scholarly journals Alignments and differentiations: People with illness experiences seeking legitimate positions as health service developers and producers

2018 ◽  
Vol 24 (3) ◽  
pp. 223-240 ◽  
Author(s):  
Marjaana Jones ◽  
Ilkka Pietilä
Keyword(s):  
Health Professionals ◽  
Local Level ◽  
National Level ◽  
Critical Distance ◽  
Health Policies ◽  
Service Development ◽  
Practical Implementation ◽  
Patient Centeredness ◽  
Individual Interviews ◽  
Illness Experiences

Health policies and strategies promote the involvement of people with illness experiences in service development and production, integrating them into settings that have traditionally been domains of health professionals. In this study, we focus on the perspectives of people with personal illness experiences and explore how they justify involvement, position themselves as legitimate actors and forge collaborative relationships with health professionals. We have used discourse analysis in analysing individual interviews conducted with peer support workers and experts by experience (n = 17) who currently work in Finnish health services. The interviewees utilised discourses of empowerment, efficiency and patient-centeredness, aligning themselves with the justifications constructed by patient movements additionally to those found in current health policies. Both groups wanted to retain critical distance from professionals in order to voice criticisms of current care practices, yet they also frequently aligned themselves with professionals in order to gain legitimacy for their involvement. They adopted professional traits that moved them further from being lay participants sharing personal experiences and adopted an expert position. Although national-level policies provided backing and legitimacy for involvement, the lack of local-level guidance could hinder the practical implementation and make involvement largely dependent of professionals’ discretion.

Integrating Slum Upgrading and Vulnerability Reduction in Mozambique

2006 ◽  
Vol 31 (1) ◽  
pp. 106-115
Author(s):  
Mathias Spaliviero
Keyword(s):  
Local Level ◽  
National Level ◽  
Intervention Strategy ◽  
Sustainable Urban Development ◽  
Practical Implementation ◽  
Peace Agreement ◽  
Local Authorities ◽  
Vulnerability Reduction ◽  
Extreme Flood ◽  
Slum Upgrading

Due to its location, Mozambique suffers from cyclical flooding associated with heavy rains and cyclones. In recent years, extreme flood events affected millions of people, disrupting the economic recovery process that followed the peace agreement in 1992. Despite this natural threat, most of the population continues to live in flood prone areas both in rural environment, due to the dependency on agricultural activities, and in urban environment, since unsafe zones are often the only affordable option for new settlers. This paper presents a brief analytical review on different issues related with urban informal settlements, or slums, based on different project activities developed by the United Nations Human Settlements Programme (UN-HABITAT) in Mozambique. The aim is to identify applicable strategies to reduce vulnerability in urban slums, where approximately 70 percent of the urban population live. The implemented project activities target different organisational levels in an integrated manner, seeking for active involvement of the Government, local authorities and communities at each implementation stage, from decision-making to practical implementation. They consist of three main components: 1) supporting policy-making in order to ensure sustainable urban development, 2) delivering a comprehensive training and capacity building based on the mainstreaming concept of “Learning How to Live with Floods” as valid alternative to resettlement, and 3) facilitating participatory land use planning coupled with physical upgrading interventions at the local level. In the long-term, the intention of UN-HABITAT is to progressively focus on community-based slum upgrading and vulnerability reduction activities, coordinated by local authorities and actively monitored by central institutions, in improving and managing basic services and infrastructures (i.e. water supply, drainage, sanitation, waste management, road network, etc). This type of bottom-up experiences should then represent a basis for setting up a slum upgrading intervention strategy to be applied at the national level.

scholarly journals (P1-57) Develop New Mechanism of Capacity Building of Disaster Preparedness in China

2011 ◽  
Vol 26 (S1) ◽  
pp. s117-s117
Author(s):  
W. Zhang ◽  
B. Huang ◽  
S. Miao ◽  
J. Yao ◽  
B. Zhang ◽  
...  
Keyword(s):  
Public Health ◽  
Capacity Building ◽  
Health Professionals ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Local Level ◽  
National Level ◽  
Disaster Medicine ◽  
Intensive Training ◽  
Public Health Professionals

BackgroundChina is one of the countries most affected by natural disasters, it is an important restricting factor for economic and social development. However, Disaster Medicine training is not included in medical education curriculum in China, continual training is separated among public health professionals and clinical personals.MethodsWHO provides technical and financial support for public health emergency preparedness through intensive training and workshop. We intended to develop a new working mechanism under the support of WHO and MOH, China for capacity building of disaster preparedness in China with the combination of public health professionals and clinical personals though TOT training.ResultsThrough the new mechanism, public health professionals from CDC system and clinical personals from hospitals could benefice mutually fro each side and strengthen the effectiveness for the disaster preparedness.ConclusionThe new mechanism increases the effectiveness of capacity building for disaster preparedness, TOT training should transit from national level to local level.

scholarly journals Local-Level Democratic Backsliding? The Consolidation of Aspiring Dominant-Party Regimes in Hungary and Poland

2021 ◽  
pp. 1-24
Author(s):  
Conor O'Dwyer ◽  
Matthew Stenberg
Keyword(s):  
Local Politics ◽  
Electoral Systems ◽  
Local Level ◽  
National Level ◽  
Dominant Party ◽  
Mayoral Elections ◽  
Political Reforms ◽  
Strategic Coordination ◽  
The Future ◽  
Two Factors

Abstract Aspiring dominant-party regimes often institute major institutional and political reforms at the national level to ensure they retain control. However, subnational politics is an important, under-studied, component of regime consolidation. This study uses mayoral races in Hungary and Poland from 2006 to 2018 to examine two factors that may inhibit dominant-party regime consolidation in local politics: the use of two-round, i.e. runoff, electoral systems and strategic coordination among opposition parties. While we find little evidence that strategic coordination can lead to widespread opposition success in single-round systems, we do find that increasing the number of candidates decreases the likelihood of the nationally dominant party winning in the first round while not affecting the second round. As such, two-round mayoral elections may be an important buffer to dominant-party regime consolidation and may provide a training ground for the future opposition.

Reducing the Impact of Unemployment through Work-Sharing: Some Industrial Relations Considerations

1983 ◽  
Vol 25 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Noah M. Meltz ◽  
Frank Reid
Keyword(s):  
Local Level ◽  
Industrial Relations ◽  
National Level ◽  
Economic Benefits ◽  
Firm Level ◽  
Labour Relations ◽  
Work Sharing ◽  
Long Run ◽  
Short Run ◽  
The Impact

The Canadian Government has introduced a work-sharing program in which lay offs are avoided by reducing the work week and using unemployment insurance funds to pay workers short-time compensation. Compared to the lay-off alternative, there appear to be economic benefits to work-sharing for both management and employees. Reaction to the scheme has been generally positive at the union local level and the firm level, but it has been negative at the national level of both labour and management. These divergent views can be explained mainly as a result of short-run versus long-run perspectives. Managers at the firm level see the immediate benefit of improved labour relations and the avoidance of the costs of hiring and training replacements for laid-off workers who do not respond when recalled. The national business leaders are more concerned with work incentive and efficiency aspects of work-sharing.

scholarly journals Underneath Kyoto: Emerging Subnational Government Initiatives and Incipient Issue-Bundling Opportunities in China and the United States

2008 ◽  
Vol 8 (1) ◽  
pp. 53-77 ◽  
Author(s):  
Peter H. Koehn
Keyword(s):  
United States ◽  
Stress Reduction ◽  
Traffic Congestion ◽  
Local Level ◽  
National Level ◽  
Ghg Emissions ◽  
The United States ◽  
Healthy Human ◽  
Republic Of China ◽  
Stabilization Policies

At present, progress in mitigating global GHG emissions is impeded by political stalemate at the national level in the United States and the People's Republic of China. Through the conceptual lenses of multilevel governance and framing politics, the article analyzes emerging policy initiatives among subnational governments in both countries. Effective subnational emission-mitigating action requires framing climatic-stabilization policies in terms of local co-benefits associated with environmental protection, health promotion, and economic advantage. In an impressive group of US states and cities, and increasingly at the local level in China, public concerns about air pollution, consumption and waste management, traffic congestion, health threats, the ability to attract tourists, and/or diminishing resources are legitimizing policy developments that carry the co-benefit of controlling GHG emissions. A co-benefits framing strategy that links individual and community concerns for morbidity, mortality, stress reduction, and healthy human development for all with GHG-emission limitation/reduction is especially likely to resonate powerfully at the subnational level throughout China and the United States.

Portugal: 19 July 1987

1987 ◽  
Vol 22 (4) ◽  
pp. 444-451 ◽  
Author(s):  
Marcelo Rebelo de Sousa
Keyword(s):  
Party System ◽  
Local Level ◽  
National Level ◽  
Political Regime ◽  
Public Companies ◽  
Parliamentary Elections ◽  
Universal Suffrage ◽  
The Republic ◽  
The Government ◽  
Economic Regime

THE PORTUGUESE PARLIAMENTARY ELECTIONS OF 19 JULY 1987 initiated a profound change in the Portuguese party system and in the system of government. From 1974 onwards, Portugal had moved peacefully towards a democratic political system, enshrined in the 1976 Constitution. This evolution lasted about eight years and culminated in the revision of the Constitution in 1982. From 1982 onwards the present political regime has been a democratic one, coexisting with a capitalist economic regime attenuated by state monopoly in key sectors and by public companies which were nationalized between 1974 and 1976. It is also since 1982 that the system of government has been semi-presidential. There is pure representativeness as referendums do not exist at national level and have never been regulated at local level. But the government is semi-presidential in the sense that, owing to French influence, it attempts to balance Parliament with the election of the President of the Republic by direct and universal suffrage.

A Practitioner’s Perspective on Realignment

2016 ◽  
Vol 664 (1) ◽  
pp. 221-235
Author(s):  
Wendy S. Still
Keyword(s):  
San Francisco ◽  
Local Level ◽  
Interagency Collaboration ◽  
Cultural Barriers ◽  
Practical Implementation ◽  
Direct Experience ◽  
Policy Makers ◽  
Alternatives To Incarceration ◽  
Level I ◽  
The City

This article offers a practitioner’s perspective on California’s criminal justice Realignment. Drawing on my direct experience implementing Realignment as the chief probation officer in the city and county of San Francisco, I argue that the San Francisco case illustrates how decarceration can occur without compromising public safety, and I offer a set of lessons for practitioners and policy-makers about how to achieve decarceration despite local political, organizational, and cultural barriers. Specifically, I identify interagency collaboration, investment in community corrections and a commitment to alternatives to incarceration and community engagement with the families of both victims and offenders as key facilitators of decarceration at the local level. I urge observers not to dismiss these lessons as idiosyncratic to San Francisco’s unique locale. Rather, my experience has been that even San Francisco’s exceptionally hospitable local culture is not enough to successfully implement reform; structural arrangements that institutionalize the practical implementation of cultural commitments to reduce reliance on incarceration are required.

scholarly journals Access to and Experiences of Higher Education Across Europe: The Impact of Social Characteristics

2020 ◽  
pp. 197-209
Author(s):  
Rachel Brooks ◽  
Jessie Abrahams ◽  
Predrag Lažetić ◽  
Achala Gupta ◽  
Sazana Jayadeva
Keyword(s):  
Higher Education ◽  
Social Inclusion ◽  
Higher Education Institutions ◽  
Research Question ◽  
National Level ◽  
Social Dimension ◽  
Social Characteristics ◽  
Higher Education Access ◽  
Education Access ◽  
Individual Interviews

Abstract Policymakers across Europe have increasingly emphasised the importance of paying close attention to the social dimension of higher education and taking further steps to ensure that the composition of Europe’s universities more adequately reflects the diversity of the wider population. While there have been a number of studies that have explored this through analyses of European- and national-level policy and others that have assessed a range of quantitative indicators related to student diversity, this chapter assumes, in contrast, an interpretivist stance; it is interested in the perspectives of those studying and working ‘on the ground’ within the European Higher Education Area. Specifically, we seek to answer this research question: To what extent do students and staff, across Europe, believe that higher education access and experiences are differentiated by social characteristics (such as class/family background, race/ethnicity/migration background, gender and age)? In doing so, we draw on data from a large European Research Council-funded project, including 54 focus groups with undergraduate students (a total of 295 individuals) and 72 in-depth individual interviews with members of higher education staff (both academic and non-academic). Fieldwork was conducted in three higher education institutions in each of the following countries: Denmark, UK-England, Germany, Ireland, Poland and Spain—nations chosen to provide diversity with respect to welfare regime, relationship to the European Union and mechanisms for funding higher education. We explore commonalities and differences between staff and students and between different countries, before identifying some implications for policymakers keen to promote further social inclusion within Europe’s higher education institutions (HEIs).

scholarly journals Analysis of Covid-19 Hospital Admissions in Ivano-Frankivsk, Ukraine

2021 ◽  
Vol 28 (4) ◽  
pp. E202141
Author(s):  
Oryna Detsyk ◽  
Natalia Fedorkiv ◽  
Olha Burak ◽  
Roksolana Kaluzhna
Keyword(s):  
Hospital Admissions ◽  
Local Level ◽  
National Level ◽  
Mortality Data ◽  
City Hospital ◽  
Substantial Impact ◽  
Admission Data ◽  
Elderly Males ◽  
Primary Determinant ◽  
Time Frames

The Covid-19 pandemic has a substantial impact on socioeconomic, political, demographic, and other aspects of life. Effective healthcare is, however, a primary determinant of successful fighting against Covid-19. The analysis of local healthcare indicators serves as a source for estimating pandemic magnitude and the adaptation of healthcare at a national level. In this study, the rates of Covid-19 hospital admissions to the Ivano-Frankivsk City Hospital, Ukraine, from April 2020 to May 2021 were analysed. All cases were grouped by age, sex, and the type of admission; data were analyzed monthly and seasonally. The peaks of hospital admissions were observed in November 2020 and March 2021; however, the highest mortality rates were seen from August to November 2020. The analysis of age- and sex-disaggregated Covid-19 mortality data showed the predominance of elderly males (61.9%, 66.6 ± 3.9 years) over females (38.1%, 71.8 ± 2.3 years). The ratio of hospital admissions was unstable: the percentage of emergency, GP-referred and self-referred admissions was similar from April to May 2020; however, GP-referred admissions prevailed, and the number of self-referral patients decreased twice between March and May 2021. In conclusions, the trends in hospital admissions were similar to those reported in other studies. However, the differences in time frames and socio-demographic characteristics were observed that highlights the importance of considering regional, social and geographic aspects of the population when improving the capacity of healthcare system and establishing effective preventive measures against the pandemic at the local level.

Public health terminology: Hindrance to a Health in All Policies approach?

2017 ◽  
Vol 46 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Ellen S. Synnevåg ◽  
Roar Amdam ◽  
Elisabeth Fosse
Keyword(s):  
Public Health ◽  
Systematic Approach ◽  
Local Level ◽  
Health Policies ◽  
Health In All Policies ◽  
Health Work ◽  
Cross Sectional ◽  
Public Health Policies ◽  
National Public Health ◽  
The One

Aim: National public health policies in Norway are based on a Health in All Policies (HiAP) approach. At the local level, this means that public health, as a cross-sectional responsibility, should be implemented in all municipal sectors by integrating public health policies in municipal planning and management systems. The paper investigates these local processes, focusing on the use of public health terminology and how this terminology is translated from national to local contexts. We ask whether the terms ‘public health’ and ‘public health work’ are suitable when implementing an HiAP approach. Methods: A qualitative case study based on analyses of interviews and planning documents was performed in three Norwegian municipalities. Results: The results present dilemmas associated with using public health terminology when implementing an HiAP approach. On the one hand, the terms are experienced as wide, complex, advanced and unnecessary. On the other hand, the terms are experienced as important for a systematic approach towards understanding public health ideology and cross-sectional responsibility. One municipality used alternative terminology. Conclusions: This paper promotes debate about the appropriateness of using the terms ‘public health’ and ‘public health work’ at the local level. It suggests that adaptation is suitable and necessary, unless it compromises knowledge, responsibility and a systematic approach. This study concludes that the use of terminology is a central factor when implementing the Norwegian Public Health Act at the local level.

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