scholarly journals Alma Ata: Reflections and future prospects in family health strategy

2020 ◽  
Vol 68 ◽  
Author(s):  
Marcia MARINHO ◽  
Sonia GROISMAN
Keyword(s):  
Public Health ◽  
Public Policies ◽  
Family Health ◽  
World Health ◽  
Health Events ◽  
Health Strategy ◽  
The World ◽  
Family Health Strategy ◽  
Significant Public Health ◽  
First Time

ABSTRACT The International Conference on Primary Health Care, held in Alma Ata, was one of the most significant public health events in the world, where for the first time the dependency between poverty and health status was discussed and measured. Even after 40 years of its implementation, it continues to influence directly public policies related to the principles of primary care. The aim of the present study was to carry out a review of literature based on PubMed / Medline, Virtual Health Library (BVS / Bireme / WHO-PAHO) and institutional documents of Brazilian Ministry of Health, in order to point out reflections of perceptions about Alma Ata Conference, in Brazilian public policies, tracing an evolutionary profile to the family health strategy and its future perspectives. Although the study found a strong influence of the Alma Ata Conference in Brazilian public health policies it still needs improvement to reach the global goals and objectives agreed by all countries in Alma Ata and reaffirmed in the World Health Organization’s 2030 Sustainability Agenda.

Multinational Outbreak Investigations

2019 ◽  
pp. 295-306 ◽  
Author(s):  
Frank Mahoney ◽  
James W. Le Duc
Keyword(s):  
Public Health ◽  
Decision Making ◽  
International Health ◽  
World Health ◽  
Roles And Responsibilities ◽  
Health Events ◽  
The World ◽  
Outbreak Investigations ◽  
Health Organization ◽  
Health Regulations

Multinational collaborations on international outbreak investigations and response have a long history. Development of the World Health Organization (WHO) in 1948 was closely linked to efforts by the global community to prevent, detect, and respond to outbreaks of international concern. Through the International Health Regulations (IHR) of 2005, a legally binding instrument requiring countries to report certain outbreaks and public health events, WHO outlined a strategy for disease threat response. Efforts by global partners to strengthen cooperation have evolved over the years, including roles and responsibilities of WHO, its Member States, and other partners. Among the challenges faced by Member State and WHO in implementing the IHRs are limited funding to support staffing and operational support as well as sometimes conflicting multijurisdictional decision-making. The response to recent outbreaks provides evidence that much work remains to be done to strengthen IHR mechanisms.

scholarly journals Conjugal violence in the perspective of "Family Health Strategy" professionals: a public health problem and the need to provide care for the women

2014 ◽  
Vol 22 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Nadirlene Pereira Gomes ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Family Health ◽  
Public Health Problem ◽  
Ethics Committee ◽  
Conjugal Violence ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Practices

OBJECTIVE: to construct a theoretical matrix based on the meanings of the interactions and actions experienced by the professionals regarding the nursing care practices and the health of women in situations of conjugal violence in the ambit of the Family Health Strategy. METHODS: research based in Grounded Theory. Following approval by the Research Ethics Committee, 52 professionals were interviewed in Santa Catarina, Brazil. The analysis was based on open, axial and selective codifications. RESULTS: the theoretical model was delimited based on the phenomenon "Recognizing conjugal violence as a public health problem, and the need for management of the care for the woman", which reflects the experience of the professionals in relation to care for the woman, as well as the meanings attributed to this care. CONCLUSIONS: the phenomenon allows one to understand the movement of action and interaction regarding the care for the woman in a situation of conjugal violence.

scholarly journals Health education for elderly persons in the family health strategy: literature review

2011 ◽  
Vol 5 (11) ◽  
pp. 2660
Author(s):  
Roberta De Souza Pereira da Silva Ramos ◽  
Anna Karla de Oliveira Tito Borba ◽  
Márcia Carrera Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Vânia Pinheiro Ramos
Keyword(s):  
Health Education ◽  
Elderly Population ◽  
Family Health ◽  
The Elderly ◽  
World Health ◽  
National Library ◽  
Electronic Library ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACTObjective: to identify in scientific publications the health education actions concerned with the elderly population in the Family Health Strategy (FHS). Method: this is an integrative review with search in the scientific literature published from 2000 to 2010 in the databases of the website Virtual Health Library (VHL): LILACS (Latin American and Caribbean Health Sciences Literature), MEDLINE (National Library of Medicine, United States), IBECS (Índice Bibliografico Espanol en Ciencias de la Salud), and SciELO (Scientific Electronic Library Online), besides the specialized area of BIREME – BDENF (Nursing Database), according to the following stages: establishment of the guiding question (What is the importance of the health education actions for the elderly population in the Family Health Strategy?) and aims of the review; establishment of inclusion and exclusion criteria for papers (sample selection); definition of the information to be extracted from the papers selected; analysis of results; presentation and discussion of results; and, finally, presentation of the review. Inclusion criteria: full text available online  and papers concerning health education activities, involving the elderly public, developed in the FHS. For this study, the concept of elderly from the World Health Organization (WHO) was adopted: person aged 60 years or over in developing countries. Results: the final sample consisted of  nine papers, which presented variety of themes, ranging from studies that applied and evaluated the educative activities to those which pointed them proposals. Conclusion: it was found an incipience in papers portraying the performance of educative practices aimed at the elderly population and the predominance of the biomedical paradigm in the health education activities. Descriptors: health education; elderly; Family Health Program.RESUMOObjetivo: identificar em publicações científicas as ações de educação em saúde voltadas para população idosa na Estratégia de Saúde da Família (ESF). Método: trata-se de revisão integrativa com busca na literatura científica publicada de 2000 a 2010 nas bases de dados do sítio Biblioteca Virtual em Saúde (BVS): LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde), MEDLINE (National Library of Medicine, Estados Unidos), IBECS (Índice Bibliográfico Español en Ciencias de la Salud) e SciELO (Scientific Electronic Library Online) além da área especializada da BIREME - BDENF (Base de Dados de Enfermagem), cumprindo as seguintes etapas: estabelecimento da questão norteadora (Qual a importância das ações de educação em saúde para população idosa na Estratégia Saúde da Família?) e objetivos da revisão; estabelecimento de critérios de inclusão e exclusão de artigos (seleção da amostra); definição das informações a serem extraídas dos artigos selecionados; análise dos resultados; apresentação e discussão dos resultados; e, por último, apresentação da revisão. Critérios para inclusão: texto completo acessível on-line e artigos de atividades de educação em saúde, voltadas para o público idoso, desenvolvidas na ESF. Para este estudo, adotou-se o conceito de idoso da Organização Mundial de Saúde (OMS): pessoa com 60 anos ou mais em países em desenvolvimento. Resultados: a amostra final consistiu em nove artigos, os quais demonstraram variedade temática, desde estudos que aplicaram e avaliaram as atividades educativas até aqueles que as apontaram como propostas. Conclusão: constata-se uma incipiência em artigos que retratam a realização de práticas educativas voltadas à população idosa e a predominância do paradigma biomédico nas atividades de educação em saúde. Descritores: educação em saúde; idoso; Programa Saúde da Família.RESUMEN Objetivo: identificar en publicaciones científicas las acciones de educación en salud dirigidas a la población anciana en la Estrategia de Salud de la Familia (ESF). Método: esta es una revisión integradora con búsqueda en la literatura científica publicada de 2000 hasta 2010 en las bases de datos del sitio Biblioteca Virtual en Salud (BVS): LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), MEDLINE (National Library of Medicine, Estados Unidos), IBECS (Índice Bibliográfico Español en Ciencias de la Salud) y SciELO (Scientific Electronic Library Online), además de la área especializada de la BIREME – BDENF (Base de Datos de Enfermería), cumpliendo las siguientes etapas: establecimiento de la cuestión orientadora (¿Cual es la importancia de las acciones de educación en salud para la población anciana en la Estrategia Salud de la Familia?) y objetivos de la revisión; establecimiento de criterios de inclusión y exclusión de artículos (selección de la muestra); definición de las informaciones que serán extraídas de los artículos seleccionados; análisis de los resultados; presentación y discusión de los resultados; y, por último, presentación de la revisión. Criterios para inclusión: texto completo accesible online y artículos de actividades de educación en salud, dirigidas para el público anciano, desarrolladas en la ESF. Para este estudio, fue adoptado el concepto de anciano de la Organización Mundial de la Salud (OMS): persona con 60 años o más en países en desarrollo. Resultados: la muestra final consistió en nueve artículos, los cuales demostraron variedad temática,  desde estudios que aplicaron y evaluaron las actividades educativas hasta aquellos que las apuntaron cómo propuestas. Conclusión: se constata una insipiencia en artículos que retratan la realización de prácticas educativas dirigidas a la población anciana y la predominancia del paradigma biomédico en las actividades de educación en salud. Descriptores: educación en Salud; anciano; Programa Salud de la Familia.

scholarly journals Workshop: Sharing best practices and building effective training at European points of entry

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Best Practices ◽  
Disease Control ◽  
Training Program ◽  
World Health ◽  
Infectious Disease Control ◽  
Health Events ◽  
Effective Training ◽  
The World

Abstract Infectious diseases can spread all over the world due to the transportation of people and goods through ships, aircrafts and vehicles. During the transportation on board of conveyances (ships, aircrafts, trains, buses), diseases can spread from person-to-person, by infected food or water or through vectors. The same can happen when travelers pass through points of entry (PoE) such as: ports, airports and ground-crossings. To properly prevent and respond to public health events at PoE, designated ports, airports and ground-crossings core capacities for PoE are dictated in the IHR (2005), which should be in place at all designated PoE. According to the World Health Organization Global Health Observatory data, the IHR core capacities implementation at designated PoE at the European WHO region is 64%. In order to support countries with this implementation, exchange among countries of effective, legalized practices in accordance with IHR (2005), the so-called best practices, can be of important help. Besides the goal to improve mere capacity, professionals in charge of communicable diseases at PoE should be prepared to respond to public health events and prevent cross-border spread. Education, training and exercises are common ways to achieve this, but demand extensive expertise, time and financial means. As part of a EU Joint Action, a collective training program for designated PoE is being developed, to share efforts and resources, and to help countries better respond to public health events. However, regarding this training, many questions are still unanswered. What is effective training for public health events at designated PoE, and what components and methodology should it contain. What are the specific training needs of these people? What competencies should they have? What can we learn from previous trainings and what are best practices for designated PoE? The aim of this workshop is to provide a step-by-step overview of all elements that are essential to improve capacity and develop and organize effective training program for event management at designated points of entry in Europe. This study was funded by the European Union’s Health Programme (2014-2020). Key messages Extensive and long-term evaluation of training and exercising regarding infectious disease control at points of entry is needed, in order to design effective trainings and facilitate core capacities. Collection and dissemination of best practices in infectious disease control at points of entry, facilitate the challenging task of IHR core capacity implementation.

scholarly journals Use of Health Services and Family Health Strategy Households Population Coverage in Brazil

2021 ◽  
Vol 26 (9) ◽  
pp. 3955-3964
Author(s):  
Otávio Pereira D’Avila ◽  
Luiz Alexandre Chisini ◽  
Francine dos Santos Costa ◽  
Mariana Gonzales Cademartori ◽  
Lucas Brum Cleff ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Skin Color ◽  
Health Care Services ◽  
Family Health ◽  
Public Health Services ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Use Of Health Services

Abstract The objective of this study is to describe the profile of use of primary health care services, estimated by the PNS, of the population living in households registered and not registered with the Famly Health Strategy - FHS, in the years 2013 and 2019. Cross-sectional study carried out using microdata from national health surveys 2013 and 2019. The sample originated from a master sample, consisting of a set of units from selected areas in a register..The variables sex, age, skin color, income, education, self-perceived health, home registered with the FHS, medical care in the last year, type of service you seek when you are ill were selected. The dependent variables were use of health services and use of public health services. The dependent and independent variables were described with the respective confidence interval and adjusted logistic regression was performed for each outcome analyzed. In public health services, lower income, have chronic diseases (arterial hypertension or high cholesterol), be pregnant, and having a bad self-perception of health were associated with used more health services in both periods. Living in registered households was associated with more used health services (public or private). The family health strategy is an important strategy for expanding access equally.

scholarly journals Factors associated with the incomplete opportune vaccination schedule up to 12 months of age, Rondonópolis, Mato Grosso

2022 ◽  
Vol 40 ◽  
Author(s):  
Patrícia de Lima Lemos ◽  
Gilmar Jorge de Oliveira Júnior ◽  
Nidyanara Francine Castanheira de Souza ◽  
Izadora Martins da Silva ◽  
Izabella Paes Gonçalves de Paula ◽  
...  
Keyword(s):  
Univariate Analysis ◽  
Family Health ◽  
Vaccination Schedule ◽  
World Health ◽  
Mato Grosso ◽  
Factors Associated ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Individual Variables ◽  
Health Organization

Abstract Objective: To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso. Methods: Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes. Results: The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41–86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75–5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04–3.57). Conclusions: It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.

Significado da consulta de enfermagem às crianças menores de dois anos na percepção das mães

2013 ◽  
Vol 4 (2) ◽  
pp. 123
Author(s):  
Clara Cássia Versian ◽  
Marcela Guimarães Fonseca ◽  
Tereza Cristina Silva Bretas ◽  
Frederico Marques Andrade ◽  
Antônio Lincoln Freitas Rocha
Keyword(s):  
Public Health ◽  
Child Care ◽  
Child Health ◽  
Growth And Development ◽  
Family Health ◽  
Child Growth ◽  
Qualitative Approach ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Resumo: Este estudo objetivou conhecer o significado da consulta de enfermagem às crianças menores de dois anos na percepção das mães na Estratégia de Saúde da Família de Nova Esperança. Trata-se de um estudo exploratório descritivo, de abordagem qualitativa, realizado na Estratégia de Saúde da Família de Nova Esperança, no período de outubro a novembro de 2011. Os sujeitos do estudo foram mãe de crianças menores de dois anos. Os resultados evidenciaram percepções diversificadas acerca da consulta de enfermagem. Pode-se constatar que as entrevistadas enfatizaram a importância do acompanhamento periódico do crescimento e desenvolvimento da criança, como forma de prevenção.Palavras-chave: Cuidado da Criança; Saúde da Criança; Programa Saúde da Família.The Meaning of Nursing Consultation to Children Under Two Years in a Mothers PerceptionAbstract: This study investigated the significance of nursing consultation to children under two years in the perception of mothers in the Family Health Strategy in New Hope. This is an exploratoryand descriptive, qualitative approach, was conducted at the Family Health Strategy in New Hope, in the period from October to November 2011. The study subjects were mothers of children under two years. The results showed diverse perceptions about nursing consultation. It is evident that the interviewees emphasized the importance ofregular monitoring of child growth and development a means of prevention.Keywords: Child Care; Child Health (Public Health); Family Health Program.El Significado de La Consulta de Enfermería a los Niños Menores de Dos Años em una Percepcíon de lãs MadresResumen: Este estudio investigó la importancia de la consulta de enfermería a niños menores de dos años en la percepción de las madres de la Estrategia de Salud Familiar en New Hope. Se trata de un enfoque cualitativo, exploratorio y descriptivo, se llevó a cabo en la Estrategia de Salud Familiar en New Hope, en el período de octubre a noviembre de 2011. Los sujetos del estudio eran madres de niños menores de dos años. Los resultados mostraron diferentes percepciones acerca de la consulta de enfermería. Es evidente que los entrevistadoshicieron hincapié en la importancia de un seguimiento periódico del crecimiento y desarrollo del niño como medio de prevención.Palabras clave: Cuidado del Niño; Salud del Niño; Programa de Salud Familiar.

scholarly journals OC 8431 CLINICAL RESEARCH AND SUSTAINABLE DEVELOPMENT IN SUB-SAHARAN AFRICA: THE IMPACT OF NORTH-SOUTH PARTNERSHIPS

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A5.3-A6
Author(s):  
Agnes Saint-Raymond ◽  
Martin Harvey ◽  
Maria Cavaller
Keyword(s):  
Public Health ◽  
World Health Organisation ◽  
Sub Saharan Africa ◽  
World Health ◽  
European Medicines Agency ◽  
Local Conditions ◽  
The World ◽  
Significant Public Health ◽  
The Impact ◽  
The Eu

BackgroundThe European legislation introduced in 2004 (under article 58) a collaboration tool to increase access to high quality and effective medicines in low- and middle-income countries. The European Medicines Agency (EMA) can provide scientific opinions on medicines intended for significant public health needs, in partnership with the World Health Organisation (WHO) and the relevant ‘target’ non-EU regulatory authorities. This EU-Medicines4all (EU-M4all) initiative contributes to the broader Global Health Mandate of the EU.MethodsWe contacted the pharmaceutical companies holding ‘article 58’ scientific opinions and compiled the number of actual approvals based on these opinions.ResultsNine medicines have been assessed so far, most of them for HIV/AIDS, tuberculosis, malaria and maternal/new-born health. Although this figure may appear low, the impact of the corresponding scientific opinions is much wider. Approvals were granted in 66 different countries worldwide, 38 of which are in Africa, based on these opinions.DiscussionSuch scientific opinions on the quality, safety and efficacy of the medicines are provided by the EMA’s Committee for Medicinal Products for Human Use (CHMP). Prior to this, it is recommended to agree on the data to be generated through scientific advice. The opinions are based on the same standards as used for those approved for Europe, with considerations for local conditions of use. To promote reliance on EMA scientific outputs and awareness of the procedure, two training events with regulators from Southern and from Western Africa are organised in partnership with WHO, NEPAD and local regulators in June 2018.ConclusionWe have shown that this ‘article 58’ procedure has a true impact and we encourage applications by companies developing medicines, aimed to prevent or treat diseases of significant public health interest, to be marketed outside the EU. This will ensure timely access of medicines by patients in target countries all over the world.

Preventing blindness and visual impairment in Europe: What do we have to do?

2018 ◽  
Vol 29 (2) ◽  
pp. 129-132 ◽  
Author(s):  
János Németh ◽  
Gábor Tóth ◽  
Serge Resnikoff ◽  
Jan Tjeerd de Faber
Keyword(s):  
Public Health ◽  
Visual Impairment ◽  
Action Plan ◽  
World Health ◽  
Eye Health ◽  
Common Task ◽  
The World ◽  
Global Action ◽  
Significant Public Health ◽  
Global Action Plan

Severe visual impairment and blindness are significant public health problems worldwide. Four-fifths of cases of blindness can be prevented or cured. The World Health organisation’s ‘Universal Eye Health: A Global Action Plan 2014–2019’ and the European Society of Ophthalmology’s Pilot Committee on Public Eye Health are aiming to decrease the prevalence of blindness in Europe and around the world. Starting discussions addressing possible actions and advocacies to improve current circumstances in public eye health is a common task of ophthalmologists and public health specialists in Europe.

scholarly journals Public Policies for making the right to life effective: The problem of suicide at ‘Third Bridge'

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A C A Maia ◽  
D C Fabriz ◽  
T A Motta ◽  
V F Zanotelli
Keyword(s):  
Public Health ◽  
Public Policies ◽  
The State ◽  
World Health ◽  
Public Healthcare ◽  
Political Dimension ◽  
Knowing That ◽  
The World ◽  
The Individual ◽  
Lethal Means

Abstract The World Health Organization (WHO) recognizes suicide as a public health priority. According to the same, between 2010 and 2016 the suicide rate in Brazil increased about 7%, in contrast to the world index, wich fell 9,8%. In the state of Espírito Santo - ES (estimated population of 4 million people), the number of suicide events reached 233 in 2018, the highest rate ever recorded by Datasus Mortality Monitoring Panel to the state. Suicides on public venues are noteworthy. According to data from the Rodovia do Sol Concessionaire (Rodosol), in 2018 about 41% of suicides in this state occured in metropolitan region of Vitória (estimated population of 2 million people). In Deputado Darcy Castello de Mendonça bridge, popularly known as Third Bridge, 71 attemps were counted, of wich 7 culminated in suicide. As a point of concern, this bridge, main link between the cities of Vitória and Vila Velha, has a contingency plan for emergency and crisis situations since 2016, in addition to cameras monitored by a prepared team that work together with a firefighter's team allocated near the bridge to intervene at any time of the day. The monitoring of the situation makes it possible to verify that, since 1999, the suicides that have occurred add up to lower rates in relation to the attempts. However, there was an increase of approximately 44% in the number of people who attempted suicide in the period from 2015 to 2018. Knowing that interventions to prevent suicide include reducing access to lethal means, it stands out that in 2019 a plan to build a protection net in Third Bridge was approved by the government. These strategies, combined to provided health care from the State Hospital of Clinical Attention and suicide preventive measures from public healthcare system SUS, are in accordance with Brazilian's public health policies. It is a recognition, by the state, that the life of the individual has a public significance, and should be protected even from the individual itself. Key messages Interventions to prevent suicide must include reducing access to lethal means, that is knowingly a highly effective preventive practice and is responsibility of public policies of a country/state. Knowing that life has a public and political dimension, the suicide barrier implementation is necessary for the State to fulfill its duty to protect the life of the citizen.

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