legal norms and scientific positions on the above issue using generalized information from scientific journals that use scientific methods from a medical and legal point of view. This article is based on dialectical, comparative, analytical, synthetic, and complex research methods. Using the above methods, we studied the attitudes of different categories of citizens to vaccination against coronavirus disease through questionnaires on the following issues: attitudes to vaccination in general; motivation for vaccination, in case of consent to vaccination; reasons for refusal of vaccination. The case-law of the European Court of Human Rights on vaccination and ensuring the rights of citizens to health care was also analyzed. Results: Proper legal regulation of the right to health depending on the legal status of the vaccines is important in order to implement restrictive measures to combat COVID-19 and, accordingly, to prevent the possible spread of a pandemic in the public health system. Conclusions: Ensuring the right to health and applying restrictive measures to prevent the spread of a pandemic is an essential element of the public health system. However, the question of the legal status of vaccines is crucial to prevent the spread of the disease. That is, it is essential to go through all the stages of clinical trials for the vaccines used. Their safety and effectiveness and proving the fact that the harm of vaccination is much less than the harm of the spread of coronavirus disease. In the process of ensuring the right to health, including by making compulsory vaccination against COVID-19, legal framework and practice are critical components that aim to minimize the potential hazards that threaten the health and lives of the population.

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Relationship Five Behavioral Indicators and Healthy Living with Tuberculosis Multidrug-Resistant

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v2i3.2014.355-367 ◽

2014 ◽

Vol 2 (3) ◽

pp. 355

Author(s):

Heri Mulyanto

Keyword(s):

Health Care ◽

Life Style ◽

Multidrug Resistant ◽

Health Care Facilities ◽

Hygienic Behavior ◽

Healthy Life ◽

Behavioral Indicators ◽

Care Facilities ◽

Healthy Life Style ◽

Mdr Tb

ABSTRACTClean and healthy life style is a behavior that is closely related to the emergence of infectious diseases, including TB continued into MDR-TB. This study aimed to determine the relationship between the 5 behavioral indicators of clean and healthy living with MDR-TB in Dr. Saiful Anwar Hospital. Research was conducted used a retrospective analytic designed by case control study. Subjects drawn from a population with a simple random sampling with a ratio of 1: 1 between cases and controls, patients of MDR-TB in TB clinic as many as 27 patients as cases group and patients who had undergone TB treatment for at least 6 months with a negative smear results by 27 patients as a control group. The variables in this study were healthy and hygienic behavior, and several other variable and MDR-TB The variables in this study were healthy and hygienic behavior, demographic variables and MDR-TB. Research results calculated used Chi Square test with a confidence level of 95% (α = 0.05) showed age, gender, education level and marital status was not associated with MDR- TB, nutritional eating life style associated with MDR-TB (OR = 0,25 and p = 0.014), exercise life style (physical activity) associated with MDR-TB (OR = 0,16 and p = 0.00), utilizing life style health care facilities associated with MDR-TB (OR= 0,091 and p = 0.01), life style to prevent co-infections was not associated with MDR-TB (p = 0.78), and the provision of a healthy home environment behaviors associated with TB multidrug-resistant (OR = 0,28 and p = 0.03). There are four variables of clean and healthy life style associated with MDR-TB, so that health care facilities are advised to give the promotion of clean and healthy life style TB patients to prevent progression to MDR-TB.Keywords: Clean and Healthy Life Style, multidrug resistant tuberculosis

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Relationship Five Behavioral Indicators and Healthy Living with Tuberculosis Multidrug-Resistant

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v2i32014.355-367 ◽

2014 ◽

Vol 2 (3) ◽

pp. 355

Author(s):

Heri Mulyanto

Keyword(s):

Health Care ◽

Life Style ◽

Multidrug Resistant ◽

Health Care Facilities ◽

Hygienic Behavior ◽

Healthy Life ◽

Behavioral Indicators ◽

Care Facilities ◽

Healthy Life Style ◽

Mdr Tb

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HEALTH EDUCATION AND COMMUNICATION THROUGH ART

International Journal of Research -GRANTHAALAYAH ◽

10.29121/granthaalayah.v4.i2.2016.2831 ◽

2016 ◽

Vol 4 (2) ◽

pp. 215-219

Author(s):

Anjali Pandey

Keyword(s):

Health Care ◽

Health Education ◽

Life Style ◽

Accurate Information ◽

Healthy Life ◽

Active Involvement ◽

The People ◽

Medical Facilities ◽

Healthy Life Style

Health Education promotes the people to adopt the healthy life style. It facilitates the accurate information of medical facilities and new medical discoveries. It motivates the people to resolve problems for themselves and develops the attitude toward health care. The purpose of health education is to transmit the information to the people and encourage them for active involvement in planning and maintenance of their health.

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