scholarly journals Modeling the Puzzle of Hepatitis C Epidemiology in Romania: A Pathway to Control

2020 ◽  
Author(s):  
Henrique Lopes ◽  
Ricardo Baptista-Leite ◽  
Diogo Franco ◽  
Irina Eclemea ◽  
Eugenia C Bratu ◽  
...  
Keyword(s):  
Public Health ◽  
Hepatitis C ◽  
People Who Inject Drugs ◽  
Public Policies ◽  
Risk Groups ◽  
Health Policies ◽  
Blood Products ◽  
Public Health Policies ◽  
If Current ◽  
Adaptive Conjoint Analysis

Background and Aims: To combat hepatitis C virus (HCV) and achieve its elimination by 2030, the emphasis should be on public health policies. In this study, we investigated the dynamics of epidemiology of HCV in Romanian risk groups that are characterized by higher occurrence densities with the aid of The Let’s End HepC (LEHC) project. Methods: The LEHC project addressed the modelling of HCV epidemiology, being applied in several countries, one of which is Romania. The model comprised an integrated solution of public health policies focused on the disease, using Adaptive Conjoint Analysis and Markov chains systems. This tool allowed the quantitative evaluation of public health policies‘ impact, for every year until 2030, in five population groups: people who inject drugs (PWID), prisoners, individuals who have received blood products, children at risk for vertical transmission, and the remnant population. Results: It appears that Romania was already making great efforts in the context of public policies, allowing the achievement of HCV elimination by 2028 if current policies were maintained. Through additional work and greater efforts in further implementing public policies, the LEHC model estimated the possibility of anticipating this outcome to 2026. Conclusion: The LEHC model estimated an anticipation of the HCV elimination year in Romania to be 2026 if the twenty-four health policies in the study are fully implemented and consistently maintained over the years.

scholarly journals Integrating public health policies in the epidemiological modeling of hepatitis C with LEHC tool: application in Austria

2020 ◽  
Author(s):  
Henrique Lopes ◽  
Ricardo Baptista-Leite ◽  
Diogo Franco ◽  
Roxana Pirker ◽  
Michael Gschwantler
Keyword(s):  
Public Health ◽  
Hepatitis C ◽  
People Who Inject Drugs ◽  
Health Policies ◽  
Epidemiological Modeling ◽  
Public Health Policies ◽  
Elimination Goal ◽  
Adaptive Conjoint Analysis ◽  
The Impact ◽  
Adequate Management

Summary Background Eliminating hepatitis C requires addressing issues other than medicines or therapies. Public health policies focused on the hepatitis C virus (HCV) must be emphasized and worked to know the impacts on its epidemiologic dynamics. This research aims to provide a tool to evaluate and simulate alternatives by redefining policies meeting specific needs in each country towards the HCV elimination target by 2030. Methods The development of a gamified model with 24 public health policies focused on HCV was conducted to evaluate the impact of measures in the disease epidemiologic dynamics. The Let’s End HepC (LEHC) project encompassed key populations (people who inject drugs [PWID], prisoners, blood products and remnant population) in Austria and other countries, presenting prospects for every year from 2019 to 2030. The LEHC epidemiological model comprised an integrated solution for HCV, with adaptive conjoint analysis (ACA) and Markov chains constituting its main processes. Results Despite Austria’s efforts towards achieving the HCV elimination goal by 2030, the LEHC model forecast quantitative analysis predicts that it is still not enough to meet the target; however, prospects are very optimistic if public health policies are adapted to the country’s needs, being possible to achieve the goal as early as 2026. Conclusion In Austria, the LEHC tool allowed to forecast the HCV elimination year anticipation to 2026, instead of being achieved after 2030. This target will only be valid if adequate management of the 24 public health policies focused on this pathology is further implemented.

scholarly journals Let's End HepC: Modelling Public Health Epidemiological Policies Applied to Hepatitis C in Spain

2022 ◽  
Vol 9 ◽  
Author(s):  
Henrique Lopes ◽  
Ricardo Baptista-Leite ◽  
Diogo Franco ◽  
Miguel A. Serra ◽  
Amparo Escudero ◽  
...  
Keyword(s):  
Public Health ◽  
Hepatitis C ◽  
Total Population ◽  
Policy Outcomes ◽  
Public Health Policies ◽  
Number Of Patients ◽  
If Current ◽  
Elimination Goal ◽  
Adaptive Conjoint Analysis ◽  
The Impact

Background: The WHO has defined international targets toward the elimination of hepatitis C by 2030. Most countries cannot be on track to achieve this goal unless many challenges are surpassed. The Let's End HepC (LEHC) tool aims to contribute to the control of hepatitis C. The innovation of this tool combines the modelling of public health policies (PHP) focused on hepatitis C with epidemiological modelling of the disease, obtaining a unique result that allows to forecast the impact of policy outcomes. The model was applied to several countries, including Spain.Methods: To address the stated objective, we applied the “Adaptive Conjoint Analysis” for PHP decision-making and Markov Chains in the LEHC modelling tool. The tool also aims to be used as an element of health literacy for patient advocacy through gamification mechanisms and country comparability. The LEHC project has been conducted in several countries, including Spain. The population segments comprised in the project are: People Who Inject Drugs (PWID), prisoners, blood products, remnant population.Results: A total of 24 PHP related to hepatitis C were included in the LEHC project. It was identified that Spain had fully implemented 14 of those policies to control hepatitis C. According to LEHC's model forecast, the WHO's Hepatitis C elimination goal on reducing the number of patients living with Hepatitis C to 10% can be achieved in Spain by 2026 if current policies are maintained. The model estimates that the total population in Spain, by 2026, is expected to comprise 26,367 individuals living with hepatitis C. Moreover, if the 24 PHP considered for this study are fully implemented in Spain, the elimination goal may be achieved in 2024, with 29,615 individuals living with hepatitis C by that year.Conclusion: The findings corroborate the view that Spain has set great efforts in directing PHP toward Hepatitis C Virus (HCV) elimination by 2030. However, there is still room for improvement, namely in further implementing 10 of the 24 PHP considered for the LEHC project. By maintaining the 14 PHP in force, the LEHC model estimates the HCV elimination in the country by 2026, and by 2024 if further measures are employed to control the disease.

scholarly journals The construction of alliances in the field of health: about addictions

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Josseran
Keyword(s):  
Public Health ◽  
Public Policies ◽  
Scientific Work ◽  
Health Policies ◽  
Short Term ◽  
Public Health Policies ◽  
Effectiveness And Efficiency

Abstract The construction of alliances in the field of addictions is a key topic to develop effectiveness and efficiency public health policies. The short-term economic stakes can not be the alpha and the omega of public policies. Whether general or sectoral, such as agriculture, they must take into account their impact on the health of populations established by scientific work.

Análise das políticas públicas de saúde do idoso: estudo de revisão de literatura

2009 ◽  
Vol 3 (2) ◽  
pp. 317
Author(s):  
Alessandra Conceição Leite Funchal Camacho ◽  
Maria José Coelho
Keyword(s):  
Public Health ◽  
Public Policies ◽  
The Elderly ◽  
Health Policies ◽  
Review Of Literature ◽  
Publication Type ◽  
Public Health Policies ◽  
The Public ◽  
Knowledge Database ◽  
Revisión Sistemática

ABSTRACTObjective: to examine the public health policies of the elderly in the references of the main databases from 2004 to 2008. Method: study of systematic review of literature conducted on databases of the Library of Health, in September 2008. For information analysis was organized the content found on the year, publication type and methods/techniques, content and essence of the production of knowledge, database, the authors' recommendations. Results: the references that were analyzed 26 and 10 in the database SCIELO, one in the BDENF and 15 in the LILACS. Conclusion: we observed an increase in publications dealing with professionals in health operationalized the public health policies of the elderly as the main recommendations bringing the development of public policies that take into account the specifics of the elderly, facilitating their access and that could reduce inequality. Mention the importance of visibility of the aging process and adequacy of public policies aimed at expansion of the strategies that have the caregiver as the leading subject. Descriptors: health public policy; aged; nursing.RESUMOObjetivo: analisar as políticas públicas de saúde do idoso nas referências das principais bases de dados de 2004 a 2008. Método: estudo de revisão de literatura sistemática realizada nas bases de dados da Biblioteca Virtual da Saúde, em setembro de 2008. Para análise das informações foi realizada a organização do conteúdo encontrado quanto ao ano, tipo de publicação e métodos/técnicas, essência do conteúdo e produção do conhecimento, base de dados, recomendações dos autores. Resultados: as referências analisadas foram 26 sendo 10 na base de dados SCIELO, uma na BDENF e 15 na LILACS. Conclusão: Verificamos um aumento de publicações que tratam de profissionais na área da saúde operacionalizando as políticas públicas de saúde do idoso trazendo como principais recomendações o desenvolvimento de políticas públicas que levem em conta as especificidades do idoso, facilitando o seu acesso e que possam reduzir desigualdades. Referem a relevância da visibilidade do processo de envelhecimento e adequação das políticas públicas visando à ampliação de estratégias que tenham o cuidador como sujeito principal. Descritores: políticas públicas de saúde; idoso; enfermagem.RESUMENObjetivo: analizar las políticas de salud pública a los ancianos en las referencias de las principales bases de datos de 2004 a 2008. Método: estudio de revisión sistemática de literatura sobre las bases de datos de la Biblioteca de la Salud, en setiembre de 2008. Resultados: las referencias que se analizaron fueron 26, tenendo 10 en la base de datos SCIELO, 01 referencia en la BDENF y 15 en el LILACS. Conclusión: se observó un aumento de publicaciones relacionadas a los profesionales de la salud en la práctica las políticas de salud pública de los ancianos con principales recomendaciones sobre el desarrollo de políticas públicas que tengan en cuenta las características específicas de los ancianos, facilitando su acceso y que podrían reducir la desigualdad. Mencionan la importancia de la visibilidad del proceso de envejecimiento y la adecuación de las políticas públicas con la ampliación de estrategias que tienen el cuidador como principal sujeto. Descriptores: políticas públicas de salud; ancianos; enfermería.

scholarly journals PERCORRENDO OS CAMINHOS DA RELAÇÃO ENTRE AS POLÍTICAS PÚBLICAS DE SAÚDE E DO MEIO AMBIENTE

2016 ◽  
Vol 20 (1) ◽  
pp. 137
Author(s):  
Débora Aparecida da Silva Santos ◽  
Pedro Vieira De Azevedo ◽  
Jullianna Vitorio Vieira De Azevedo ◽  
Telma Lúcia Bezerra Alves
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Public Policies ◽  
Disease Process ◽  
Environmental Issues ◽  
Health Policies ◽  
Public Health Policies ◽  
Social Actors ◽  
The Public

O presente estudo propõe uma análise do caminho percorrido na relação entre as políticas públicas de saúde e do meio ambiente em um contexto amplo, através de uma revisão bibliográfica sobre o tema. A aproximação da temática ambiental com o movimento de promoção da saúde permite a ampliação na compreensão do processo saúde-doença. Essa proposta seleciona a integração entre os setores como condição para o estabelecimento e a execução de políticas públicas como maneira de garantir melhores condições socioambientais. Desta maneira, é indispensável uma discussão ampla da importância dos diversos atores sociais relacionados à saúde e ao meio ambiente, entendendo que a ação interdisciplinar através do reconhecimento das políticas públicas melhora a qualidade de vida da população e, consequentemente, contribui para uma sociedade mais equilibrada ecologicamente. Palavras-chave: Políticas públicas, Saúde, Meio ambiente, Saúde ambiental.TRAVERSING THE WAYS OF THE RELATION BETWEEN HEALTH AND ENVIRONMENTAL PUBLIC POLICIES Abstract: This study presents an analysis of the path taken in the relation between public health policies and the environment in a broader context, through a literature review on the topic. The approach of environmental issues with the health promotion movement allows a broader understanding of the health-disease process. This proposal selects the integration across sectors as a condition for the establishment and implementation of public policies as a way to ensure better environmental conditions. In this way, a broad discussion of the importance of various social actors related to health and the environment is essential, understanding that an interdisciplinary action by recognizing the public policies improves people's quality of life and, consequently, contributes to a more balanced society ecologically. Key words: Public policies, Health, Environment, Environmental health.

scholarly journals Algunas reflexiones metodológicas al abordar experiencias reproductivas de los varones desde las políticas públicas

2016 ◽  
Vol 5 (2) ◽  
pp. 134
Author(s):  
Juan Guillermo Figueroa Perea
Keyword(s):  
Public Health ◽  
Reproductive Behavior ◽  
Public Policies ◽  
Health Policies ◽  
Male Population ◽  
Government Interventions ◽  
Public Health Policies ◽  
Relational Concept ◽  
Policies And Programs ◽  
The Way

The aim of this paper is to analyze the way in which the male population has been considered in public health policies and programs related to reproductive behavior of the population in Mexico. It assumes a context in which women have been identified as the protagonists and reference subjects on whom interventions are built in the field of reproductive behavior. The text includes a review of some programs and public policies in Mexico, then present some methodological proposal considering gender as a relational concept. The interest is epistemological, so there is an interest in reflecting on assumptions behind the logic of government interventions in the field of reproduction and then building on some methodological proposals that allow a relational interpretation of women and men as gender subjects, who potentially can reproduce themselves within heterosexual or homosexual couples.

scholarly journals Public health nursing: regulation and public health policies

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Carmen Maria dos Santos Lopes Monteiro da Cunha ◽  
Maria Adriana Pereira Henriques ◽  
Andreia Cátia Jorge Silva Costa
Keyword(s):  
Public Health ◽  
Public Policies ◽  
Health Policies ◽  
Public Health Nursing ◽  
Health Unit ◽  
Public Health Policies ◽  
Public Health Unit ◽  
The Public ◽  
Community And Public Health ◽  
Health Nursing

ABSTRACT Objective: To analyze regulation and public policies related to nursing and the specialist nurse in community and public health nursing. Methods: Analysis of the legal and normative framework of community and public health nursing in Portugal, as well as current public health policies, regarding the competences and intervention of this nurse, articulated with the attributions of the Public Health Unit. Results: The intervention of this nurse deserves a broad reflection, in the sense of maximizing the activities of community and public health, essential for the implementation of public policies and obtaining health gains. Final considerations: This nurse has competences foreseen in the regulations and standards for public health interventions, in line with the attributions of the Public Health Unit, of the National Health Service, in which specialties are identified for their performance in the current structure.

scholarly journals Derecho, salud y políticas públicas. Vacunación. Posturas a favor y en contra / Right, health and public policies. Vaccination. Positions for and against

2019 ◽  
pp. 62-75
Author(s):  
María Yanina Gázquez
Keyword(s):  
Public Health ◽  
Public Policies ◽  
Self Determination ◽  
Health Policies ◽  
Public Health Policies ◽  
Individual Good ◽  
The Social ◽  
The Right

El siguiente artículo tiene por objeto analizar la vacunación y la puja que existe entre las políticas de salud pública (derecho a la salud) y el derecho a la autodeterminación, para así determinar qué bien jurídico prevalece, si el bien social o el individual, con base en el análisis de doctrina y jurisprudencia nacional.   The following article aims to analyze vaccination, and the bid that exists between public health policies and the right to self-determination, in order to determine which legal good prevails, whether the social or individual good, based on doctrine analysis and national jurisprudence.

scholarly journals Fighting Hepatitis C in a COVID-19 ecosystem. Public health policies are needed more than ever

2020 ◽  
Vol 29 (4) ◽  
pp. 692-693
Author(s):  
Henrique Lopes ◽  
Ricardo Baptista-Leite ◽  
Diogo Franco ◽  
Todor Kundurzhiev ◽  
Lyudmila Mateva ◽  
...  
Keyword(s):  
Public Health ◽  
Hepatitis C ◽  
Health Policies ◽  
Public Health Policies
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