Using the Turning Point Model State Public Health Law

2003 ◽  
Vol 31 (S4) ◽  
pp. 88-89
Author(s):  
Lawrence O. Gostin ◽  
Glen Safford ◽  
Deborah Erickson
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Turning Point ◽  
Planning Process ◽  
National Level ◽  
Health Law ◽  
Point Model ◽  
Public Health Systems ◽  
State And Local ◽  
Local Levels

The Turning Point Initiative is an initiative for which the Robert Wood Johnson (RWJ) and W.K. Kellogg foundations partnered in order to fund a group of states and a number of communities within each of those states to work through a planning process to look at ways to strengthen their public health systems at the state and local levels. Out of that process, the states and communities would come together at the national level to talk about what they had been learning and what the issues were. There were a number of issues that resonated with all of the states.

scholarly journals Preparedness and Emergency Response Research Centers: Using a Public Health Systems Approach to Improve All-Hazards Preparedness and Response

2014 ◽  
Vol 129 (6_suppl4) ◽  
pp. 8-18 ◽  
Author(s):  
Mary Leinhos ◽  
Shoukat H. Qari ◽  
Mildred Williams-Johnson
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Emergency Response ◽  
Institute Of Medicine ◽  
Research Centers ◽  
Local Public Health ◽  
Public Health Systems ◽  
Systems Research ◽  
New Public Health ◽  
State And Local

In 2008, at the request of the Centers for Disease Control and Prevention (CDC), the Institute of Medicine (IOM) prepared a report identifying knowledge gaps in public health systems preparedness and emergency response and recommending near-term priority research areas. In accordance with the Pandemic and All-Hazards Preparedness Act mandating new public health systems research for preparedness and emergency response, CDC provided competitive awards establishing nine Preparedness and Emergency Response Research Centers (PERRCs) in accredited U.S. schools of public health. The PERRCs conducted research in four IOM-recommended priority areas: ( 1) enhancing the usefulness of public health preparedness and response (PHPR) training, ( 2) creating and maintaining sustainable preparedness and response systems, ( 3) improving PHPR communications, and ( 4) identifying evaluation criteria and metrics to improve PHPR for all hazards. The PERRCs worked closely with state and local public health, community partners, and advisory committees to produce practice-relevant research findings. PERRC research has generated more than 130 peer-reviewed publications and nearly 80 practice and policy tools and recommendations with the potential to significantly enhance our nation's PHPR to all hazards and that highlight the need for further improvements in public health systems.

Public Health Policy Actions to Address Health Issues Associated with Drought in a Changing Climate

2020 ◽  
Vol 48 (4) ◽  
pp. 653-663
Author(s):  
Rachel E. Lookadoo ◽  
Jesse E. Bell
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Health Systems ◽  
The United States ◽  
Health Issues ◽  
Policy Action ◽  
Public Health Systems ◽  
Local Risk ◽  
State And Local ◽  
Public Health Strategies

Over the last century, droughts have caused more deaths internationally than any other weather- or climate-related disaster. Like other natural disasters, droughts cause significant changes in the environment that can lead to negative health outcomes. As droughts are becoming more frequent and intense with climate change, public health systems need to address impacts associated with these events. Partnering with federal and local entities, we evaluated the state of knowledge of drought and health in the United States through a National Drought and Public Health Summit and a series of subsequent regional workshops. The intended outcome was to develop public health strategies for implementing activities to better support and prepare public health systems for future droughts. The information gathered from this work identified multiple policy and law options to address the public health issues associated with drought. These policy recommendations include the use of public health emergency declarations for drought events, increased usage of preparedness evaluations for drought emergencies, and engagement of drought and climate experts in state and local risk assessments. As drought events are projected to increase in frequency and magnitude with climate change, taking policy action now will help decrease the health impacts of drought and save lives.

scholarly journals Moving from Intersection to Integration: Public Health Law Research and Public Health Systems and Services Research

2012 ◽  
Vol 90 (2) ◽  
pp. 375-408 ◽  
Author(s):  
SCOTT BURRIS ◽  
GLEN P. MAYS ◽  
F. DOUGLAS SCUTCHFIELD ◽  
JENNIFER K. IBRAHIM
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Health Law ◽  
Services Research ◽  
Public Health Law ◽  
Public Health Systems

scholarly journals Civic programmatic participation in public health: the case of Argentina

2019 ◽  
Vol 35 (suppl 2) ◽  
Author(s):  
Tulia G. Falleti ◽  
Santiago L. Cunial
Keyword(s):  
Public Health ◽  
World Health Organization ◽  
Health Systems ◽  
Social Dynamics ◽  
National Level ◽  
World Health ◽  
Public Health Systems ◽  
The Social ◽  
The World ◽  
Health Organization

Abstract: Since the Alma Ata World Health Organization Conference in 1978, countries around the world have adopted institutions that promote the participation of citizens in their public health systems. The main objectives of this article are two-fold. First, we describe the origins and implementation of a national-level civic participatory program that was in place in Argentina in the mid-2000s: the Local Participatory Projects (Proyectos Locales Participativos). Second, we analyze the 201 local participatory projects that were carried out in Argentina between 2007 and 2008. We study health and environmental problems that prompt people’s participation in the program and the social dynamics through which such participation is executed.

scholarly journals Assessing global preparedness for the next pandemic: development and application of an Epidemic Preparedness Index

2019 ◽  
Vol 4 (1) ◽  
pp. e001157 ◽  
Author(s):  
Ben Oppenheim ◽  
Mark Gallivan ◽  
Nita K Madhav ◽  
Naor Brown ◽  
Volodymyr Serhiyenko ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Health Systems ◽  
Influenza Pandemic ◽  
National Level ◽  
Disease Outbreaks ◽  
H1n1 Influenza ◽  
Outbreak Detection ◽  
Holistic View ◽  
Public Health Systems

IntroductionRobust metrics for national-level preparedness are critical for assessing global resilience to epidemic and pandemic outbreaks. However, existing preparedness assessments focus primarily on public health systems or specific legislative frameworks, and do not measure other essential capacities that enable and support public health preparedness and response.MethodsWe developed an Epidemic Preparedness Index (EPI) to assess national-level preparedness. The EPI is global, covering 188 countries. It consists of five subindices measuring each country’s economic resources, public health communications, infrastructure, public health systems and institutional capacity. To evaluate the construct validity of the EPI, we tested its correlation with proxy measures for preparedness and response capacity, including the timeliness of outbreak detection and reporting, as well as vaccination rates during the 2009 H1N1 influenza pandemic.ResultsThe most prepared countries were concentrated in Europe and North America, while the least prepared countries clustered in Central and West Africa and Southeast Asia. Better prepared countries were found to report infectious disease outbreaks more quickly and to have vaccinated a larger proportion of their population during the 2009 pandemic.ConclusionThe EPI measures a country’s capacity to detect and respond to infectious disease events. Existing tools, such as the Joint External Evaluation (JEE), have been designed to measure preparedness within a country over time. The EPI complements the JEE by providing a holistic view of preparedness and is constructed to support comparative risk assessment between countries. The index can be updated rapidly to generate global estimates of pandemic preparedness that can inform strategy and resource allocation.

Maternal health services in China’s western rural areas: uptake and correlates

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Chengfang Liu ◽  
Linxiu Zhang ◽  
Yaojiang Shi ◽  
Huan ZHOU ◽  
Alexis Medina ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Services ◽  
Health Systems ◽  
Uptake Rate ◽  
Rural Areas ◽  
Design Methodology ◽  
Maternal Health Services ◽  
Western China ◽  
Public Health Systems

Purpose Many public health systems have struggled with the dual questions of (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it. The objective of this study is to assess the uptake rate of a new set of maternal health services in poor rural areas of China. Design/methodology/approach The analysis is based on the survey responses of women’s representatives and village cadres from almost 1000 villages in June 2012 as part of a wide-scale public health survey in Sichuan, Gansu and Yunnan provinces in the western part of China. Findings We find that the uptake rate of maternal health services (including in-hospital delivery, antenatal care visits and post-partum care visits) in poor rural areas of western China are far below average in China, and that the rates vary across provinces and ethnic groups. Our analyses demonstrate that distance, income, ethnicity and availability appear to be systematically correlated with low uptake rates of all maternal health services. Demand-side factors seem to be by far the most important sources of the differences between subpopulations. We also find that there is potential for creating a Conditional Cash Transfer program to improve the usage of maternal health services. Originality/value We believe that our results will contribute positively to the exploration of answers to the dual questions that many public health systems have struggled with (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it.

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