scholarly journals Investigating the status of Health System Cooperation with City Councils and Municipalities in Iran (Documents’ Analysis)

Background: The existence of partnerships between the health system and other organizations, especially city councils and municipalities, which have inherent and legal duties in this regard, is of particular importance in the promotion of public health. Objectives: The present study aimed to assess the status of Health System cooperation with City councils and municipalities in Iran based on rules and documents. Methods: Altheide’s document analysis model (sample selection, data collection, data organization, data analysis, and reporting) was used to prepare and analyze the documents pertaining to the status of Health System cooperation with city councils and municipalities. The documents were classified at three levels of national rules, policies, and guidelines; Ministry of Health (MOH) and city council approvals; and eventually Tehran municipality’s measures. Results: A total of 78 documents were analyzed, including 17 documents at the level of national rules, policies, and guidelines; 8 documents at the level of Ministry of Health and city council approvals; and 53 documents at the level of municipality’s measures. Conclusion: There are adequate legal capacities for designing, planning, executing, as well as creating interaction and cooperation between the health system and other organizations, especially city councils and municipalities. Moreover, the motives behind creating purposeful and scheduled cooperation and participation are evident among the officials of the health system and city councils and municipalities. Some mechanisms have been established for cross-sectoral cooperation between the health system and other health-related bodies. Nonetheless, these structures lack the necessary competence, appropriateness, and adequacy to create the desired partnership. Moreover, sufficient attention is not devoted to existing capacities in municipalities and the city council. Accordingly, it is necessary to have a fundamental review on the available structures and enough attention has to be paid to the evident and hidden legal capacities in city councils and municipalities, as well as the Ministry of Health, to design an appropriate structure, create competent interaction, and provide more cooperation between the two organizations.

2020 ◽  
Author(s):  
Najmeh Khodadadi ◽  
Aidin Aryan Khesal ◽  
Mohamad Reza Maleki

Abstract Background: The present study is aimed at investigating the cooperation status between the health system and city councils and municipalities in Iran based on rules and documents.Methods: Altheide’s document analysis model (sample selection, data collection, data organization, data analysis, and reporting) was employed in order to prepare and analyze the documents pertaining to the cooperation level between the health system and municipalities and Islamic city councils. The documents were classified at three levels including the national rules, policies, and guidelines; Ministry of Health (MOH) and city council approvals; and eventually Tehran Municipality’s measures.Results: Overall, 78 documents were analyzed including 17 documents at the level of national rules, policies and guidelines; 8 documents at the level of Ministry of Health and city council approvals; and 53 documents at the level of Municipality’s measures.Conclusion: There are adequate legal capacities for designing, planning, executing, as well as creating interaction and cooperation between health system and city councils and municipalities. Moreover, the motive behind creating a purposeful and scheduled cooperation and participation is evident among the officials of health system and city councils and municipalities. Some mechanisms have been established for cross-sectoral cooperation between the health system and other health-related bodies on a cross-sectional basis, but these structures lack the necessary competence, appropriateness and adequacy to create the desired partnership, and especially sufficient attention to existing capacities in municipalities and The city council has not. Accordingly, it is necessary to have a fundamental review on the available structures and enough attention has to be paid to the evident and hidden legal capacities in city councils, and municipalities, as well as Ministry of Health to design an appropriate structure and create competent interaction and also provide more cooperation between the two organizations.


Author(s):  
Yuriy Maksimenko

Since the establishment of the institution of village, settlement and city mayors in the system of local self-government of Ukraine,the legal status of these persons has not changed significantly. This indicates that the constitutional model of local self-government,headed by a village, town, city mayor, mainly satisfied society’s demand for stable local self-government. Today, when gradually as aresult of the reform of decentralization and administrative-territorial organization Ukraine has become a country of united territorialcommunities with significant powers locally, the issue of improving local self-government, finding its optimal model and the balanceof powers between key components of its system is gaining momentum relevance.Since the adoption of the Constitution, the system of local self-government of Ukraine has included territorial communities,which carry out local self-government in the manner prescribed by law, both directly and through local governments: village, town, citycouncils and their executive bodies. In the Law of Ukraine “On Local Self-Government in Ukraine” this list was supplemented by themain official of the territorial community – village, settlement, city mayor, who in the system of local self-government was given a“third” place between village, settlement, city council and executive bodies of village, settlement, city council. However, whether suchan intermediate position is occupied by the village, settlement, city mayor in the system of local self-government of Ukraine? After all,village, settlement, and city councils, which include deputies of local councils, as representative bodies of local self-government, areendowed by law with significant exclusive powers. Also, the executive bodies of local self-government are endowed by law with theirown (self-governing) powers and the powers delegated by the state to the bodies of executive power. The village, settlement, city mayordoes not have all these powers. To find an answer to this question by studying the status and powers of the chief official of the territorialcommunity used a system of checks and balances, which is embodied in local government of Ukraine in the principle of distribution ofpowers between representative local governments (councils), village, town, city and executive bodies of local self-government (exe -cutive committees, departments, administrations and other executive bodies created by councils).


2021 ◽  
Vol 10 (5) ◽  
pp. 155
Author(s):  
Gilda L. Ochoa

By 10 January 2017, activists in the predominately Latina/o working class city of La Puente, California had lobbied the council to declare the city a sanctuary supporting immigrants, people of color, Muslims, LGBTQ people, and people with disabilities. The same community members urged the school district to declare itself a sanctuary. While community members rejoiced in pushing elected officials to pass these inclusive resolutions, there were multiple roadblocks reducing the potential for more substantive change. Drawing on city council and school board meetings, resolutions and my own involvement in this sanctuary struggle, I focus on a continuum of three overlapping and interlocking manifestations of white supremacist heteronormative patriarchy: neoliberal diversity discourses, institutionalized policies, and a re-emergence of high-profiled white supremacist activities. Together, these dynamics minimized, contained and absorbed community activism and possibilities of change. They reinforced the status quo by maintaining limits on who belongs and sustaining intersecting hierarchies of race, immigration status, gender, and sexuality. This extended case adds to the scant scholarship on the current sanctuary struggles, including among immigration scholars. It also illustrates how the state co-opts and marginalizes movement language, ideas, and people, providing a cautionary tale about the forces that restrict more transformative change.


2019 ◽  
Vol 27 (4) ◽  
pp. 298-300
Author(s):  
Céline Miani ◽  
Oliver Razum ◽  
Jacob Spallek

Abstract Children with a migration background are more at risk of health-related problems than those without a migration background. The German health system still does not adequately meet the challenges of on increasingly heterogeneous population, not least due to a lack of adequate epidemiological data and models. The BaBi study contributes to gaining new insights in the development of health inequalities due to cultural diversity in Germany, with a focus on pregnancy and early childhood.


2019 ◽  
Vol 24 ◽  
pp. 100402
Author(s):  
Raúl A. Montañez-Valverde ◽  
Luis Alberto More ◽  
Pablo Mendoza-Novoa

2016 ◽  
Vol 8 (10) ◽  
pp. 212
Author(s):  
Hakimeh Mostafavi ◽  
Arash Rashidian ◽  
Mohammad Arab ◽  
Mohammad R. V. Mahdavi ◽  
Kioomars Ashtarian

<p><strong>Background:</strong> Health systems, as part of the social system, consider public values. This study was conducted to examine the role of social values in the health priority setting in the Iranian health system.</p><p><strong>Methods:</strong> In this qualitative case study, three main data sources were used: literature, national documents, and key informants who were purposefully selected from health care organizations and other related institutions. Data was analyzed and interpreted using the Clark-Weale Framework.</p><p><strong>Results:</strong> According to our results, the public indirectly participates in decision-making. The public representatives participate in the meetings of the health priority setting as parliament members, representatives of some unions, members of the city council, and donors. The transparency of the decisions and the accountability of the decision makers are low. Decision makers only respond to complaints of the Audit Court and the Inspection Organization. Individual choice, although respected in hospitals and clinics, is limited in health care networks because of the referral system. Clinical effectiveness is considered in insurance companies and some hospitals. There are no technical abilities to determine the cost-effectiveness of health technologies; however, some international experiences are employed. Equity and solidarity are considered in different levels of the health system.</p><p><strong>Conclusion:</strong> Social values are considered in the health priority decisions in limited ways. It seems that the lack of an appropriate value-based framework for priority setting and also the lack of public participation are the major defects of the health system. It is recommended that health policymakers invite different groups of people and stakeholders for active involvement in health priority decisions. </p>


10.2196/16982 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e16982 ◽  
Author(s):  
Jeremy Snyder ◽  
Marco Zenone ◽  
Valorie Crooks ◽  
Nadine Schuurman

Background There are a range of perceived gaps and shortcomings in the publicly funded Canadian health system. These include wait times for care, lack of public insurance coverage for dental care and pharmaceuticals, and difficulties accessing specialist care. Medical crowdfunding is a response to these gaps where individuals raise funds from their social networks to address health-related needs. Objective This study aimed to investigate the potential of crowdfunding data to better understand what health-related needs individuals are using crowdfunding for, how these needs compare with the existing commentary on health system deficiencies, and the advantages and limitations of using crowdfunding campaigns to enhance or augment our understanding of perceived health system deficiencies. Methods Crowdfunding campaigns were scraped from the GoFundMe website. These campaigns were then limited to those originating in the metropolitan Vancouver region of two health authorities during 2018. These campaigns were then further limited to those raising funds to allow the treatment of a medical problem or related to needs arising from ill health. These campaigns were then reviewed to identify the underlying health issue and motivation for pursuing crowdfunding. Results We identified 423 campaigns for health-related needs. These campaigns requested CAD $8,715,806 (US $6,088,078) in funding and were pledged CAD $3,477,384 (US $2,428,987) from 27,773 donors. The most common underlying medical condition for campaign recipients was cancer, followed by traumatic injuries from collisions and brain injury and stroke. By far, the most common factor of motivation for crowdfunding was seeking financial support for wages lost because of illness (232/684, 33.9%). Some campaigns (65/684, 9.5%) sought help with purchasing medical equipment and supplies; 8.2% (56/684) sought to fund complementary, alternative, or unproven treatments including experimental interventions; 7.2% (49/684) sought financial support to cover travel-related costs, including in-province and out-of-province (49/684, 7.2%) travel; and 6.3% (43/684) campaigns sought help to pay for medication. Conclusions This analysis demonstrates the potential of crowdfunding data to present timely and context-specific user-created insights into the perceived health-related financial needs of some Canadians. Although the literature on perceived limitations of the Canadian health system focuses on wait times for care and limited access to specialist services, among other issues, these campaigners were much more motivated by gaps in the wider social system such as costs related to unpaid time off work and travel to access care. Our findings demonstrate spatial differences in the underlying medical problems, motivations for crowdfunding, and success using crowdfunding that warrants additional attention. These differences may support established concerns that medical crowdfunding is most commonly used by individuals from relatively privileged socioeconomic backgrounds. We encourage the development of new resources to harness the power of crowdfunding data as a supplementary source of information for Canadian health system stakeholders.


Author(s):  
Jatmiko Suryo Gumilang ◽  
Mahendra Wijaya ◽  
Bagus Haryono

The purpose of this study is to describe social capital of traders in Boyolali Sunggingan Market. The location of this research is conducted in Boyolali District Boyolali Market, with the reason up to now still maintain the pattern of conventional trading interaction. This research is a qualitative research with phenomenology method. Technique of collecting data comes from interview with main data source that is trader and indigenous people around Sunggingan market. While other data comes from observation and documentation. Sampling technique using purposive sampling. Test the validity of the data using source and method triangulation. Analytical techniques using interactive data analysis model that is data collection, data reduction, data presentation, and conclusion. Based on the results of the study can be concluded that the social capital of traders in the market is very important role in traders trading strategies in the market that form a habit of traders that have been done continuously. The conclusion of this research is that merchant traders in Pasar Sunggingan have certain strategies to give their existence.


10.2196/14826 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e14826 ◽  
Author(s):  
Fuzhi Wang ◽  
Zhuoxin Wang ◽  
Weiwei Sun ◽  
Xiumu Yang ◽  
Zhiwei Bian ◽  
...  

Background As representatives of health information communication platforms accessed through mobile phones and mobile terminals, health-related WeChat public accounts (HWPAs) have a large consumer base in the Chinese-speaking world. However, there is still a lack of general understanding of the status quo of HWPAs and the quality of the articles they release. Objective The aims of this study were to assess the conformity of HWPAs to the Health on the Net Foundation Code of Conduct (HONcode) and to evaluate the suitability of articles disseminated by HWPAs. Methods The survey was conducted from April 23 to May 5, 2019. Based on the monthly (March 1-31, 2019) WeChat Index provided by Qingbo Big Data, the top 100 HWPAs were examined to evaluate their HONcode compliance. The first four articles published by each HWPA on the survey dates were selected as samples to evaluate their suitability. All materials were assessed by three raters. The materials were assessed using the HONcode checklist and the Suitability Assessment of Materials (SAM) score sheet. Data analysis was performed with SPSS version 17.0 (SPSS Inc, Chicago, IL, USA) and Excel version 2013 (Microsoft Inc, Washington DC, USA). Results A total of 93 HWPAs and 210 of their released articles were included in this study. For six of the eight principles, the 93 HWPAs nearly consistently did not meet the requirements of the HONcode. The HWPAs certified by Tencent Corporation (66/93, 71%) were generally slightly superior to those without such certification (27/93, 29%) in terms of compliance with HONcode principles. The mean SAM score for the 210 articles was 67.72 (SD 10.930), which indicated “adequate” suitability. There was no significant difference between the SAM scores of the articles published by certified and uncertified HWPAs (P=.07), except in the literacy requirements dimension (tdf=97=–2.418, P=.02). Conclusions The HWPAs had low HONcode conformity. Although the suitability of health information released by HWPAs was at a moderate level, there were still problems identified, such as difficulty in tracing information sources, excessive implicit advertisements, and irregular usage of charts. In addition, the low approval requirements of HWPAs were not conducive to improvement of their service quality.


2015 ◽  
Vol 26 (1) ◽  
pp. 77-82
Author(s):  
Wiyono Wiyono

The objectives of this study are (1) to describe the implementation of the regulatory supervision of the elementary school learning activities, and (2) to describe the implications of the implementation of the regulatory supervision of the elementary school learning activities. The place of research in SDN  Ngadirejan Pringkuku Pacitan. Collecting data using observations, interviews and documentation. Analysis using data collection, data reduction, data presentation and conclusion. The results showed that: (1) Implementation of the regulatory supervision of teaching in schools on SDN Ngadirejan are in three stages, the school superintendent supervision is based on collaboration with the principal; Problems faced by the school supervisor is supervising the status of rank, seniority and friendship.  (2) The implications of the effectiveness of the regulatory supervision of school on school teaching are the level of preparedness of the schools, the school is very positive perception that supervisors provide assistance, guidance, direction and experience of the teacher towards professionalism and very few negative perceptions, success are achieved after supervision is the existence of physical development for the better.


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