scholarly journals The Ageing Population and the Challenges of Health Management: A Study of Retirees of Public Institutions in South East Nigeria

2020 ◽  
Vol 7 (1) ◽  
pp. 31
Author(s):  
Samuel O. Okafor ◽  
Christopher O. Ugwuibe

While life expectancy will continue to improve owing to the domestic humanitarian improvement, proxy-policy influence on the sub-Saharan African nations [Nigeria included] by the United Nations and other developed nations, the ageing population will continue to increase making it more or less policy imperative among the nations within this region. Among other things, public health policy occupies the most important position in the web of policy approach to the needs and care for the aged. In the light of the above, the present paper investigated the realities of public health policy outcome [1988 to 2016], as it affects the ageing populations via public health facilities and health packages for the aged. 600 retirees of public institutions from southeast Nigeria were involved in the study, which adopted survey design and modified random sampling techniques. In view of the substantive issues of the study, less than 25% of the respondents go for regular medical checkups and self-health maintenance, more than 80% depended on self-support for medical upkeep; the regression model adopted in the study proved [p< .05], the factors affecting regular health upkeep and satisfaction with services at the public health facilities among the retirees.

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Germaine Hanquet ◽  
Pawel Stefanoff ◽  
Wiebke Hellenbrand ◽  
Sigrid Heuberger ◽  
Pierluigi Lopalco ◽  
...  

The evidence underpinning public health policy is often of low quality, leading to inconsistencies in recommended interventions. One example is the divergence in national policies across Europe for managing contacts of invasive meningococcal disease. Aiming to develop consistent guidance at the European level, a group of experts reviewed the literature and formulated recommendations. The group defined eight priority research questions, searched the literature, and formulated recommendations using GRADE methodology. Five of the research questions are discussed in this paper. After taking into account quality of evidence, benefit, harm, value, preference, burden on patient of the intervention, and resource implications, we made four strong recommendations and five weak recommendations for intervention. Strong recommendations related not only to one question with very low quality of evidence as well as to two questions with moderate to high quality of evidence. The weak recommendations related to two questions with low and very low quality of evidence but also to one question with moderate quality of evidence. GRADE methodology ensures a transparent process and explicit recognition of additional factors that should be considered when making recommendations for policy. This approach can be usefully applied to many areas of public health policy where evidence quality is often low.


2019 ◽  
Author(s):  
Animut Addis Feleke ◽  
Takele Tigro Olbamo ◽  
Binyam Taddesse ◽  
Yibeltal Siraneh

Abstract Background Health management information system is a system that used for routine data collection, analysis and utilization in health system. However, limited study done on routine health management information at individual health professionals level. Hence, the objective of this study was to assess utilization of routine health management information and associated factors among health professionals working at public health facilities of Hadiya Zone Southern Ethiopia. Methods A facility based cross-sectional survey was conducted among health professionals working at public health facilities of Hadia Zone from March 15-30, 2018. Using single population proportion formulae, 477participants were randomly selected. Data were collected by self-administered questioner. The data were entered in to Epi data version 3.1 and exported to SPSS version 23 for statistical analysis. Both bivariate (at P<0.25) and multi variable logistics regressions (at P<0.05) were used to identify predictors of utilization. Finally, the findings were presented using graphs, tables, narratives and descriptive numerical summary. Results The finding of this study revealed that utilization of health management information system among health workers was 54.9%. Knowledge [AOR=1.576, 95%CI (1.012, 2.454)], confidence level [AOR=1.873, 95%CI(1.264,2.776)], participation on data aggregation [AOR=2.289, 95% CI (1.293,4.05­)], register their daily data [AOR=2.529, 95% CI(1.023, 6.251)], and complexity of formats [AOR=1.971, 95%CI(1.29,3.011)] were found to be significantly associated with utilization of health information system at 95%confidence level. Conclusion and recommendations The overall health information utilization among health workers was low relative to other literature. Having good knowledge, high confidence level, participation on data aggregation, registering their daily data were independent predictors of information utilization. Therefore, stakeholders at each level should improve capacity of health care providers like providing training and regular mentorship related with information use.


2001 ◽  
Vol 9 (6) ◽  
pp. 507-509 ◽  
Author(s):  
Rob Baggott ◽  
David J Hunter

2005 ◽  
Author(s):  
Leslie A. Crimin ◽  
Carol T. Miller

Author(s):  
Scott Burris ◽  
Micah L. Berman ◽  
Matthew Penn, and ◽  
Tara Ramanathan Holiday

This chapter explores the powers of Congress to pass federal public health laws and to delegate authority to federal agencies. The chapter starts with an explanation of Congress’s limited, enumerated powers and how this limits Congress to certain arenas of authority. It next explores the evolution Congress’s use of the Commerce Clause to pass public health laws, before exploring Congress’s use of the Taxing and Spending Clause. The chapter provides examples of how Congress has used both the Commerce Clause and its taxing and spending power to effectuate public health policy. Next, the chapter explains the National Federation of Independent Businesses v. Sebelius case; it details challenges to the Affordable Care Act’s individual mandate and Medicaid and explains the implications of the Supreme Court’s holdings. Lastly, the chapter explains Congress’s authority to delegate authority to federal administrative agencies to issue and enforce public health regulations.


Author(s):  
Monika Mitra ◽  
Linda Long-Bellil ◽  
Robyn Powell

This chapter draws on medical, social, and legal perspectives to identify and highlight ethical issues pertaining to the treatment, representation, and inclusion of persons with disabilities in public health policy and practice. A brief history of disability in the United States is provided as a context for examining the key ethical issues related to public health policy and practice. Conceptual frameworks and approaches to disability are then described and applied. The chapter then discusses the imperativeness of expanding access to public health programs by persons with disabilities, the need to address implicit and structural biases, and the importance of including persons with disabilities in public health decision-making.


2019 ◽  
Vol 40 (1) ◽  
pp. 167-185 ◽  
Author(s):  
Sarah E. Gollust ◽  
Erika Franklin Fowler ◽  
Jeff Niederdeppe

Television (TV) news, and especially local TV news, remains an important vehicle through which Americans obtain information about health-related topics. In this review, we synthesize theory and evidence on four main functions of TV news in shaping public health policy and practice: reporting events and information to the public (surveillance); providing the context for and meaning surrounding health issues (interpretation); cultivating community values, beliefs, and norms (socialization); and attracting and maintaining public attention for advertisers (attention merchant). We also identify challenges for TV news as a vehicle for improving public health, including declining audiences, industry changes such as station consolidation, increasingly politicized content, potential spread of misinformation, and lack of attention to inequity. We offer recommendations for public health practitioners and researchers to leverage TV news to improve public health and advance health equity.


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