Les diagnostics locaux de santé : levier de sensibilisation et de mobilisation pour le pilotage des politiques locales de santé publique visant à réduire les inégalités sociales et territoriales de santé ? (Local health diagnostics : a lever of awareness and mobilization for the management of local public health policies aimed at reducing social and regional unequalities in health ?)

2012 ◽  
Vol 89 (2) ◽  
pp. 184-193
Author(s):  
Zoé Vaillant ◽  
Stéphane Rican ◽  
Gérard Salem
2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
C Chamorro Moreno ◽  
V Santoro Lamelas ◽  
J Oliván Abejer ◽  
C Arias Abad ◽  
T Arechavala Roe

Author(s):  
Lauren E. Wallar ◽  
Andrew Papadopoulos

The University of Guelph Master of Public Health program is a professional degree program that seeks to prepare graduates to meet complex public health needs by developing their proficiency in the 36 public health core competencies. Provision of experiential learning opportunities, such as a semester-long practicum, is part of student development. In the Fall 2013 semester, a new opportunity was introduced in which small groups of students were paired with local public health professionals to complete a capstone business plan assignment that addressed a current public health issue. However, the impact of this external collaboration on the student learning experience was unknown. To address this, quantitative and qualitative information about students’ perceived proficiency in the core competencies and their learning experiences was collected using a pre/post survey and focus groups, respectively. A post-assignment survey was also administered to participating local public health professionals in which they assessed their group’s proficiency in the core competencies, and provided additional feedback. The results of this study showed that students had unique learning experiences with enhanced proficiency in different areas including policy and program planning, implementation and evaluation, assessment and analysis, and partnerships, collaboration and advocacy. Managing and communicating expectations was important throughout the learning experience. By using realistic community-based assignments, graduate public health programs can enrich students’ learning experiences by creating an environment for students to apply their classroom knowledge and gain practical knowledge and skills. Le programme de maîtrise en santé publique de l’Université de Guelph est un programme menant à l’obtention d’un grade professionnel qui prépare les diplômés à répondre aux besoins complexes en santé publique et leur permet d’acquérir 36 compétences principales en santé publique. Le développement des étudiants comprend des occasions d’apprentissage par l’expérience, telles que des stages d’une durée d’un semestre. Au cours du semestre d’automne 2013, une nouvelle occasion a été inaugurée, selon laquelle de petits groupes d’étudiants ont été jumelés avec des professionnels en santé publique de la localité afin de mettre au point un plan d’affaires cadre qui réponde à une question de santé publique qui se posait à ce moment-là. Toutefois, l’impact de cette collaboration externe sur l’apprentissage des étudiants restait inconnu. Pour répondre à cette question, des renseignements quantitatifs et qualitatifs sur la manière dont les étudiants ont perçu l’acquisition de leurs compétences dans les domaines principaux de compétences, ainsi que des détails sur leurs expériences d’apprentissage, ont été recueillis par le biais de sondages menés avant et après l’expérimentation ainsi que par des groupes cibles. Un sondage mené après l’expérimentation a également été mené auprès des professionnels en santé publique de la localité, dans lequel ceux-ci ont évalué les acquisitions de leur groupe dans les compétences principales, et ont fourni des commentaires supplémentaires. Les résultats de cette étude ont montré que les étudiants ont vécu des expériences d’apprentissage uniques qui ont amélioré leurs compétences dans divers domaines, y compris la planification de programmes et de politiques, la mise en oeuvre et l’évaluation, l’estimation et l’analyse, ainsi que les partenariats, la collaboration et le rôle de la promotion. La gestion et la communication des attentes ont été importantes tout au long de l’expérience d’apprentissage. Le fait d’utiliser des tâches réalistes basées dans la communauté permet aux programmes de santé publique de cycles supérieurs d’enrichir l’expérience d’apprentissage des étudiants car cela crée un environnement dans lequel les étudiants mettent en application des connaissances apprises en salle de classe et acquièrent des connaissances et des compétences pratiques.


Societies ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 11
Author(s):  
Tor-Ivar Karlsen ◽  
Charlotte Kiland ◽  
Gro Kvåle ◽  
Dag Olaf Torjesen

Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency.


2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Rui Liu ◽  
Cheng Han ◽  
Di Wu ◽  
Xinghai Xia ◽  
Jianqiu Gu ◽  
...  

We systematically identified the prevalence of hyperuricemia and gout in mainland China and provided informative data that can be used to create appropriate local public health policies. Relevant articles from 2000 to 2014 were identified by searching 5 electronic databases: PubMed, Google Scholar, Chinese Wanfang, CNKI, and Chongqing VIP. All of the calculations were performed using the Stata 11.0 and SPSS 20.0 software. The eligible articles (n=36; 3 in English and 33 in Chinese) included 44 studies (38 regarding hyperuricemia and 6 regarding gout). The pooled prevalence of hyperuricemia and gout was 13.3% (95% CI: 11.9%, 14.6%) and 1.1% (95% CI: 0.7%, 1.5%), respectively. Although publication bias was observed, the results did not change after a trim and fill test, indicating that that impact of this bias was likely insignificant. The prevalence of hyperuricemia and gout was high in mainland China. The subgroup analysis suggested that the geographical region, whether the residents dwell in urban or rural and coastal or inland areas, the economic level, and sex may be associated with prevalence.


JAMIA Open ◽  
2021 ◽  
Author(s):  
Bo Peng ◽  
Rowland W Pettit ◽  
Christopher I Amos

Abstract Objectives We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations. Materials and methods Our simulator simulates the entire course of infection and transmission of the virus among individuals in heterogeneous populations, subject to operations and influences, such as quarantine, testing, social distancing, and community infection. It provides command-line and Jupyter notebook interfaces and a plugin system for user-defined operations. Results The simulator provides quantitative estimates for COVID-19 outbreaks in a variety of scenarios and assists the development of public health policies, risk-reduction operations, and emergency response plans. Discussion Our simulator is powerful, flexible, and customizable, although successful applications require realistic estimation and robustness analysis of population-specific parameters. Conclusion Risk assessment and continuity planning for COVID-19 outbreaks are crucial for the continued operation of many organizations. Our simulator will be continuously expanded to meet this need.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Caló ◽  
B S N Souza ◽  
N D Galvão ◽  
R A G Souza ◽  
J C S Oliveira ◽  
...  

Abstract Background Colorectal cancer has been one of the cancers that most contributed to mortality, in both sexes in the world. In Brazil, cancer is among the top five causes of death and colorectal cancer is ranked on the fifth position. Of the Federative Units belonging to the Legal Amazon, Mato Grosso stands out for the higher adjusted incidence of colorectal cancer for both sexes. Thus, the objective is to characterize deaths from colorectal cancer, according to sociodemographic variables in Mato Grosso from 2000 to 2016. Methods A descriptive study was carried out, using data from the Mortality Information System, made available by the Department of Health of the Mato Grosso State. Deaths of all ages were selected, whose basic cause was identified by the codes from the International Classification of Diseases: (C.18) colon cancer, (C.19) rectosigmoid junction cancer, (C.20) rectal cancer or (C.21) anus cancer. Results Between 2000 and 2016, 31,607 deaths from cancer were registered. Of these, 1,750 (5.6%) were due to colorectal cancer. An increased number of deaths was observed at the end of the period, with a variation from 46 deaths in 2000 from 173 in 2016. Highest frequency was verified in men (51.3%), people aged 60 years or older (59.7%), black (54.6%), married (52.3%) and those with primary education (55.2%). According to Brazilian occupation classification options or those answers filled out on the death certificate, highest frequency were for “Retired” (26.2%), “Housewife” (23.1%), Agricultural/Forestry and Fisheries” (11.3%) and “Production of Industrial Goods and Services” (10.3%). Conclusions This study evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State, and identified priority groups for interventions through public health policies which should include screening and early diagnosis to cope with the disease. Key messages Evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State. Identified priority groups for interventions through public health policies.


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