scholarly journals A entrada na agenda brasileira do Projeto Nacional de Saneamento Rural (1985)

2020 ◽  
Vol 54 (6) ◽  
pp. 1654-1671
Author(s):  
Nathalia Roland ◽  
Léo Heller ◽  
Sonaly Rezende
Keyword(s):  
Public Health ◽  
Joint Involvement ◽  
Social Rights ◽  
Multiple Streams ◽  
Policy Window ◽  
Special Service ◽  
Planning Institute ◽  
The Government ◽  
Health Organization ◽  
Public Health Movement

Abstract This article seeks to understand the circumstances that culminated in the formulation and implementation of the National Rural Water Supply and Sanitation Project (PNSR) in the 1980s, using the Multiple Streams Model as its theoretical reference. The results show that the theme’s ascension to the government agenda stemmed from a conjuncture marked by intense transitions that contributed to opening a policy window. The struggle to guarantee social rights in the Brazilian re-democratization process; the activities of social movements like the grassroots public health movement; the large sanitary deficit and its consequences for public health; the joint involvement of institutions with considerable expertise like Economic and Social Planning Institute (IPEA), Public Health Special Service Foundation (FSESP) and Pan-American Health Organization (PAHO) and the availability of financial resources stemming from a partnership arrangement with the International Bank for Reconstruction and Development (IBRD) provided a favorable environment for the elaboration of the PNSR.

scholarly journals Access to the Brazilian agenda of the National Rural Water Supply and Sanitation Project (1985)

2020 ◽  
Vol 54 (6) ◽  
pp. 1654-1671
Author(s):  
Nathalia Roland ◽  
Léo Heller ◽  
Sonaly Rezende
Keyword(s):  
Public Health ◽  
Water Supply ◽  
Joint Involvement ◽  
Rural Water Supply ◽  
Policy Window ◽  
Rural Water ◽  
Planning Institute ◽  
The Government ◽  
Health Organization ◽  
Water Supply And Sanitation

Abstract This article seeks to understand the circumstances that culminated in the formulation and implementation of the National Rural Water Supply and Sanitation Project (PNSR) in the 1980s, using the Multiple Streams Model as its theoretical reference. The results show that the theme’s ascension to the government agenda stemmed from a conjuncture marked by intense transitions that contributed to opening a policy window. The struggle to guarantee social rights in the Brazilian re-democratization process; the activities of social movements like the grassroots public health movement; the large sanitary deficit and its consequences for public health; the joint involvement of institutions with considerable expertise like Economic and Social Planning Institute (IPEA), Public Health Special Service Foundation (FSESP) and Pan-American Health Organization (PAHO) and the availability of financial resources stemming from a partnership arrangement with the International Bank for Reconstruction and Development (IBRD) provided a favorable environment for the elaboration of the PNSR.

A Public Health Approach to Palliative Care in the Canadian Context

2019 ◽  
Vol 37 (7) ◽  
pp. 492-496 ◽  
Author(s):  
Giovanna Sirianni
Keyword(s):  
Public Health ◽  
Palliative Care ◽  
Care Delivery ◽  
World Health ◽  
Public Health Approach ◽  
Multiple Streams ◽  
Multiple Streams Framework ◽  
Canadian Context ◽  
Health Organization

Palliative care helps improve the quality of life of individuals facing life-limiting illness throughout the course of their disease. In Canada, delivery and access to palliative care has been fraught with challenges including differential availability of services based on geography, funding, language, and socioeconomic status. Many groups, including the World Health Organization, have advocated for a public health approach to palliative care as an antidote to fragmented service delivery. Multiple scholars, academics, and public health advocates have suggested that a public health approach to palliative care can help with issues of access, equity, and cost. Through the lens of Kingdon’s Multiple Streams Framework, this commentary will explore potential reasons why a public health approach to palliative care has not been adopted in the Canadian context and why this is an opportune time to consider this policy innovation. The Compassionate Communities concept is discussed as a potential solution to a public health approach to palliative care delivery.

scholarly journals Impact of lockdown measures in abating the COVID-19 pandemic: Lessons from India’s phased approach

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Singh ◽  
K Sharma
Keyword(s):  
Public Health ◽  
World Health ◽  
The Public ◽  
Daily Data ◽  
Travel Restrictions ◽  
Community Transmission ◽  
The Government ◽  
Novel Coronavirus ◽  
Health Organization ◽  
The Impact

Abstract Background World Health Organization (WHO) declared that the outbreak of novel coronavirus (2019-nCoV) constituted a Public Health Emergency of International Concern (PHEIC) on 30 January 2020 and characterized the novel coronavirus disease (COVID-19) as a pandemic on 11 March 2020. India enacted such measures early on for effective mitigation and suppression to reduce community transmission, including an onerous national lockdown. The impact of the health system governance is quite apparent among all stakeholders including the public in such emergency contexts. Methods We compiled the daily data on the number of COVID-19 cases, recoveries and deaths from January 30th until June 16th, 2020. Different stages were categorized from post PHEIC declaration (pre-lockdown) phase to lockdown phases and unlocking phase as implemented. The several measures adopted by the national government were structured in four broad categories as Governance and socioeconomic, travel restrictions, lockdown and public health measures. These measures were compared during each phase. Results It was revealed that while the cases are rising the phased restrictions has helped in delaying the peak and remarkably interrupted the rate of transmission. The national average doubling rate was 3 days at the beginning which improved to 22 days. The basic reproduction number remained close to 1 during the last week of lockdown. However, the initial interruption of needed aid and technical support had negative social and economic impacts on the affected population. Conclusions As the situation abates following the measures adopted by the government, an articulate strategy of unlocking through increased testing and prompt isolation needs to be developed for more effective reduction and protecting the livelihoods allowing to further relax the lockdown measures. Key messages There is need for the local government to consider a strategic easing of the lockdown for protecting the rights of the most affected population. As the transmission rates are low, the easing of lockdown can be benefited from improved testing and prompt isolation.

scholarly journals Outbreak of COVID-19 pandemic in Pakistan and the current scenario

2020 ◽  
pp. 67-71
Author(s):  
Arslan Habib ◽  
Khalid Mahmood Anjum ◽  
Ajmal Shehzad ◽  
Muhammad Imran ◽  
Zeeshan Ashraf ◽  
...  
Keyword(s):  
Public Health ◽  
Preventive Measures ◽  
Public Health Emergency ◽  
World Health ◽  
Wuhan City ◽  
Government Response ◽  
Current Scenario ◽  
International Issue ◽  
The Government ◽  
Health Organization

The current pandemic of COVID-19 was first observed in the Wuhan city of China in December 2019, which later appeared worldwide. World Health Organization (WHO) declares coronavirus pandemic as an international issue of a public health emergency worldwide. On 11 February 2020, WHO named this virus as Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Different effective preventive measures were implemented to control the transmission of COVID-19. After the COVID-19 pandemic outbreak in Pakistan, the government designed other effective protocols to fight against this zoonotic disease. This review highlighted the COVID-19 outbreak prevalence in Pakistan with their current scenario and the government response to combat the disease.

scholarly journals COVID-19 on the Nile: Review on the Management and Outcomes of the COVID-19 Pandemic in the Arab Republic of Egypt from February to August 2020

2021 ◽  
Vol 18 (4) ◽  
pp. 1588
Author(s):  
Yai-Ellen Gaye ◽  
Christopher Agbajogu ◽  
Reida El Oakley
Keyword(s):  
Public Health ◽  
Prediction Models ◽  
International Health ◽  
Respiratory Illness ◽  
World Health ◽  
Contact Tracing ◽  
Economic Losses ◽  
The World ◽  
The Government ◽  
Health Organization

As the world fights the coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the World Health Organization (WHO) reports that over 17 million people globally were infected with SARS-CoV-2 as of 1 August 2020. Although infections are asymptomatic in 80% of cases, severe respiratory illness occurs in 20% of cases, requiring hospitalization and highly specialized intensive care. The WHO, under the International Health Regulations, declared this pandemic a public health emergency of international concern; it has affected nearly all health systems worldwide. The health system in Egypt, similar to many others, was severely challenged when confronted with the need for urgent and major expansion required to manage such a significant pandemic. This review uses publicly available data to provide an epidemiological summary of the COVID-19 pandemic behavior during the first wave of the outbreak in Egypt. The article covers mathematical modeling predictions, Egypt’s healthcare system, economic and social impacts of COVID-19, as well as national responses that were crucial to the initial containment of the pandemic. We observed how the government managed the outbreak by enhancing testing capacity, contact tracing, announcing public health and social measures (PHSMs), as well as allocating extra funds and human resources to contain SARS-COV-2. Prospectively, economic losses from major sources of revenues—tourism, travel, and trade—may be reflected in future timelines, as Egypt continues to control cases and loss of life from COVID-19. Overall, trends indicate that the spread of COVID-19 in Egypt was initially contained. Revalidation of prediction models and follow-up studies may reveal the aftermath of the pandemic and how well it was managed in Egypt.

scholarly journals Policy Formulation During Pandemic COVID-19: A New Evidence of Multiple Streams Theory from Yogyakarta, Indonesia

2021 ◽  
Vol 11 (3) ◽  
pp. 36
Author(s):  
Agus Heruanto Hadna
Keyword(s):  
Policy Formulation ◽  
Multiple Streams ◽  
Online Questionnaire ◽  
Administration System ◽  
Policy Window ◽  
Depth Interview ◽  
New Finding ◽  
The Government ◽  
Policy Problems ◽  
New Evidence

This study aims to answer how the policy formulation process resolves the pandemic's impact in DIY Province, Indonesia, in 2020. DIY is chosen as the case in this study because the governor is also a king in this region. It was also considered the best province in handling the pandemic Covid-19 in 2020. This study used multiple streams proposed by John W. Kingdon to elaborate on the policy formulation process. This research method is qualitative, conducted using an online questionnaire, in-depth interview, documentary from March to October 2020. It found that policy, problems, and political streams overlapped in a policy window, i.e., pandemic crisis, as a common concern that must be addressed immediately. The new finding is that the government administration system that combines monarchy and decentralization models has encouraged crises to be resolved more quickly through an integrated multiple streams formulation. The other new finding is the governor, as a policymaker, can take advantage of the pandemic as a policy window to act as the sole policy entrepreneur.

scholarly journals Regional Head Election During COVID-19 Pandemic: the Antinomy in the Government Policies

Yuridika ◽  
2021 ◽  
Vol 36 (1) ◽  
pp. 213
Author(s):  
Rizki Ramadani ◽  
Farah Syah Rezah
Keyword(s):  
Public Health ◽  
Large Scale ◽  
Government Policies ◽  
World Health ◽  
Political Rights ◽  
Legal Research ◽  
The World ◽  
Public Rights ◽  
The Government ◽  
Health Organization

Welcoming the simultaneous regional head election in 2020, it is expected to be an entry point in building a higher quality democracy in Indonesia. Initially, this year's election should be held on September 23. However, this plan must be constrained when the coronavirus disease 2019 (COVID-19) outbreak occurs and spread wildly all over the world including Indonesia, and was officially declared a pandemic by World Health Organization (WHO). When the number of positive cases and deaths continues to increase, the government decided to continue holding the regional election in the midst of the pandemic. Such policy created controversy and faced several challenges, especially regarding the government's inconsistency in fulfilling the rights of its people in the time of the pandemic. This article aims to explain and analyze the contradiction in the government policies from the antinomy of law and human rights perspective. This legal research is doctrinal research conducted using a conceptual, statutory, and case approach. The data will be described in a descriptive-prescriptive manner through qualitative analysis. The results of the analysis show that there are some contradictions between policies regarding physical distancing (both in the Large-Scale Social Restrictions (PSBB) and Health Protocol regulations) and the policy for holding Regional Head Elections during the pandemic. In essence, this contradiction is the antinomy between the aspects of public health and political rights. Antinomies occur when the government seeks to fulfill and guarantee political rights as well as public rights to health at the same time during a pandemic, which actually leads to mutual negation between these rights.

scholarly journals Editorial

2021 ◽  
Vol 11 (1-2) ◽  
pp. v-xx
Keyword(s):  
Public Health ◽  
United States ◽  
Health Resources ◽  
Collective Responsibility ◽  
The United States ◽  
World Health ◽  
Control And Prevention ◽  
The Government ◽  
Initial Attitude ◽  
Health Organization

At the dawn of the devastating events of the COVID-19 pandemic, in the editorial of the first issue of 2020, as well as in the articles, topics related to the overwhelming impact of the emerging crisis were explored (Van der Maesen 2020). In particular, reference was made to the topical performances of the federal governments of the United States and Brazil, as well as the British government. As an introduction to this special issue, it is interesting to recall and extend some of the observations that were made last year.In the case of the United States, when COVID-19 appeared, the hazards of the virus were downplayed and even neglected. The president countered the opinion of public health experts with false, misleading comparisons to other countries (Qiu 2020). It was proposed to cut the budget of the US Centres for Disease Control and Prevention by 16 percent starting in October 2020. Long-lasting contacts and collaboration with the World Health Organization were broken. Due to export restrictions on medical products, importing countries were unable to obtain sufficient medical equipment, resulting in a shortage in healthcare equipment that had to be made for up via a mandatory increase in local production. This came at a high cost and with serious delays (Krueger 2020). For the United States itself, the initial attitude of the government resulted in a dramatic blow to its public health resources and capabilities. The quality of hundreds of health departments around the country suggests that the nation may be less prepared for the next pandemic than it was for the current one (Baker and Ivory 2021). The violence toward public health professions is gradually taking shape (Schreiber 2021). An overriding societal pattern, which in the United States undermines the principles of effective public health, is the primacy of personal rights over collective responsibility and solidarity. More than half of US states have introduced new laws to restrict public health measures, including policies requiring quarantine and mandating vaccines and/or masks.

scholarly journals Local Initiatives In Preventing Coronavirus Based On Health Policy Perceptive

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Dumilah Ayuningtyas ◽  
Misnaniarti Misnaniarti ◽  
Siti Khodijah Parinduri ◽  
Fitria Aryani Susanti ◽  
Ni Nyoman Dwi Sutrisnawati ◽  
...  
Keyword(s):  
Public Health ◽  
Local Community ◽  
Secondary Data ◽  
World Health ◽  
Public Health Perspective ◽  
Local Initiative ◽  
The Public ◽  
Local Initiatives ◽  
The Government ◽  
Health Organization

Abstract. World Health Organization (WHO) has declared Coronavirus 2019-2020 as a Public Health Emergency of International Concern (PHEIC). Local transmission of this disease occurs in almost every country around the world. Likewise, in Indonesia, Covid-19 cases have spread to all 34 provinces. This study aims to analyze the local initiative in handling Covid-19 based on the public health perspective in Indonesia. It is based on time, the form of activity, the type of response, and the contribution of local initiatives. This study used secondary data from various media sources and articles on the Covid-19 pandemic in Indonesia and community assistance as the keywords. The study used 31 news found in media sources from 34 provinces in Indonesia. Handling Covid-19 has become a concern for the government and the public. The government is implementing physical distancing as a way to handle Coronavirus. For the local community, it is in the form of local initiatives by educating the community, fulfilling PPE, supporting infrastructure facilities, crowdfunding carried out personally or in groups, and doing prevention by wearing masks and doing self-quarantine. Various elements of society have played a role and participated in the movement to eradicate the Coronavirus. Cross-sectoral coordination needs to be intensified for the implementation of comprehensive efforts.

The New Left and Health Care Reform in El Salvador

2015 ◽  
Vol 57 (4) ◽  
pp. 97-118 ◽  
Author(s):  
Mary A. Clark
Keyword(s):  
Public Health ◽  
Health Care ◽  
Presidential Election ◽  
Policy Diffusion ◽  
New Left ◽  
Health Sector ◽  
Public Health Care ◽  
Policy Window ◽  
Pan American ◽  
Health Organization

AbstractAfter a decade of civil war and four consecutive conservative administrations, El Salvador's leftist FMLN won its first presidential election in 2009. How has public policy changed under this New Left government, and why? This article addresses the question in the area of public health care. An alliance of health sector leaders with both technocratic and diplomatic abilities capitalized on the policy window opened by the FMLN's electoral victory and worked within the parameters set by President Mauricio Funes, the FMLN, and civil society to universalize health care. The new minister of health, a professional highly esteemed inside and outside the country, was able to engage both a large social movement protesting neoliberal policy and an energetic health diplomat sent by the Pan American Health Organization. In designing its reform, this alliance benefited from international as well as “bottom-up” policy diffusion.

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