scholarly journals Capacidade do sistema de saúde nos municípios do Rio de Janeiro: infraestrutura para enfrentar a COVID-19

2020 ◽  
Vol 54 (4) ◽  
pp. 578-594
Author(s):  
Giuliano Alves Borges e Silva ◽  
Ernani Viana Saraiva ◽  
Guilherme José Santos Nunes Ferreira ◽  
Rogério de Mesquita Peixoto Junior ◽  
Luiz Felipe Ferreira
Keyword(s):  
Rio De Janeiro ◽  
Efficiency Index ◽  
The State ◽  
Decision Makers ◽  
Health Policies ◽  
Public Health Policies ◽  
Academic Literature ◽  
Health Infrastructure ◽  
Hospital Beds ◽  
The Government

Abstract Considering the growing number of cases requiring emergency care as a result of SARS-CoV-2 in the Brazilian State of Rio de Janeiro, this study focuses on mapping the health infrastructure of the municipalities of the state, comparing the Structure Efficiency Index (IEE) before (2016) and after the COVID-19 pandemic. The article fills a gap in the academic literature, informing public health policies specialists and technicians, as well as policy and decision-makers, about the capacity of municipalities to face the problem. We calculated the Structure Efficiency Index (IEE) of the states’ 92 municipalities and positioned them on the pandemic curve. It was possible to verify that the government of the State of Rio de Janeiro needs to start acting to suppress COVID-19, maintaining the policy of providing more hospital beds, and purchasing equipment. However, it is also necessary to consider the particularities and deficiencies of each region, as the policy to transfer patients to places with available beds can contribute to the spread of the disease.

scholarly journals Healthcare system capacity of the municipalities in the State of Rio de Janeiro: infrastructure to confront COVID-19

2020 ◽  
Vol 54 (4) ◽  
pp. 578-594
Author(s):  
Giuliano Alves Borges e Silva ◽  
Ernani Viana Saraiva ◽  
Guilherme José Santos Nunes Ferreira ◽  
Rogério de Mesquita Peixoto Junior ◽  
Luiz Felipe Ferreira
Keyword(s):  
Rio De Janeiro ◽  
Efficiency Index ◽  
The State ◽  
Decision Makers ◽  
Health Policies ◽  
System Capacity ◽  
Public Health Policies ◽  
Academic Literature ◽  
Health Infrastructure ◽  
The Government

Abstract Considering the growing number of cases requiring emergency care as a result of SARS-CoV-2 in the Brazilian State of Rio de Janeiro, this study focuses on mapping the health infrastructure of the municipalities of the state, comparing the Structure Efficiency Index (IEE) before (2016) and after the COVID-19 pandemic. The article fills a gap in the academic literature, informing public health policies specialists and technicians, as well as policy and decision-makers, about the capacity of municipalities to face the problem. We calculated the Structure Efficiency Index (IEE) of the states’ 92 municipalities and positioned them on the pandemic curve. It was possible to verify that the government of the State of Rio de Janeiro needs to start acting to suppress COVID-19, maintaining the policy of providing more hospital beds, and purchasing equipment. However, it is also necessary to consider the particularities and deficiencies of each region, as the policy to transfer patients to places with available beds can contribute to the spread of the disease.

scholarly journals Mesoeconomics of Migration and Trade

2019 ◽  
Vol 3 (1) ◽  
pp. 51-59
Author(s):  
Bijan Bidabad ◽  
Mahshid Sherafati
Keyword(s):  
Simple Model ◽  
Financial Burden ◽  
The State ◽  
Decision Makers ◽  
International Economy ◽  
Wage Elasticity ◽  
Meso Level ◽  
Similar Shape ◽  
Previous State ◽  
The Government

In this paper, we analyze Mesoeconomics of migration and trade in interregional and international economy. Decision-makers are interested in analyzing how changing the prices or wages will lead to these movements and what policies can be devised to revert the markets into their initial equilibrium. We assume in our simple model, that the wages or prices change in one region, and we will measure the equilibrium of the markets of the two regions. After some time, by migration of workers and trading commodities, a new equilibrium will be achieved. If one of the governments of the two regions intends to revert the equilibrium to the state before changes were applied, how should that government act and how great will its financial burden be? In this paper, we try to formulate the answer to this question in the context of two simple, homogenous, and similar-shape economies. This paper is centered on the behavior of individuals of the two regions, which we try to generalize it so that we could evaluate the problem at meso level analytically. Therefore, we simplify the problem to the extent that its micro and macro dimensions coincide. We check different cases of Changing wage elasticity of price or production elasticity of employment and examine the financial burden of a policy of no labor and commodity movement. In this way, if the government of region 1 decides to counteract and revert the conditions into the previous state, it can pay specific subsidies to workers, legislate due taxes on selling commodities, and thereby establish the conditions of the equation as prior to changes.

Combating corruption in Pakistan

2016 ◽  
Vol 5 (2) ◽  
pp. 195-210 ◽  
Author(s):  
Feisal Khan
Keyword(s):  
The State ◽  
Decision Makers ◽  
Ruling Elite ◽  
Policy Makers ◽  
Content Type ◽  
Current State ◽  
British Colonial ◽  
The Government ◽  
Systemic Corruption ◽  
Institutional Capabilities

Purpose – The purpose of this paper is to analyze the current state of corruption in Pakistan and evaluate attempts by the government to combat its entrenched corruption culture. Design/methodology/approach – The paper shows that Pakistan’s legacy of British colonial rule, its ethno-linguistic conflict and alternating civilian governments and military coups have weakened institutional capabilities, hindered capacity building and allowed systemic corruption to flourish there. Pakistan’s many anti-corruption efforts failed because they were used to attack political foes instead of strengthening institutional capabilities. Findings – Pakistan has maintained its highly authoritarian form of governance inherited from the British in 1947. The ruling elite view the state as a milch cow for their personal enrichment and this attitude is also reflected in the performance of its bureaucracy. Existing rules of conduct and administration are not enforced as citizens encounter corruption in their dealings with officials. At the policy level, key decisions are often made to benefit the decision makers. The paper concludes that without political will no significant improvement in the state of corruption in Pakistan is likely to occur. Originality/value – This paper will be useful for scholars, policy-makers and anti-corruption practitioners who are interested in corruption in Pakistan and whether the apparent institutionalization of parliamentary democracy has reduced corruption there.

scholarly journals Experience report on strategy design for effective public health policies in the Piauí, Brazil, 2020

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Vilarinho ◽  
A Amorim ◽  
C Fé ◽  
O Cardoso
Keyword(s):  
Public Health ◽  
Life Expectancy ◽  
The State ◽  
Health Policies ◽  
State Planning ◽  
Public Health Policies ◽  
Strategic Actions ◽  
Health Area ◽  
Swot Matrix ◽  
Definition Of

Abstract Aim Report of the ascending, collective and participative process of construction of the Strategic Action Plan of the State Secretariat of Health of Piauí for the period from 2020 to 2023 and its compatibility with the Planning and Management Instrument of the State of Piauí - PPA (Plano Pluri Yearly). Action developed for the Institutional Development Program of SUS. We sought consistency and compatibility for health needs and Government priorities, implementing public health policies, technical, operational and financial feasibility and feasibility, impact and improvement in living conditions and health of the population, reducing inequalities, expanding the access to inclusive health policies, increase in citizen's life expectancy and life expectancy at birth. Methods Workshops, with technical staff from the Health Secretariat and the State Planning Secretariat, using the Situational Strategic Planning-PES, in addition to the Balanced Scorecard, and the SWOT Matrix. The SESAPI Strategic Map was previously built, with priorities for the identification of plans and results oriented to the goals. Results The SWOT Matrix focused on analyzing the environment or scenarios, internal and external, with strategies to maintain strengths, reduce the intensity of weaknesses, use opportunities and protect against threats. The technical health priorities were legitimized and made compatible with the State Planning Secretariat, in Workshops with Social Representations of the 12 Regional Development Territories of the State. Conclusions The prioritized strategic actions embodied the definition of Budgetary Actions for the health area that conform to the LOA- Annual Budget Law, linking the estimated amounts to a set of indicators and desired and possible results to be achieved in the established period. The entire process was technically monitored and submitted to analysis and approval by the Social Control bodies in compliance with the provisions of the legislation in force. Key messages The prioritized strategic actions embodied the definition of Budgetary Actions for the health area and linked the estimated amounts to a set of indicators. All production has generated the formation of a government staff with managerial capacity to strategic planning and evaluation as part of training teams trained by the government.

scholarly journals The Impacts of Temporary and Permanent Public Health Policies on HRQOL in a Small Open Economy

2021 ◽  
Vol 13 (17) ◽  
pp. 9866
Author(s):  
Yasuhiro Nakamoto ◽  
Taketo Kawagishi
Keyword(s):  
Public Health ◽  
Open Economy ◽  
Public Investment ◽  
Small Open Economy ◽  
Health Policies ◽  
Public Health Policies ◽  
Long Run ◽  
Related Quality ◽  
Health Related ◽  
The Government

Considering that people can invest in their health-related quality of life (HRQOL), we investigate the effects of public health policies (i.e., a health investment subsidy policy and the direct distribution of health-related goods) on HRQOL in a small open economy. We find that when the government makes public investment in HRQOL temporarily, HRQOL deteriorates or does not improve at least. On the contrary, when public investment is enforced permanently, it improves in the long run.

scholarly journals Environmental restoration of urban rivers in the metropolitan region of Rio de Janeiro, Brazil

2010 ◽  
Vol 4 ◽  
pp. 13-26 ◽  
Author(s):  
Lucia Maria S. A. Costa ◽  
Laura Vescina ◽  
Denise Barcellos Pinheiro Machado
Keyword(s):  
Rio De Janeiro ◽  
The State ◽  
Metropolitan Region ◽  
Environmental Restoration ◽  
Urban Water ◽  
Urban Rivers ◽  
Culturally Specific ◽  
Water Restoration ◽  
Environmental Discourses ◽  
The Government

This paper aims to expand our understanding of environmental discourses and practices in Brazil pertaining to urban water restoration, by focusing on the interrelations between environmental structure and urban occupation. For this purpose, it examines river and stream environmental restoration proposals within the Iguaçu Project located in Baixada Fluminense, in the state of Rio de Janeiro. The discussion begins with a brief description of the environmental restoration and landscape experience, followed by an exploration of the Baixada Fluminense social and environmental contexts. A program launched by the government is analyzed, emphasizing the development of riverside parks. The paper concludes by arguing that environmental restoration must be culturally specific in order to improve its efficacy.

scholarly journals Epidemiological observations on breaking COVID-19 transmission: from the experience of Taiwan

2021 ◽  
pp. jech-2020-216240
Author(s):  
Iona MacDonald ◽  
Jye-Lin Hsu
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Epidemiological Data ◽  
Health Policies ◽  
Minimal Impact ◽  
Public Health Policies ◽  
The Usa ◽  
The Government ◽  
Effective Public Health ◽  
Ongoing Monitoring

With almost no community-transmitted cases and without any complete lockdown throughout 2020, Taiwan is one of very few countries worldwide that has recorded minimal impact from the COVID-19 pandemic attack. This is despite being only 130 km from China and having frequent business communications with that country, where COVID-19 first emerged. At the end of December 2020, Taiwan had recorded just 873 cases and 7 deaths, in a country of around 24 million people. How to determine the effectiveness of public health policies is an important issue that must be resolved, especially in those countries that have experienced few cases of community-transmitted COVID-19. Our analysis of epidemiological data in Taiwan relating to influenza-like illness (ILI), enterovirus and diarrhoea from the past 3 years reveals dramatic reductions in the incidence of ILI and enterovirus in 2020, compared with 2018 and 2019. These reductions occurred within 2 weeks of the government issuing public health policies for COVID-19 and indicate that such policies can effectively reduce infectious diseases overall. In contrast, no such reduction in ILI activity was observed in 2020 after the first COVID-19 case was reported in the USA. We suggest that infectious diseases data can be used to inform effective public health policies needed to break the transmission chain of COVID-19 and that ongoing monitoring of infectious diseases data can provide confidence about nationwide health.

scholarly journals A review of the One Health concept and its application as a tool for policy-makers

2020 ◽  
Vol 6 (1) ◽  
pp. 83-89
Author(s):  
Rodrigo de Macedo Couto ◽  
Danie Friguglietti Brandespim
Keyword(s):  
Public Health ◽  
Interpersonal Violence ◽  
One Health ◽  
Current Knowledge ◽  
Health Policies ◽  
Policy Makers ◽  
Public Health Policies ◽  
Health Concept ◽  
The Government ◽  
The One

The One Health concept represents the inseparability of human, animal, and environmental health through a unified view of health care. This article addressed the topic of public health policies from the One Health perspective, demonstrating its inclusion in various health agendas such as emerging and reemerging infectious diseases, basic sanitation, mental health, chronic non-communicable diseases, interpersonal violence, and food safety. The results showed that the application of the One Health concept to the development and implementation of policies is associated with a growing need to involve transdisciplinary teams for solving complex problems to improve communication and to ensure the relevance and acceptability of public policies, thus guaranteeing governance. According to the principle of efficiency, the government must be aware of the evolution of technical knowledge and should use the One Health approach to improve the efficacy of already existing systems. We, therefore, conducted this review to contextualize current knowledge in this topic which is becoming an essential tool for public health policy-makers and practitioners around the world promoting a reflection on the importance of multiprofessional articulation in the implementation of intersectoral public health policies.

scholarly journals Neonatal mortality: the profile of deaths in the state of Rio de Janeiro

2021 ◽  
Author(s):  
Thamires Soares Bicalho ◽  
Ana Paula Ferreira ◽  
Larissa Azevedo da Hora ◽  
Roberta Lastorina Rios ◽  
Thaís Aparecida de Castro Palermo ◽  
...  
Keyword(s):  
Child Health ◽  
Prenatal Care ◽  
Neonatal Mortality ◽  
Maternal And Child Health ◽  
Health Professionals ◽  
Rio De Janeiro ◽  
The State ◽  
Hospital Environment ◽  
Health Policies ◽  
And Child Health

Deaths that occur up to 27 days of life are related to maternal and child health. However, the health of the mother-child binomial is built from the beginning of family planning, the responsibility of prenatal care; the technical conduction of childbirth and postpartum with a sensitive observation of the first hours of life. In professional practice, death is classified as earlyand late depending on the postpartum survival time, with Brazilian indicators revealing 53.2% of occurrences related to the first 6 days of life. Given the negative context, this study aimed to reveal the epidemiological profile of neonatal mortality in the state of Rio de Janeiro and relate the causes that may have corroborated the occurrences. This was a descriptive cross-sectional study with cuts between the years 2008 to 2018 (11 years) which, after the data collected from the federal platform TabNet, were distributed in frequency tables for descriptive statistical analysis using the SPSS software version 24.0. From the data collected, it can be stated that the largest proportion of deaths occurred in the early neonatal stage, especially in the city of Rio de Janeiro, which over the years had the highest number of occurrences of all states, but with a pending period of average investigation of the last triennium of 16%. The majority of deaths occurred in the hospital environment, in premature male babies, born by cesarean delivery, low birth weight, of brown race/color with causes of death from conditions originating from the perinatal period such as pneumonia, born to women aged between 20 to 29 years, with study time of 12 years or more. Maternal and child health is a priority within public health policies, however, the population suffers from the reduction or stagnation of investments that optimize the strengthening of the policy by expanding the network of access to consultations, tests, treatment, andmonitoring of puerperal needs. The overload of health professionals working in the unit can also make it difficult to provide care since there is productivity to be achieved, which can interfere with the quality and time of listening and observation of consultations. Given the detailed work, it is concluded that municipal health policies should use their finances to mitigate risk events from prenatal care, turning their eyes to the quality of access to health that it provides in relation to the physical structure, diagnostic equipment, waiting for time and updating of health professionals.

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