scholarly journals It never happened to me, so I don’t know if there are procedures”: identification and case management of torture survivors in the reception and public health system of Rome, Italy

2018 ◽  
Vol 28 (2) ◽  
pp. 38-55
Author(s):  
Caterina Spissu ◽  
Gianfranco De Maio ◽  
Rafael Van den Bergh ◽  
Engy Ali ◽  
Emilie Venables ◽  
...  
Keyword(s):  
Public Health ◽  
Case Management ◽  
Health System ◽  
Public Health System ◽  
Health Sector ◽  
Linkage To Care ◽  
Public Health Care ◽  
Prise En Charge ◽  
Correct Identification ◽  
Torture Survivors

Background: Access and linkage to care for migrant torture survivors is contingent on their identification and appropriate referral. However, appropriate tools for identification of survivors are not readily available, and the (staff of) reception systems of host countries may not always be equipped for this task. This study explores practices in the identification and case management of torture survivors in the reception structures and in the public health sector in Rome, Italy. Method: Data were analysed manually and codes and themes generated. Results: A non-homogeneous level of awareness and experience with torture survivors was observed, together with a general lack of knowledge on national and internal procedures for correct identification of torture survivors. Identification and case management of torture survivors was mainly carried out by non-trained staff. Participants expressed the need for training to gain experience in the identification and management of torture survivors’ cases, as well support and increased resources at both the reception and public health system levels. Conclusions: The crucial process of identification and prise en charge of survivors of torture among migrant and refugee populations is relegated to nontrained and inexperienced professionals at different levels of the reception system and public health care sector, which may carry a risk of non-identification andpossible harm to survivors. Additional resources and structured interventions are urgently needed, in the form of developing procedures, training, and adapted multidisciplinary services.

Applications of a Health Planning Model in Morocco

1976 ◽  
Vol 6 (1) ◽  
pp. 103-122 ◽  
Author(s):  
Robin Barlow
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Health Planning ◽  
Health Sector ◽  
Underdeveloped Country ◽  
General Hospitals ◽  
Principle Calculation ◽  
Vaccination Programs ◽  
Made In

It is argued in this paper that public health planning should be guided by the principle of output maximization. The objectives of the health sector should be specified, and measurable forms of output should be derived from these statements of purpose. Knowledge of the contributions which given combinations of inputs make toward output thus defined allow, in principle, calculation of the particular deployment of the available inputs which will maximize output. There is a discussion of the objectives or forms of output in a public health system, both humanitarian and economic. A verbal model of such a system for an underdeveloped country is constructed which identifies the relationships which must be known if spending decisions are to succeed in maximizing output. An attempt is then made, in the context of the Moroccan public health system, to show that the model is not merely a theoretical exercise, but is potentially useful as a planning instrument. The respective contributions of general hospitals and of mass vaccination programs toward the objective of reducing mortality are estimated. On the whole, the preventive activities (the mass vaccinations) are found to be a much cheaper way of saving lives than are the curative activities (the general hospitals).

scholarly journals Globalisation of Diseases: The Challenges of COVID-19 Pandemic and Public Health System in Nigeria

2021 ◽  
Vol 19 (1) ◽  
pp. 107-117
Author(s):  
Ayesoro Sunday Adesina
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Health System ◽  
Global Economy ◽  
Public Health System ◽  
Health Sector ◽  
Developed Countries ◽  
World Health ◽  
The World ◽  
Challenging Situation

Globalisation is a process that integrates the world socio-economic system through trade liberalization, the free movement of people, technologies and information. It has equally made the spread of infectious diseases much easier globally. In essence, infectious diseases such as COVID-19, are easily transmitted across the countries of the world through the network created by globalisation poses serious challenges to the world health system, particularly developing countries like Nigeria. Public health system in Nigeria is overwhelmed by the consequences of the COVID-19 pandemic, which further exposes the country to the adverse effects of globalisation such as dependence and unequal relationship between her and the developed countries. Although the challenging situation provides Nigeria an opportunity to overhaul her public health system, the current poor global economy has further worsened the problems. This paper analyses the situation, and recommends that Nigerian government should look inward to develop her Public health system in a more sustainable way, also, the economy should be repositioned to reduce the level of dependence, and resources should be redirected to adequately fund education and research to support the health sector. The analysis is based on the premises of dependency perspective

scholarly journals Depression during pregnancy in the Brazilian public health care system

2010 ◽  
Vol 32 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Ricardo Azevedo da Silva ◽  
Karen Jansen ◽  
Luciano Dias de Mattos Souza ◽  
Inácia Gomes da Silva Moraes ◽  
Elaine Tomasi ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Pregnant Women ◽  
Public Health System ◽  
Psychiatric Treatment ◽  
Depression Scale ◽  
Stressful Events ◽  
Public Health Care ◽  
The Public ◽  
Prevalence Of Depression

OBJECTIVE: To estimate the prevalence of depression and correlate clinical and demographic characteristics in pregnant women assisted by the public health system in the city of Pelotas, RS, Brazil. METHOD: We performed a cross-sectional study focused on pregnant women assisted by the public health service. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depression. RESULTS: In a sample of 1,264 pregnant women aged 12-46 years, 21.1% (n = 255) presented a depressive episode during pregnancy. The presence of depression was associated with older age, lower education, lack of a cohabiting partner, not being primiparous, planned pregnancy, abortion thoughts, psychological or psychiatric treatment, smoking and alcohol consumption during pregnancy, and stressful events. CONCLUSION: Pregnant women assisted by the Brazilian public health system presented a high prevalence of depression. Psychiatric history, lack of support, and stressful events increase the probability of antenatal depression.

India as a Pioneer of Innovation

2018 ◽  
Keyword(s):  
Public Health ◽  
Health System ◽  
Informal Economy ◽  
Urban Poor ◽  
Public Health System ◽  
Low Cost ◽  
Social Enterprises ◽  
Specific Context ◽  
Innovation Project ◽  
Context Specific

What does innovation mean to and in India? What are the predominant areas of innovation for India, and under what situations do they succeed or fail? This book addresses these all-important questions arising within diverse Indian contexts: informal economy, low-cost settings, large business groups, entertainment and copyright-based industries, an evolving pharma sector, a poorly organized and appallingly underfunded public health system, social enterprises for the urban poor, and innovations for the millions. It explores the issues that promote and those that hinder the country’s rise as an innovation leader. The book’s balanced perspective on India’s promises and failings makes it a valuable addition for those who believe that India’s future banks heavily on its ability to leapfrog using innovation, as well as those sceptical of the Indian state’s belief in the potential of private enterprise and innovation. It also provides critical insights on innovation in general, the most important of which being the highly context-specific, context-driven character of the innovation project.

scholarly journals Epidemic of plague amidst COVID-19 in Madagascar: efforts, challenges, and recommendations

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Abdullahi Tunde Aborode ◽  
Ana Carla dos Santos Costa ◽  
Anmol Mohan ◽  
Samarth Goyal ◽  
Aishat Temitope Rabiu ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Healthcare Sector ◽  
The Face ◽  
Endemic Areas

AbstractThe plague has been wreaking havoc on people in Madagascar with the COVID-19 pandemic. Madagascar’s healthcare sector is striving to respond to COVID-19 in the face of a plague outbreak that has created a new strain on the country’s public health system. The goal and activities of the gradual epidemic of plague in Madagascar during COVID-19 are described in this research. In order to contain the plague and the COVID-19 pandemic in this country, we have suggested long-term recommendations that can help to contain the outbreak so that it may spread to non-endemic areas.

scholarly journals Vaccination knowledge, attitudes and practices in patients with HIV: a cross-sectional survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rousset ◽  
G Voglino ◽  
E Boietti ◽  
A Corradi ◽  
M R Gualano ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Health System ◽  
Vaccination Coverage ◽  
Public Health System ◽  
Cross Sectional Survey ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Contagion Risk ◽  
High Level

Abstract Background Infectious diseases are more common and severe in patients with HIV, which show different response to vaccines and a diminished protection. It is therefore very important to assess knowledge and attitudes towards vaccination in people with HIV, since precise vaccination coverage and vaccine hesitancy are not well established in this subgroup of patients. Methods A sample of 119 patients with HIV completed a cross-sectional survey. Patients were recruited during their routine medical examination at the infectious diseases clinic in Turin. The survey explored these main areas: demographics and history of HIV infection, vaccination history, attitudes towards vaccination, confidence in the public health system, contagion risk and disease seriousness perception. In this preliminary phase descriptive analysis were conducted. Results Preliminary data show that mean age of the participants was 49.51 years, 80% were males. The median of HIV infection duration was 10 years, while the median of the lymphocyte count was 762.50 cells/mm3. The disease with the highest vaccination coverage was tetanus (88.7%), considered a serious or very serious disease by 85.6% of the participants, despite low or very low contagion risk perception (84.1%). The disease with the lowest vaccination coverage was Herpes Zoster (7.3%), despite high or very high seriousness perception (70%). Furthermore, 99.1% of the participants showed high or very high confidence toward public health system professionals, and the majority of them (59.5%) stated that vaccines are more useful for the community than for the single person. Conclusions Vaccination coverage is still not fully satisfactory regarding diseases considered infrequent or mild. Considering the high level of confidence toward the public health system that has emerged, it is necessary to implement informative and operative strategies about vaccination for European HIV patients, which are particularly at risk regarding infectious diseases. Key messages Vaccination coverage and risk perception in HIV patients is not satisfactory for many diseases and an effort to implement informative strategies in Europe is needed. The role of vaccination in preventing infectious diseases in HIV patients should be recognized and strengthened by relying on the high level of confidence toward European public health systems.

scholarly journals Impact of COVID-19 pandemic on oral health procedures provided by the Brazilian public health system

2021 ◽  
Author(s):  
Mateus Bertolini Fernandes dos Santos ◽  
Ana Luiza Cardoso Pires ◽  
Júlia Machado Saporiti ◽  
Mateus De Azevedo Kinalski ◽  
Leonardo Marchini
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Health System ◽  
Public Health System
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