scholarly journals Formulating evidence-based public health policies: A guide to policy makers

2015 ◽  
Vol 6 (1) ◽  
pp. 4
Author(s):  
SaurabhR Shrivastava ◽  
PrateekS Shrivastava ◽  
Jegadeesh Ramasamy
2021 ◽  
Author(s):  
Carlos Eduardo Beluzo ◽  
Luciana Correia Alves ◽  
Natália Martins Arruda ◽  
Cátia Sepetauskas ◽  
Everton Silva ◽  
...  

ABSTRACTReduction in child mortality is one of the United Nations Sustainable Development Goals for 2030. In Brazil, despite recent reduction in child mortality in the last decades, the neonatal mortality is a persistent problem and it is associated with the quality of prenatal, childbirth care and social-environmental factors. In a proper health system, the effect of some of these factors could be minimized by the appropriate number of newborn intensive care units, number of health care units, number of neonatal incubators and even by the correct level of instruction of mothers, which can lead to a proper care along the prenatal period. With the intent of providing knowledge resources for planning public health policies focused on neonatal mortality reduction, we propose a new data-driven machine leaning method for Neonatal Mortality Rate forecasting called NeMoR, which predicts neonatal mortality rates for 4 months ahead, using NeoDeathForecast, a monthly base time series dataset composed by these factors and by neonatal mortality rates history (2006-2016), having 57,816 samples, for all 438 Brazilian administrative health regions. In order to build the model, Extra-Tree, XGBoost Regressor, Gradient Boosting Regressor and Lasso machine learning regression models were evaluated and a hyperparameters search was also performed as a fine tune step. The method has been validated using São Paulo city data, mainly because of data quality. On the better configuration the method predicted the neonatal mortality rates with a Mean Square Error lower than 0.18. Besides that, the forecast results may be useful as it provides a way for policy makers to anticipate trends on neonatal mortality rates curves, an important resource for planning public health policies.Graphical AbstractHighlightsProposition of a new data-driven approach for neonatal mortality rate forecast, which provides a way for policy-makers to anticipate trends on neonatal mortality rates curves, making a better planning of health policies focused on NMR reduction possible;a method for NMR forecasting with a MSE lower than 0.18;an extensive evaluation of different Machine Learning (ML) regression models, as well as hyperparameters search, which accounts for the last stage in NeMoR;a new time series database for NMR prediction problems;a new features projection space for NMR forecasting problems, which considerably reduces errors in NRM prediction.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A B Gilmore ◽  
L Robertson ◽  
M Petticrew ◽  
N Maani Hessari

Abstract Current models of the determinants of health risk framing public health problems and solutions in ways that obscure the role that the private sector, in particular large transnational companies, play in shaping population health. This presentation will propose a new conceptual model of the commercial determinants of health which recognises the commercial sector's direct, indirect, upstream and downstream influences on health. It will also present emerging evidence-based taxonomies that draw together evidence on the key corporate practices which stymie the implementation of effective public health policies. In so doing, the presentation will explore how we move from understanding to addressing the commercial determinants of health.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Bakogianni

Abstract Issue/ problem Unhealthy diets, physical inactivity, alcohol and tobacco use are leading risk factors for non-communicable diseases. They are all modifiable and health promotion policies can support that. Description of the problem However, information overload, controversies and uncertainties, budget constraints and difficulties in balancing disparate interests are common challenges that can hamper action by policy makers in the field of public health. To support them, the European Commission has created the Health Promotion and Disease Prevention Knowledge Gateway. It is a reference point for independent and reliable information to assist policy making; it summarises both the data and knowledge needed to support prioritisation of public health policies and justify investments in health promotion. Results The Knowledge Gateway currently covers the areas of nutrition, physical activity, alcohol, marketing of foods and beverages, and related societal impacts such as disease burden and health inequalities. These topics have been prioritised by Member States representatives and policy makers. The content is organised into concise, well-structured briefs which include definition of each issue, health related effects, and examples of policy recommendations and implemented policies. The high-quality source documents are selected in a tiered approach and are mainly authored or endorsed by authoritative public health organisations. Lessons Judging by the positive feedback received, the Knowledge Gateway is being used widely across Member States and stakeholders. The content of the Knowledge Gateway will be further expanded to support other health priorities such as mental health promotion. Policy makers have a unique, trusted “one-stop-shop” with high quality information to support, justify and strengthen the development of public health policies and health promotion. Key messages The use of reliable authoritative information for the development of public health policies can support the prevention of major non-communicable disease risk factors. The EU Knowledge Gateway is a unique reference point of reliable, independent information to support policy making in the area of public health.


2019 ◽  
Vol 42 (2) ◽  
pp. 262-269 ◽  
Author(s):  
Jim McCambridge ◽  
Kypros Kypri ◽  
Trevor A Sheldon ◽  
Mary Madden ◽  
Thomas F Babor

Abstract Development and implementation of evidence-based policies is needed in order to ameliorate the rising toll of non-communicable diseases (NCDs). Alcohol is a key cause of the mortality burden and alcohol policies are under-developed. This is due in part to the global influence of the alcohol industry. We propose that a better understanding of the methods and the effectiveness of alcohol industry influence on public health policies will support efforts to combat such influence, and advance global health. Many of the issues on the research agenda we propose will inform, and be informed by, research into the political influence of other commercial actors.


BMJ ◽  
2013 ◽  
Vol 346 (jun20 5) ◽  
pp. f3763-f3763 ◽  
Author(s):  
P. V. d. Perre ◽  
T. Tylleskar ◽  
J.-F. Delfraissy ◽  
N. Nagot

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Nittas

Abstract The panellist Vasileios Nittas will discuss about the potential and current use of mHealth-based self-quantification tools for primary prevention; key barriers and facilitators; their ethical, structural and contextual implications - as well as their impact on developing robust, evidence-based digital (public) health policies.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Adolescents (10-19) are usually thought of as rather healthy and as low users of health care compared with other age groups. Nevertheless, adolescence is a crucial and challenging transitional journey towards adult life, a time when protective health behaviours and the value of a healthy lifestyle can be adopted, or not, depending on complex interactions between determinants and individual factors. Integration of young people’s health in all policies and research agendas is crucial, beyond the health sector, and keeping in mind the needs to reduce health inequalities and to ensure equitable access to services, in a broad Public health perspective. However, Public health policies targeting young people cannot be fully relevant and efficient if they do not rely on quality data collected among young people, on their health and their health behaviours. Under the auspices of WHO, the Health behaviour in School-aged children (HBSC) survey collects data among 11-13 and 15 years-old students since 1982, in a growing number of mostly European countries, every 4 years, through anonymous self-completed questionnaires filled in in class, using shared validated instruments and methods. Our workshop aims at showing how data collected among adolescents, by improving our understanding of their health and health behaviours as well as their determinants and settings, can be used to inform and improve policies at national level. HBSC will be used as an exemple, because of its longevity, breadth, expertise, reputation and uniqueness in the field of adolescent health. Five contrasted experiences will be presented, illustrating the relevance of linking scientific evidence and policy relevance in a Public health perspective. They have been chosen to offer various perspectives in terms of countries (Ireland, Luxembourg, Israel, UK), topics (well-being, suicide, substance-use, school-health), and levels of links between research and policy. All presenters are skilled researchers, have a longstanding experience of conducting the HBSC survey and they share a strong interest in linking with policy makers in advocating the improvement of the health and well-being of the adolescents in their country. Because they all work on the same population (adolescents), and mainly work on the same survey (HBSC), the presentations and debates will start from a common ground, saving space and time to really illustrate how health behaviour data can inform Public health policies. The presenters should give contrasted perspectives, without denying their failures and difficulties, to engage with the audience for a wider discussion, towards a better partnership between research and policy. Key messages There are national examples that illustrate that research on adolescents’ health behaviour can inform Public health policy targeted at this specific population and improve its health and well-being. Networking and exchanging on failures and success through case studies can provide perspectives to other teams and countries on how to better build the link between researchers and policy makers.


2020 ◽  
Vol 6 (1) ◽  
pp. 83-89
Author(s):  
Rodrigo de Macedo Couto ◽  
Danie Friguglietti Brandespim

The One Health concept represents the inseparability of human, animal, and environmental health through a unified view of health care. This article addressed the topic of public health policies from the One Health perspective, demonstrating its inclusion in various health agendas such as emerging and reemerging infectious diseases, basic sanitation, mental health, chronic non-communicable diseases, interpersonal violence, and food safety. The results showed that the application of the One Health concept to the development and implementation of policies is associated with a growing need to involve transdisciplinary teams for solving complex problems to improve communication and to ensure the relevance and acceptability of public policies, thus guaranteeing governance. According to the principle of efficiency, the government must be aware of the evolution of technical knowledge and should use the One Health approach to improve the efficacy of already existing systems. We, therefore, conducted this review to contextualize current knowledge in this topic which is becoming an essential tool for public health policy-makers and practitioners around the world promoting a reflection on the importance of multiprofessional articulation in the implementation of intersectoral public health policies.


2020 ◽  
pp. 002073142097771
Author(s):  
Howard Waitzkin

According to the official narrative of COVID-19, the pandemic has caused the global capitalist economy to collapse, or at least to enter a deep recession and possibly a great depression. Assigning blame to a virus takes attention away from the structural contradictions and instabilities of capitalism that would have led to a crash in any case. This narrative also helps justify non-evidence-based public health policies, including lockdowns, travel bans, closed schools and factories, and forced quarantines of large populations rather than individuals and clustered groups who harbor the infection. Advantages of such drastic measures happen primarily in countries that did not prepare adequately, that did not respond quickly enough with more focused measures to test and isolate people infected with the virus, and that have health care systems either organized by capitalist principles or suffering cutbacks and privatization as a result of capitalist economic ideologies, such as austerity. Authoritarian tactics purportedly intended to protect public health pave the way to antidemocratic rule, militarism, and fascism. These harsh policies also exert their most adverse effects on poor, minority, incarcerated, immigrant, and otherwise marginalized populations, who already suffer from the worsening economic inequality that global, financialized capitalism has fostered.


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