scholarly journals Policy networks in metropolitan regions: the case of the health system in Brazil

2017 ◽  
Vol 27 (4) ◽  
pp. 1039-1064
Author(s):  
Juliana Pires de Arruda Leite ◽  
Ana Carolina Spatti ◽  
Matheus Leite de Campos
Keyword(s):  
Policy Implementation ◽  
Health System ◽  
Policy Networks ◽  
Metropolitan Region ◽  
Metropolitan Regions ◽  
System A ◽  
Private Organizations ◽  
The Government ◽  
Regional Character ◽  
Brazilian Health System

Abstract Most policies, explicitly or implicitly, involve sharing responsibilities between different organizations, such as departments, government spheres, ministries, or private organizations. Thus, in recent decades, networks have become increasingly common in public policies. The Brazilian health system - given its size and geographic scope - is an example of complexity and sometimes fragmentation in policy implementation. In this context, the government adopts the concept of Healthcare Networks (RASs) in the operation of its health system. A characteristic that defines RASs is their regional character, since it is necessary to go beyond the municipal borders for the optimization of resources. This scenario of interregional relations becomes denser when the territory in question is configured in an urban superstructure, as is the case in metropolitan regions. Thus, this paper proposes the discussion of the case of Healthcare Networks in the Brazilian metropolitan regions and describes, in greater detail, the case of Campinas Metropolitan Region.

scholarly journals Assessing the Papuan Government’s Policy for Tackling the Spread of Coronavirus (COVID-19)

2021 ◽  
Vol 24 (1) ◽  
pp. 48
Author(s):  
Johni R. V. Korwa ◽  
Diego R. De Fretes ◽  
Meyland S. F. Wambrauw ◽  
Jackson Yumame ◽  
Christine O. I. Sanggenafa ◽  
...  
Keyword(s):  
Local Government ◽  
Policy Implementation ◽  
Health System ◽  
Laboratory Testing ◽  
Air Travel ◽  
Evidence Based ◽  
Theoretical Frameworks ◽  
Library Research ◽  
The Government ◽  
The Right

This paper aims to assess the Papuan government’s policy for preventing the spread of COVID-19 through the shutdown of travel to the region based on the Papua joint statement. Excluding the transportation of goods, Papua was the first province in Indonesia to restrict entry into the region by both sea and air travel. To analyse the Papuan government’s policy, Edwards’ theory of policy implementation was adopted. Using first-hand interviews, observations, and library research, this paper argues that the government of Papua has made the right decision to close its borders, despite challenges, as part of a strict policy to protect the region from COVID-19. It is also worth noting that although five regions selected for this study (Jayapura City, Mimika, Biak Numfor, Merauke and Yapen Regency) reflected variations between one another in policy implementation, they all had expressed how the local government in Papua was doing the best they could to eradicate COVID-19. The use of theoretical frameworks (communication, resources, dispositions, and bureaucratic structures) as part of policy implementation had also been effective, despite that some parts need to be improved. The results of this study include recommendations for effective coordination among policymakers, the availability of laboratory testing, adoption of evidence-based policies and improving the health system in Papua.

Exploring Subbordia – the impact of suburbanisation in cross-border metropolitan regions. The case study of Szczecin and its German hinterland

2018 ◽  
Vol 60 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Martin Barthel ◽  
Ewelina Barthel
Keyword(s):  
Border Region ◽  
Metropolitan Region ◽  
Metropolitan Regions ◽  
Grass Roots ◽  
Planning Support ◽  
Cross Border ◽  
Connected Area ◽  
The Impact ◽  
Local Narratives

Abstract This paper focuses on the largely unexamined phenomenon of the developing trans-national suburban area west of Szczecin. Sadly the local communities in this functionally connected area struggle with national planning policies that are unsuitable for the region. The paper examines the impact of those processes on the border region in general and on the localities in particular. The paper investigates the consequences for local narratives and the cohesive development of the Euroregion and what position Polish and German communities took to develop the region, even without the necessary planning support. The region has succeeded in establishing grass-roots planning mechanisms which have helped to create a metropolitan-region working from the bottom up.

Implementasi Kebijakan Agraria dan Ketimpangan Penguasaan Lahan (Kasus Lahan Eks HGU di Desa Cipeuteuy, Kecamatan Kabandungan, Kabupaten Sukabumi, Provinsi Jawa Barat)

2020 ◽  
Vol 4 (6) ◽  
pp. 731
Author(s):  
Muhammad Febri Ramdani
Keyword(s):  
Policy Implementation ◽  
Land Tenure ◽  
Quantitative Method ◽  
Qualitative Data ◽  
Agrarian Reform ◽  
Purposive Sampling ◽  
Reform Agenda ◽  
Agrarian Policy ◽  
Strong Relation ◽  
The Government

ABSTRAKMUHAMAD FEBRI RAMDANI. Implementasi Kebijakan Agraria dan Ketimpangan Penguasaan Lahan (Kasus Lahan Eks HGU di Desa Cipeuteuy, Kecamatan Kabandungan, Kabupaten Sukabumi, Provinsi Jawa Barat). Dibimbing oleh MARTUA SIHALOHO.Redistribusi lahan yang dilakukan oleh pemerintah sebuah upaya implementasi kebijakan agraria. Kebijakan agraria tersebut berupa asset reform (penataan aset) eks lahan perkebunan dengan skema legalisasi aset berwujud sertifikasi bidang lahan. Namun dalam pelaksanannya pemerintah mengklaim bahwa kebijakan tersebut merupakan agenda reforma agraria. Atas dasar klaim tersebut, penting untuk meninjau access reform (penataan akses) bekerja, karena pada hakikatnya reforma agraria merupakan asset reform (penataan aset) dan access reform (penataan akses) yang berjalan beriringan, dengan bertujuan untuk menata ketimpangan penguasaan lahan agar terwujudnya keadilan agraria (agrarian justice). Penelitian ini dilakukan dengan metode kuantitatif yang didukung kualitatif dengan pendekatan sensus. Metode yang digunakan untuk menentukan responden ialah purposive sampling dengan teknik non probability sampling. Pengolahan data menggunakan uji statistik rank spearman untuk melihat hubungan variabel. Hasil penelitian yang diperoleh menunjukan bahwa tingkat asset reform berada pada kategori rendah. Hasil uji statistik menunjukan bahwa asset reform berhubungan dengan access reform dan asset reform berhubungan dengan ketimpangan penguasaan lahan.Kata kunci: access reform, asset reform, keadilan agraria, reforma agrariaABSTRACTMUHAMAD FEBRI RAMDANI. Implementation of Agrarian Policy and Land Tenure Inequality (Case of Ex-HGU Land in Cipeuteuy Village, Kabandungan District, Sukabumi Regency, West Java Province). Supervised by MARTUA SIHALOHO.Land redistribution has been done by government as an effort of agrarian policy implementation. The policy came in form of asset reform of ex-plantation land with asset legalization scheme (land-part certification). But the government claimed that this policy is one of the agrarian reform agenda. It is important to observe how this access reform works, because agrarian and access reform can’t be separated one another, with purpose to reduce the inequality of land tenure so that the agrarian justice can be reach. This research used quantitative method supported by qualitative data, using the census approachment. Purposive sampling with non probabilty sampling used to specify the respondent. The data processed by rank spearman statistic test to analyze the relation between variable. This research shows a low level of asset reform. The statistic test shows that the low asset reform have a strong relation to low access reform, and high inequality of land tenure.Key words: access reform, agrarian justice, agrarian reform, asset reform

Governance

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Global Health ◽  
Health System ◽  
Global Governance ◽  
Health Sector ◽  
Nation State ◽  
System A ◽  
Health Strategy ◽  
External Forces ◽  
Globalized World ◽  
Global Governance For Health

This chapter focuses on governance, a key building block of a health system. A government is responsible for the health of its people. It sets the health strategy and oversees the implementation of health programs. External forces and actors influence the governance of the health sector. This chapter explores governance of health from the perspective of the nation-state coordinating its own health system (sometimes called governance for global health). The chapter examines the internal and external forces that influence national governance for global health. The chapter also looks beyond the level of the nation-state to explore the concept of global governance for health. In the interconnected and globalized world, global governance for health is needed to coordinate the geopolitical forces that impact health and its social determinants.

scholarly journals Health needs: a temporary analysis of the social representations of the concept

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Winckler ◽  
F Zioni ◽  
G Johson
Keyword(s):  
Political Participation ◽  
Health System ◽  
Social Representations ◽  
Public Policies ◽  
Civil Society Organizations ◽  
Health Needs ◽  
The Social ◽  
The Right ◽  
Brazilian Health System ◽  
Universal Health

Abstract Background This study aims to analyse the social representations of health needs in a Brazilian municipality, questioning the capacity that public policies developed and implemented by the Brazilian Health System (SUS) had to meet these needs. Methods Qualitative case study in which the data were analysed by: 1) the Health Needs Taxonomy (Matsumoto, 1999), as an instrument for assessing health needs, formatting the interview guide and organizing the empirical data; 2) the Theory of Social Representations (Jovchelovitch, 2000), to capture health needs; 3) Content Analysis (Bardin, 2004), as an instrument of analysis and comparison of perceived needs. The methodological path used was the same in the two moments in which this research is based (2009 and 2016). The entire municipal territory was analyzed and 26 representatives of civil society organizations were interviewed. Results Based on the results given, we state that health is a permanent and timeless need, but the mediations for its satisfaction have changed historically. The interface between quantitative indicators and subjectivity in assessing needs reveals the authoritarian architecture of its decision-making process, which has ruined the necessary democracy for prioritising and meeting those needs. The asymmetrical relationships present in the Brazilian society have both undermined the collective character of health needs and promoted the distance between who care and who are cared for. Most of the priorities listed by the interviewees in 2009 remain composing the social context of the municipality in 2016. Conclusions The challenges for comprehensive health care remain critical given both the decrease in popular political participation and in institutional spaces, which leads to the annulment of the right to a universal health. Interdisciplinary and participatory diagnostics remain essential to understand the complexity of social changes and the challenges for the consolidation of meeting health needs. Key messages The capacity that public policies developed and implemented by the Brazilian Health System (SUS) had to meet these needs. The challenges for meeting health needs remain critical given both the decrease in political participation and in institutional spaces, which leads to the annulment of the right to a universal health.

scholarly journals Strategies for reducing out of pocket payments in the health system: a scoping review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Faride Sadat Jalali ◽  
Parisa Bikineh ◽  
Sajad Delavari
Keyword(s):  
Health System ◽  
Health Systems ◽  
Scoping Review ◽  
Health Financing ◽  
Developed Countries ◽  
Vulnerable Groups ◽  
System A ◽  
Out Of Pocket Payments ◽  
Review Study ◽  
Developing And Developed Countries

Abstract Background Direct out-of-pocket payments (OOP) are among the most important financing mechanisms in many health systems, especially in developing countries, adversely affecting equality and leading vulnerable groups to poverty. Therefore, this scoping review study was conducted to identify the strategies involving OOP reduction in health systems. Methods Articles published in English on strategies related to out-of-pocket payments were Searched and retrieved in the Web of Science, Scopus, PubMed, and Embase databases between January 2000 and November 2020, following PRISMA guidelines. As a result, 3710 papers were retrieved initially, and 40 were selected for full-text assessment. Results Out of 40 papers included, 22 (55%) and 18 (45%) of the study were conducted in developing and developed countries, respectively. The strategies were divided into four categories based on health system functions: health system stewardship, creating resources, health financing mechanisms, and delivering health services.As well, developing and developed countries applied different types of strategies to reduce OOP. Conclusion The present review identified some strategies that affect the OOP payments According to the health system functions framework. Considering the importance of stewardship, creating resources, the health financing mechanisms, and delivering health services in reducing OOP, this study could help policymakers make better decisions for reducing OOP expenditures.

scholarly journals Micro grid for All India Institute of Medical Sciences, Madurai

Clean Energy ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 254-272
Author(s):  
C Palanichamy ◽  
P Naveen
Keyword(s):  
Tamil Nadu ◽  
Storage System ◽  
Healthcare Facility ◽  
Photovoltaic System ◽  
India Institute ◽  
Diesel Generator ◽  
Medical Sciences ◽  
System A ◽  
Utility Grid ◽  
The Government

Abstract In 2018, the Government of India approved the establishment of the New All India Institute of Medical Sciences (AIIMS) in Thoppur, Madurai, Tamil Nadu, India. As the most important amenity for continuing primary care and rescue response is a healthcare facility, a secure electricity supply becomes an imperative necessity. Hence, as the energy supplier for the new AIIMS, Madurai, this paper proposes a microgrid combined with the utility grid. The microgrid consists of a 4-MW photovoltaic system, a 1.8-MW wind-turbine energy-conversion system, a backup diesel generator capable of meeting the forecasted maximum demand and a 1-MW battery energy-storage system. The AIIMS Microgrid will have a service providing a capacity of 20 MVA following integration with the utility grid. The proposed microgrid would be the first attempt at healthcare facilities in India since its first day of work to ensure the availability of electricity. It would have a 9.8% return on investment, a 13.6% internal rate of return and a payback period of 6.75 years once it is operational, as well as an attractive levelized cost of energy (LCOE) of USD 0.07547/kWh. It would provide an environmentally friendly atmosphere by avoiding an annual emission of 6 261 132 kg of carbon dioxide, 27 362 kg of sulphur dioxide and 12 838 kg of nitrogen oxides as compared to power supplied entirely from the utility grid.

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