Implications of System on Health and Public Health Practice and Research

Chapters 10 and 11 were about the methodology and results, respectively, on the system's impact on compliance of the healthcare providers with the maternal health guidelines. Chapter 12 now considers the broader consequences of the BACIS program study. First, a discussion of the results of the BACIS program study in relation to the safe motherhood programme is undertaken. This is followed by a discussion of the issue of non-utilisation of health services, which is an issue that impacts on outcomes and programme success. After this follows a section on the discussion of the results of the BACIS program study against other e-health interventions that are in use or have been proposed, then next against other public health interventions in general, not just e-health systems. The final section discusses the study's results against the backdrop of the broader topic of primary healthcare functioning.

Author(s):  
Chengfang Liu ◽  
Linxiu Zhang ◽  
Yaojiang Shi ◽  
Huan ZHOU ◽  
Alexis Medina ◽  
...  

Purpose Many public health systems have struggled with the dual questions of (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it. The objective of this study is to assess the uptake rate of a new set of maternal health services in poor rural areas of China. Design/methodology/approach The analysis is based on the survey responses of women’s representatives and village cadres from almost 1000 villages in June 2012 as part of a wide-scale public health survey in Sichuan, Gansu and Yunnan provinces in the western part of China. Findings We find that the uptake rate of maternal health services (including in-hospital delivery, antenatal care visits and post-partum care visits) in poor rural areas of western China are far below average in China, and that the rates vary across provinces and ethnic groups. Our analyses demonstrate that distance, income, ethnicity and availability appear to be systematically correlated with low uptake rates of all maternal health services. Demand-side factors seem to be by far the most important sources of the differences between subpopulations. We also find that there is potential for creating a Conditional Cash Transfer program to improve the usage of maternal health services. Originality/value We believe that our results will contribute positively to the exploration of answers to the dual questions that many public health systems have struggled with (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it.


Author(s):  
Olaf Müller ◽  
Guangyu Lu ◽  
Albrecht Jahn ◽  
Oliver Razum

The coronavirus disease 2019 (COVID-19) outbreak started in China in December 2019 and has developed into a pandemic. Using mandatory large-scale public health interventions including a lockdown with locally varying intensity and duration, China has been successful in controlling the epidemic at an early stage. The epicentre of the pandemic has since shifted to Europe and The Americas. In certain cities and regions, health systems became overwhelmed by high numbers of cases and deaths, whereas other regions continue to experience low incidence rates. Still, lockdowns were usually implemented country-wide, albeit with differing intensities between countries. Compared to its neighbours, Germany has managed to keep the epidemic relatively well under control, in spite of a lockdown that was only partial. In analogy to many countries at a similar stage, Germany is now under increasing pressure to further relax lockdown measures to limit economic and psychosocial costs. However, if this is done too rapidly, Germany risks facing tens of thousands more severe cases of COVID-19 and deaths in the coming months. Hence, it could again follow China’s example and relax measures according to local incidence, based on intensive testing.


2020 ◽  
Vol 61 (5) ◽  
pp. 568-571 ◽  
Author(s):  
Scott A. Simpson ◽  
Audrey Dumas ◽  
Anna K. McDowell ◽  
Patricia Westmoreland

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Katia Charland ◽  
Hiroshi Mamiya ◽  
David Buckeridge

Food consumption data gathered at a fine enough spatial and temporal resolution is essential for the effective delivery and evaluation of diet-related public health interventions. Currently, the standard for food consumption data is food surveys. However, they are a burden on the respondant, are prone to bias and are often published after a long delay. In our study, we illustrate the utility of digital food purchasing data in public health practice by demonstrating a drop in soda sales following two public health interventions implemented in late 2011 in Montreal, Canada, to decrease the consumption of soda in school-aged children.


Author(s):  
Steve Gillam

Having read this chapter, you should: understand why effective systems of primary care—entailing universal health coverage—are integral to delivering public health objectives; know those public health interventions that primary care professionals provide; be able to define those elements of primary care that need strengthening in order to deliver public health objectives; appreciate how the skills of public health and primary care practitioners complement and contrast with one another.


Author(s):  
Steve Gillam

Having read this chapter, you should be able to understand why effective systems of primary care are integral to delivering public health objectives, know those public health interventions that primary care professionals provide, and define those elements of primary care that need strengthening in order to deliver public health objectives.


2016 ◽  
Vol 5 (2) ◽  
pp. 7-12 ◽  
Author(s):  
Pramod R Regmi ◽  
Nirmal Aryal ◽  
Puspa Raj Pant ◽  
Edwin Van Teijlingen ◽  
Padam Simkhada ◽  
...  

The occurrence of natural disasters including earthquake is becoming more frequent phenomena worldwide. All these disasters trigger huge damages to infrastructure, economies as well as population health. Nepal’s earthquake in 2015 has multiple effects on population health and health services delivery. Many public health facilities, mostly health posts or sub-healthposts, were damaged or completely destroyed. Priority health services such as immunization and antenatal care were also seriously affected. The earthquake has prompted the need for a disaster-related population-health-research agenda as well as renewed disaster strategy in post-earthquake Nepal. Meanwhile, it also unveiled the gap in knowledge and practice regarding earthquake resilience in Nepal. There is an opportunity for school-based and community-based interventions in both disaster preparedness and resilience. Nepal can build on experiences from other countries as well as from its own. We have discussed possible impacts of the Nepal earthquake on population health and health system infrastructures. We have also suggested possible public health interventions bestowing active awareness among the population and a research agenda in this regard. We strongly urge for the translation of the National Health Policy (2014) into action, as it prioritizes the need of an earthquake resistant infrastructure as well as the implementation of a disaster response plan.South East Asia Journal of Public Health Vol.5(2) 2015: 7-12


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