scholarly journals Public health and health promotion capacity at national and regional level: a review of conceptual frameworks

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Christoph Aluttis ◽  
Stephan Van den Broucke ◽  
Cristina Chiotan ◽  
Caroline Costongs ◽  
Kai Michelsen ◽  
...  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Capacity Building ◽  
Health Sector ◽  
Geographical Location ◽  
Organizational Structures ◽  
Regional Level ◽  
Conceptual Frameworks ◽  
The Core ◽  
Set Up

The concept of capacity building for public health has gained much attention during the last decade. National as well as international organizations increasingly focus their efforts on capacity building to improve performance in the health sector. During the past two decades, a variety of conceptual frameworks have been developed which describe relevant dimensions for public health capacity. Notably, these frameworks differ in design and conceptualization. This paper therefore reviews the existing conceptual frameworks and integrates them into one framework, which contains the most relevant dimensions for public health capacity at the country or regional level. A comprehensive literature search was performed to identify frameworks addressing public health capacity building at the national or regional level. We content-analysed these frameworks to identify the core dimensions of public health capacity. The dimensions were subsequently synthesized into a set of thematic areas to construct a conceptual framework which describes the most relevant dimensions for capacities at the national or regional level. The systematic review resulted in the identification of seven core domains for public health capacity: resources, organizational structures, workforce, partnerships, leadership and governance, knowledge development and country specific context. Accordingly, these dimensions were used to construct a framework, which describes these core domains more in detail. Our research shows that although there is no generally agreed upon model of public health capacity, a number of key domains for public health and health promotion capacity are consistently recurring in existing frameworks, regardless of their geographical location or thematic area. As only little work on the core concepts of public health capacities has yet taken place, this study adds value to the discourse by identifying these consistencies across existing frameworks and by synthesising them into a new framework. The framework proposed in this paper can act as a theoretical guide for academic researchers and institutions to set up their own public health capacity assessment.

scholarly journals Who manages health workforce in the States of India: Profile, knowledge and perceptions of the team

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Khurana ◽  
S Roy ◽  
M Gupta
Keyword(s):  
Public Health ◽  
Capacity Building ◽  
Human Resource ◽  
Health Workforce ◽  
Health Sector ◽  
Limited Resource ◽  
Role Clarity ◽  
Public Health Sector ◽  
Hrm Practices ◽  
Significant Difference

Abstract Problem Human resources in the public health sector is of prime importance in a limited resource setting country, who at times work in a high-pressure, limited resource environment and where skilled staff continue to remain in short supply. The role of Human Resource for Health (HRH) team responsible for managing this health workforce is crucial. They play an important role in improving the human resource practices and creating an enabling organizational culture for optimal resource utilization. The paper explores the profile of the HRH teams of the states of India, their knowledge levels, and perceptions of their role. Methods The participants were HR Managers from 29 states of India who look after HRH in National Health Mission and State Health Departments. Cross-sectional survey tool was used for data collection. Quantitative data analysis included univariate and bivariate analysis. One Way ANOVA test of significance and post-hoc tests using Tukey's method was used to ascertain the groups with significant difference. Results Most of the HRH team members are postgraduates or have management background. Their experience varies from <1year to > 25 years. Mostly of them perceive their role to be limited to implementing bare essential HRM practices, mostly administrative. The educational qualification of the members did not have any significant bearing on their technical knowledge related to HRM practices; but their experience in public health sector showed a significant association. Lessons This study lends evidence to the principle that professionals who have been in the system for long, know about HRH and the associated policies better, and hence may be better equipped to handle HRH and establish good HR Management (HRM) systems. Better role clarity among the HRH teams, expansion of their current scope of work to include advanced practices of HRM and continuous capacity building mechanisms are needed to help strengthen the development and management of HRH. Key messages This study, a first of its kind in the country, lend evidence related to the principle for deciding the profile of team who should be entrusted with managing and development of HRH. The Study gives evidence to focus on the role clarity of HRH to zero down their knowledge and skills gaps and enhance their competencies through better capacity building.

scholarly journals Sistem Pendukung Keputusan untuk Penentuan Prioritas Pemberdayaan Masyarakat melalui Perilaku Hidup Bersih dan Sehat Menggunakan Metode Topsis

2019 ◽  
Vol 6 (5) ◽  
pp. 501
Author(s):  
Alif Catur Murti ◽  
Ahmad Abdul Chamid
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Environmental Health ◽  
Health Workers ◽  
Healthy Lifestyle ◽  
Health Sector ◽  
Good Health ◽  
Health Lifestyle ◽  
Determining Factors ◽  
The Republic

<p class="Abstrak">Sektor kesehatan yang menjadi pilar utama  pemerintah Kabupaten Kudus diwujudkan dengan pengembangan sarana serta pelayanan kesehatan yang baik di masing – masing kecamatan. Dinas kesehatan memiliki tanggung jawab untuk melakukan upaya menjaga dan meningkatkan taraf kesehatan masyarakat, dengan dibantu tenaga kesehatan yang berada di puskesmas dan pustu di tiap kecamatan. Kondisi tingkat kesehatan masyarakat yang fluktuatif terjadi, karena dipengaruhi oleh tidak tepatnya sasaran masyarakat yang perlu dilakukan pemberdayaan, Dapat dikatakan promosi kesehatan ini masih belum dapat dikatakan efektif, karena belum adanya sistem yang bisa memrioritaskan masyarakat yang membutuhkan pemberdayaan dalam bentuk promosi dan penyuluhan kesehatan. Dalam penelitian ini metode yang digunakan adalah TOPSIS dan kriteria yang digunakan ada 4 yaitu KIA, Kesehatan Lingkungan, Gaya Hidup, dan Upaya Kesehatan masyarakat. Masing – masing kriteria memiliki jumlah indikator penilaian yang berbeda dimana KIA memiliki 4 indikator, Kesehatan lingkungan dan gaya hidup masing – masing 5 indikator, sedangkan upaya kesehatan masyarakat 2 indikator. Indikator penilaian ini sesuai dengan Peraturan Mentri Kesehatan Republik Indonesia No 2269/MENKES/PER/XI/2011.<strong> </strong>Metode TOPSIS digunakan karena mampu mencari alternatif optimal berdasarkan jarak ideal positif dan negatif. Dari hasil analisa Kritria PHBS (Prilaku Hidup Bersih dan Sehat) yang menjadi faktor penentu adalah pada kriteria Upaya kesehatan Masyarakat karena tahapan akhir dari kesadaran pentingnya kesehatan tidak hanya sampai individu saja, melainkan sudah berkembang sampai mendukung dan melakukan upaya kesehatan masyarakat.</p><p class="Abstrak"> </p><p class="Abstrak"><em><strong>Abstract</strong></em></p><p class="Abstract">The health sector which is the main pillar of the Kudus Regency government is realized by developing good health facilities and services in each sub-district. The health office has the responsibility to make efforts to maintain and improve the health of the community, with the help of health workers in the health center in each sub-district. Fluctuating public health conditions occur, because it is influenced by the inaccurate target of the community that needs to be empowered. It can be said that this health promotion still cannot be said to be effective, because there is no system that can prioritize people who need empowerment in the form of health promotion and counseling. In this study the method used is TOPSIS and the criteria used are 4, namely KIA, Environmental Health, Lifestyle, and Public Health Efforts. Each criterion has a number of different assessment indicators where KIA has 4 indicators, environmental health and lifestyle of each of the 5 indicators, while public health efforts are 2 indicators. The indicator of this assessment is in accordance with the Regulation of the Minister of Health of the Republic of Indonesia No 2269 / MENKES / PER / XI / 2011. The TOPSIS method is used because it is able to find optimal alternatives based on ideal positive and negative distances. From the results of the PHBS Critical (Clean and Healthy Lifestyle) analysis that are the determining factors are the criteria for Public Health Efforts because the final stages of awareness of the importance of health are not only for individuals, but have developed to support and make public health efforts.</p>

Development of the Healthy Work Collaborative: Findings From an Action Research Study to Inform a Policy, Systems, and Environmental Change Capacity-Building Initiative Addressing Precarious Employment

2020 ◽  
Vol 22 (1) ◽  
pp. 41-51
Author(s):  
Christina Welter ◽  
Elizabeth Jarpe-Ratner ◽  
Tessa Bonney ◽  
Eve C. Pinsker ◽  
Elizabeth Fisher ◽  
...  
Keyword(s):  
Health Promotion ◽  
Action Research ◽  
Capacity Building ◽  
Occupational Safety ◽  
Health Sector ◽  
Complex Problem ◽  
Economic Sectors ◽  
Precarious Employment ◽  
Healthy Work ◽  
Policy Systems

Precarious employment (PE) is a complex problem that affects an increasing number of workers across all economic sectors who experience low wages, hazardous conditions, and few benefits, and results in adverse health outcomes. PE is characterized by nontraditional work arrangements, precluding workplace-based interventions. Policy, systems, and environmental initiatives that engage cross-sectoral stakeholders may be an applicable health promotion approach to address PE. The University of of Illinois at Chicago Center for Healthy Work’s Healthy Communities through Healthy Work (HCHW) is an outreach project of the Centers for Disease Control and Prevention/National Institute for Occupational Safety and Health–funded Center of Excellence for Total Worker Health that conducted a multiphased qualitative action research (AR) study. AR designs may be a novel approach to develop initiatives to address problems like PE. This article reports on HCHW’s first AR phase to answer four research questions: (1) What are participants’ perceptions of PE? (2) What are participants’ perceptions of their roles in addressing PE? (3) What initiatives are under way that address PE? and (4) How can the findings be used to facilitate opportunities for healthy work? Key informant interviews with health (public health and health care; N = 23) and labor sector organizations (worker centers, worker advocacy organizations, and unions; N = 21) were conducted. Data were thematically analyzed alongside a chart-based content analysis, and shared in 11 key stakeholder meetings. Findings revealed an opportunity for the labor sector to improve health sector readiness to address PE in the context of health, and were used to develop the Healthy Work Collaborative, a cross-sectoral health promotion capacity building policy, systems, and environmenta change initiative to address PE.

scholarly journals Flood Response and Civil-Military Coordination in Pakistan

2021 ◽  
Author(s):  
Ali Arshad ◽  
Sharif Razia ◽  
Iqbal Mazhar M
Keyword(s):  
Geographical Location ◽  
Regional Level ◽  
Policy Makers ◽  
Response System ◽  
Mode Of Operation ◽  
Established Fact ◽  
Flood Response ◽  
Set Up ◽  
Surface Geology

It is an established fact that Pakistan is prone to disasters and damage caused by these disasters is immeasurable and varies with the geographical location, climate, and type of earth surface, geology and degree of vulnerability. The paper focus on underpinnings of flood response, however, emphasis  will be on role of Corps of Engineers (Army), Civil-Military coordination in 2010 Floods and prolonged employment of Army on such tasks. The main focus of this paper is on the existing role of military, their relationship with the civil set-up and the expectations of both the group from each other. Moreover, this paper also reviews about the existing frameworks and mechanisms of coordination between the two groups. The paper may help managers, policy makers and army engineers and government authorities to realistically evolve flood response, and decentralized mode of operation should be adapted from national to regional level in order to follow an integrated framework for bringing all stakeholders and victims together for developing an organized response system. However, the prolonged employment of Army on mitigation of disasters must be avoided.  

The affordable dream

2021 ◽  
pp. 59-76
Author(s):  
Christopher Dye
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Workplace Health Promotion ◽  
Health Sector ◽  
Health Coverage ◽  
Health In All Policies ◽  
Workplace Health ◽  
Preventive Methods ◽  
Universal Health ◽  
Public Demand

Prevention is integral to achieving health equity and Universal Health Coverage. And yet prevention is a healthcare orphan: it is not usually a priority in the health sector or in any other sector of government. This chapter suggests five ways to redress that disadvantage: give prevention and public health budgets that are separate and protected from medical services, based on demonstrated benefits; define the goals of prevention in collaboration with, and considering the objectives and values held by, those who make the decisions; reassess the value for money provided by preventive methods that presently command large budgets, such as ‘healthy condition monitoring’; stimulate latent public demand for prevention by improving access to screening programmes, calibrating health insurance to favour prevention, and through workplace health promotion schemes, among others; and improve the appeal of prevention across the whole of government (beyond the health sector), using evidence to reinforce the long-standing goal of putting ‘Health in All Policies’.

scholarly journals Assessment of Community Capacity Building Ability of Health Promotion Workers in Public Health Centers

2009 ◽  
Vol 42 (5) ◽  
pp. 283 ◽  
Author(s):  
Jung Min Kim ◽  
Kwang Wook Koh ◽  
Byeng Chul Yu ◽  
Man Joong Jeon ◽  
Yoon Ji Kim ◽  
...  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Capacity Building ◽  
Community Capacity ◽  
Health Centers ◽  
Community Capacity Building

scholarly journals LITERATURE REVIEW: THE ROLE AND EFFECTS OF HOSPITAL HEALTH PROMOTION ON HEALTH POLITICS

2021 ◽  
Vol 16 (2) ◽  
pp. 327
Author(s):  
Neula Armyttha Rizki Ramadhani
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Health Services ◽  
Literature Review ◽  
Healing Process ◽  
Health Sector ◽  
Preventive Treatment ◽  
Health Facilities ◽  
Health Politics ◽  
Improve Health

ABSTRACTAn applicable health system must be integrated with existing health facilities in the community, such as health facilities at hospitals. One of the efforts made by the hospital is hospital health promotion aimed to enable patients and their families to prevent health problems, improve health more independently, and be active in the healing process, of course while being supported by policy regulations. This study aimed to describe the implementation of hospital health promotion as a health political product that certainly affects the degree of public health. This study was a literature review. Data were collected by library research. Based on the results, making a political decision (especially in the health sector) would affect the health of the community, in addition to politics being influenced by the state of public health. The role of hospitals as health promoters could be realized through hospital health promotion with a new preventive paradigm. Moreover, health promotion could also help improve fair and equal health services while still prioritizing quality and promoting preventive and promotive efforts. More numbers of health personnel both in the curative and preventive treatment should be considered for health policymaking to improve health services, especially in hospital settings. Keywords: health promotion in hospital, health politics

scholarly journals Challenges of devolved health care in Kenya: an analysis of the policy and legislative framework

2020 ◽  
Vol 7 (4) ◽  
pp. 501-524
Author(s):  
Naomi GICHUKI
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Sector ◽  
Transitional Period ◽  
Human Right ◽  
The Core ◽  
Concept Of Health ◽  
The World ◽  
Governance Challenges ◽  
Legislative Framework

This paper comes in the wake of the COVID-19 Pandemic. A pandemic that not only ground the world to a halt, but one that also forced governments and stakeholders alike to critically evaluate the health sector. Inherent challenges plaguing the sector have been emphasized, and latent challenges brought to the surface. In Kenya, health is the largest devolved function of government, thanks to the Constitution of 2010, which devolved administrative and other governance functions to the 47 counties. Through what should have been a transitional period until now, devolution continues to present diverse administrative and governance challenges across the board, and the health sector, like many others, has not been spared. This paper examines the concept of health in light of public health and as a fundamental human right. This is followed by an examination of the policy and legislative framework that informs, guides, governs and regulates the health sector in Kenya as well as an exposition of the core challenges affecting the health sector. Recommendations and further areas of research form the conclusion of this paper.

scholarly journals The health promotion shift into Primary Health Organisations: Implications for the health promotion workforce

2011 ◽  
Vol 3 (1) ◽  
pp. 41 ◽  
Author(s):  
Sarah Lovell ◽  
Pat Neuwelt
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
New Zealand ◽  
Health Sector ◽  
Primary Health ◽  
Primary Care Sector ◽  
Care Health

INTRODUCTION: Reconciling the primary care sector’s traditional concern for individual health outcomes with a population health approach is integral to the implementation of New Zealand’s Primary Health Care Strategy, and a key challenge for health promotion in New Zealand. The purpose of this study was to examine the views of health promoters, their funders and managers toward the implementation of the Primary Health Care Strategy’s health promotion agenda. METHODS: Focus groups and interviews were carried out with 64 health promoters and 21 health sector managers and planners and funders over the 12 months beginning March 2008. Interview and focus group transcripts were analysed thematically. FINDINGS: Primary Health Organisations (PHOs) have been perceived as both an opportunity and a threat to health promotion. The opportunity was seen to lie in the development of health promotion responsive to the needs of communities. Yet the numerous PHOs that emerged spread funding and capacity for health promotion thin, particularly amongst smaller PHOs. CONCLUSION: The failure of the Ministry of Health to engage the health promotion workforce in the development and implementation of the Primary Health Care Strategy has led to a clear sense of vulnerability among health promoters. Ideological divisions between primary care and public health have been exacerbated by the restructuring of health promotion funding and delivery. Within non-governmental organisations and public health units concern continues to surround the legitimacy of health promotion approaches undertaken within the primary health care sector. KEYWORDS: Health promotion; primary health care; health policy; Primary Health Organisations; New Zealand; restructuring

scholarly journals Core Competency of Mid-level Public Health Managers in Bangladesh

2018 ◽  
Vol 43 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Sharmin Jahan ◽  
Meerjady Sabrina Flora
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Policy Development ◽  
Core Competencies ◽  
Health Sector ◽  
Health Science ◽  
Cross Sectional ◽  
Female Ratio ◽  
The Core ◽  
Health Managers

Bangladesh has been making remarkable progress in health sector. Despite, there are some areas where further intervention is required. People-centered health systems cannot be strengthened without competent management. Core competencies are the essential knowledge, skills and attitudes required for the practice of public health. This was a first kind of effort to assess the core competencies of mid-level public health managers, working at different tiers of health system in Bangladesh.  This descriptive cross-sectional study was conducted from July 2012 to June 2013, to assess the core competencies of mid-level public health managers including Civil Surgeons, Programme Managers, Upazilla Health and Family Planning Officers and Upazilla Family Planning Officers.  Data were collected by pretested self administered questionnaire based on competency measuring scale consisting of four grades of scoring. The questionnaires were mailed to 678 managers of whom 26% responded. The male female ratio of the respondents was 8:1 with an average age of 51 years. The level of competency was found, on scale, between aware and knowledgeable. Only 12.4% of the managers had postgraduate education in public health and they obtained higher average scores in all domains. The overall scores of managers in analytical, policy development, communication, cultural competency, community dimension of practice, public health science, financial planning and leadership skills were 2.6, 2.5, 2.6, 2.6, 2.7, 2.3, 2.6 and 2.7 respectively. Some two-thirds (65.7%) of the respondents had short training on different public health areas, and they showed better competency. The study findings suggest that there are scopes of improvement in the competency of mid-level public health managers in Bangladesh. As postgraduation and short training in public health might improve the competency level of the mid-level managers, so education and training for them are thus recommended.

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