scholarly journals The scalar arrangements of three European public health systems facing the COVID-19 pandemic: Comparing France, Germany, and Italy

2021 ◽  
Vol 6 (1) ◽  
pp. 89-111
Author(s):  
Olivier Giraud ◽  
Nikola Tietze ◽  
Tania Toffanin ◽  
Camille Noûs
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract The COVID-19 virus presented challenges in virtually every area of public heath, from surveillance to research to action. Governments and whole societies faced hard questions: how should they balance containment measures, economic activity, and human rights? How should they communicate effectively and manage disinformation? How should they slow spread of the disease without triggering xenophobia? How should they manage pressures on health care facilities? How should they manage the consequences of social distancing for society as a whole? This panel addresses the fast-moving events surrounding the virus from the perspective of public health policies and politics. Its goal is to identify and explain the different responses of European countries and the European Union- in other words, why do public health systems act as they do in response to a novel threat? It will contribute to our understanding of how the politics and governance of public health in different countries produce different outcomes, with lessons for the overall organization of European public health and also for immediate responses in what is likely to be an ongoing challenge associated with COVID-19. Each panellist will discuss a country that had a distinctive experience of the virus and response. The countries were selected for the diversity of their situations as well as the significant differences in the organization of public health and health care systems as well broader political differences. Yves Charpak will discuss France, Michelle Falkenbach will discuss Italy; Thomas Czyprionka will discuss the German speaking countries, Anniek de Ruijter will discuss the European Union's collective responses and coordination, and Elizabeth King will discuss Russia. Each speaker will briefly address the challenges experienced by that country and the actions taken, and focus on explaining why those actions happened. Gemma Williams will chair. After the panelist's contributions the debate will open up to draw on the experience of everybody in the room. It will be highly interactive, given that many in the audience will have direct experience of managing the responses to the virus in different countries. The chairs will ensure timekeeping and facilitate discussion. Key messages COVID19 tested every element of European public health systems. The different responses carry lessons about the policy and politics of public health. We can draw lessons to improve the governance and politics of public health as well responses to COVID19.


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.


2018 ◽  
Vol 69 (3) ◽  
pp. 167-170
Author(s):  
Aimee Lee ◽  
Marta Lomazzi ◽  
Hyewon Lee ◽  
Raman Bedi

2003 ◽  
Vol 31 (S4) ◽  
pp. 88-89
Author(s):  
Lawrence O. Gostin ◽  
Glen Safford ◽  
Deborah Erickson

The Turning Point Initiative is an initiative for which the Robert Wood Johnson (RWJ) and W.K. Kellogg foundations partnered in order to fund a group of states and a number of communities within each of those states to work through a planning process to look at ways to strengthen their public health systems at the state and local levels. Out of that process, the states and communities would come together at the national level to talk about what they had been learning and what the issues were. There were a number of issues that resonated with all of the states.


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