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[PMID]:29257359
[Au] Autor:Shin M; Sircar K
[Ti] Título:Tracking Carbon Monoxide Poisoning to Better Understand How People Are Poisoned.
[So] Source:J Environ Health;79(1):28-30, 2016 Jul.
[Is] ISSN:0022-0892
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Intoxicação por Monóxido de Carbono/epidemiologia
Saúde Ambiental/métodos
[Mh] Termos MeSH secundário: Intoxicação por Monóxido de Carbono/etiologia
Intoxicação por Monóxido de Carbono/mortalidade
Saúde Ambiental/organização & administração
Seres Humanos
Governo Local
Governo Estadual
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE


  2 / 2828 MEDLINE  
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[PMID]:29326264
[Au] Autor:Acuto M
[Ad] Endereço:Melbourne School of Design, University of Melbourne, Parkville, VIC 3010, Australia. m.acuto@ucl.ac.uk.
[Ti] Título:Global science for city policy.
[So] Source:Science;359(6372):165-166, 2018 Jan 12.
[Is] ISSN:1095-9203
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cidades
Governo Local
Política Pública
Ciência
[Mh] Termos MeSH secundário: Seres Humanos
Nações Unidas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.1126/science.aao2728


  3 / 2828 MEDLINE  
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[PMID]:28979641
[Au] Autor:Omoleke SA; Tadesse MG
[Ad] Endereço:World Health Organisation, Office of Country Representative, Abuja, Nigeria.
[Ti] Título:A pilot study of routine immunization data quality in Bunza Local Government area: causes and possible remedies.
[So] Source:Pan Afr Med J;27:239, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: As a result of poor quality administrative data for routine immunisation (RI) in Nigeria, the real coverage of RI remains unknown, constituting a setback in curtailing vaccine preventable diseases (VPDs). Consequently, the purpose of this pilot study is to identify source(s) and evaluate the magnitude of poor data quality as well as propose recommendations to address the problem. METHODS: The authors conducted a cross-sectional study in which 5 out of the 22 health facilities providing routine immunization services in Bunza Local Government Area (LGA), Kebbi State, Nigeria, were selected for data quality assessment. The reported coverage of RI in August and September, 2016 was the primary element of evaluation in the selected Health Facilities (HFs). Administered questionnaires were adapted from WHO Data Quality Assurance and RI monitoring tools to generate data from the HFs, as well as standardised community survey tool for household surveys. RESULTS: Data inconsistency was detected in 100% of the selected HFs. Maximum difference between HF monthly summary and RI registration book for penta 3 data quality report analysis was 820% and 767% in MCH Bunza and PHC Balu respectively. However, a minimum difference of 3% was observed at Loko Dispensary. Maximum difference between HF summary and RI registration for measles was 614% at MCH Bunza and 43% minimum difference at Loko. In contrast to the administrative coverage, 60-80% of the children sampled from households were either not immunised or partially immunised. Further, the main sources of poor data quality include heavy workload on RI providers, over-reliance on administrative coverage report, and lack of understanding of the significance of high data quality by RI providers. CONCLUSION: Substantial data discrepancies were observed in RI reports from all the Health Facilities which is indicative of poor data quality at the LGA level. Community surveys also revealed an over-reporting from administrative coverage data. Consequently, efforts should be geared towards achieving good data quality by immunisation stakeholders as it has implication on disease prevention and control efforts.
[Mh] Termos MeSH primário: Coleta de Dados/normas
Imunização/estatística & dados numéricos
Vacinação/estatística & dados numéricos
Vacinas/administração & dosagem
[Mh] Termos MeSH secundário: Criança
Estudos Transversais
Acurácia dos Dados
Instalações de Saúde/estatística & dados numéricos
Seres Humanos
Governo Local
Nigéria
Projetos Piloto
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Vaccines)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171006
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.239.11875


  4 / 2828 MEDLINE  
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[PMID]:28934772
[Au] Autor:Thomson G; Wilson N
[Ad] Endereço:Department of Public Health, University of Otago, Wellington.
[Ti] Título:Local and regional smokefree and tobacco-free action in New Zealand: highlights and directions.
[So] Source:N Z Med J;130(1462):89-101, 2017 Sep 22.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:In this viewpoint we highlight and discuss some recent local and regional level advances in tobacco control in Aotearoa/New Zealand. In this country a wide range of local actors are helping drive smokefree and tobacco-free policies, with an increasing presence of businesses in this field. There has been progress in the areas of smokefree dining, large outdoor worksites and ski fields, and parts of downtown areas such as squares and streets. In 2015 and 2016, three councils (Palmerston North, Napier and Hastings) have used pavement lease policies and bylaws to start introducing an element of requirement into smokefree outdoor dining. Elsewhere (eg, Rotorua, Ashburton, Westland and Christchurch) significant smokefree outdoor dining moves have been made by, or in conjunction with, local councils. Tobacco-free retailing continues to expand, particularly in Northland. In the absence of meaningful central government action on smokefree places in the last decade (despite the Smokefree 2025 goal), local activity is leading the way. It is particularly important in providing models for smokefree outdoor hospitality areas, where smoking normalisation and relapse are significant health risks. Nevertheless, there is a need for the local smokefree and tobacco-free activity to be nationally evaluated, particularly for assessing the prevalence of smoking in areas covered by 'smokefree' policies. Action by central government could help local actors by providing a more definite legislative basis for bylaws, by minimum outdoor smokefree laws and by the funding of effective tobacco control mass media.
[Mh] Termos MeSH primário: Comércio/legislação & jurisprudência
Promoção da Saúde/métodos
Política Antifumo/legislação & jurisprudência
Prevenção do Hábito de Fumar
Poluição por Fumaça de Tabaco/legislação & jurisprudência
[Mh] Termos MeSH secundário: Seres Humanos
Governo Local
Meios de Comunicação de Massa/economia
Nova Zelândia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Tobacco Smoke Pollution)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE


  5 / 2828 MEDLINE  
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[PMID]:28934724
[Au] Autor:Sheehan MC; Fox MA; Kaye C; Resnick B
[Ad] Endereço:Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, Maryland, USA.
[Ti] Título:Integrating Health into Local Climate Response: Lessons from the U.S. CDC Climate-Ready States and Cities Initiative.
[So] Source:Environ Health Perspect;125(9):094501, 2017 Sep 20.
[Is] ISSN:1552-9924
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:SUMMARY: Public health has potential to serve as a frame to convey the urgency of behavior change needed to adapt to a changing climate and reduce greenhouse gas emissions. Local governments form the backbone of climate-related public health preparedness. Yet local health agencies are often inadequately prepared and poorly integrated into climate change assessments and plans. We reviewed the climate health profiles of 16 states and two cities participating in the U.S. Centers for Disease Control and Prevention (CDC)'s Climate-Ready States and Cities Initiative (CRSCI) that aims to build local capacity to assess and respond to the health impacts of climate change. Following recommendations from a recent expert panel strategic review, we present illustrations of emerging promising practice and future directions. We found that CRSCI has strengthened climate preparedness and response in local public health agencies by identifying critical climate-health impacts and vulnerable populations, and has helped integrate health more fully into broader climate planning. Promising practice was found in all three recommendation areas identified by the expert panel (leveraging partnerships, refining assessment methodologies and enhancing communications), particularly with regard to health impacts of extreme heat. Vast needs remain, however, suggesting the need to disseminate CRSCI experience to non-grantees. In conclusion, the CRSCI program approach and selected activities illustrate a way forward toward robust, targeted local preparedness and response that may serve as a useful example for public health departments in the United States and internationally, particularly at a time of uncertain commitment to climate change agreements at the national level. https://doi.org/10.1289/EHP1838.
[Mh] Termos MeSH primário: Centers for Disease Control and Prevention (U.S.)
Mudança Climática
Exposição Ambiental/estatística & dados numéricos
Saúde Pública/métodos
[Mh] Termos MeSH secundário: Cidades/epidemiologia
Cidades/estatística & dados numéricos
Calor Extremo
Seres Humanos
Governo Local
Saúde Pública/tendências
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE
[do] DOI:10.1289/EHP1838


  6 / 2828 MEDLINE  
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[PMID]:28856984
[Au] Autor:Von Heimburg D; Hakkebo B
[Ad] Endereço:1 Innherred Joint Municipality, Levanger, Norway.
[Ti] Título:Health and equity in all policies in local government: processes and outcomes in two Norwegian municipalities.
[So] Source:Scand J Public Health;45(18_suppl):68-76, 2017 Aug.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIMS: To identify key factors in implementing Health and Equity in All Policies (HEiAP) at the local level in two Norwegian municipalities in order to accelerate the progress of promoting health, well-being and equity in other local governments. APPROACH: This case study is presented as a narrative from policy-making processes in two Norwegian municipalities. The story is told from an insider perspective, with a focus on HEiAP policy makers in these two municipalities. RESULTS: The narrative identified key learning from implementing HEiAP at the local level, i.e. the importance of strengthening system and human capacities. System capacity is strengthened by governing HEiAP according to national legislation and a holistic governance system at the local level. Municipal plans are based on theory, evidence and local data. A 'main story' is developed to support the vision, defining joint societal goals and co-creation strategies. Policies are anchored by measuring and monitoring outcomes, sharing accountability and continuous dialogue to ensure political commitment. Human capacity is strengthened through participatory leadership, soft skills and health promotion competences across sectors. Health promotion competence at a strategic level in the organization, participation in professional networks, crowd sourcing toward common goals, and commitment through winning hearts and minds of politicians and other stakeholders are vital aspects. CONCLUSIONS: Our experience pinpoints the importance of strengthening system and human capacity in local governments. Further, we found it important to focus on the two strategic objectives in the European strategy 'Health 2020': (1) Improving health for all and reducing health inequalities; (2) improving leadership and participatory governance for health.
[Mh] Termos MeSH primário: Cidades
Política de Saúde
Promoção da Saúde/organização & administração
Disparidades nos Níveis de Saúde
Governo Local
[Mh] Termos MeSH secundário: Seres Humanos
Liderança
Noruega
Estudos de Casos Organizacionais
Formulação de Políticas
Responsabilidade Social
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817705804


  7 / 2828 MEDLINE  
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[PMID]:28850013
[Au] Autor:Helgesen MK; Fosse E; Hagen S
[Ad] Endereço:1 Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
[Ti] Título:Capacity to reduce inequities in health in Norwegian municipalities.
[So] Source:Scand J Public Health;45(18_suppl):77-82, 2017 Aug.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIMS: One of the goals of the Norwegian Public Health Act is to reduce health inequities. The act mandates the implementation of policies and measures with municipalities and county municipalities to accomplish this goal. The article explores the prerequisites for municipal capacity to reduce health inequities and how the capacity is built and sustained. METHODS: The paper is a literature study of articles and reports using data from two surveys on the implementation of public health policies sent to all Norwegian municipalities: the first, a few months before the implementation of the Public Health Act in 2012; the second in 2014. RESULTS: Six dimensions are included in the capacity concept. Leadership and governance refers to the regulating tool of laws that frame the local implementation of public health policies. Municipalities implement inter-sectoral working groups and public health coordinators to coordinate their public health policies and measures. Financing of public health is fragmented. Possibilities for municipalities to enter into partnerships with county municipalities are not equally distributed. Owing to the organisational structures, municipalities largely define public health as health policy. Workforce and competence refers to the employment of public health coordinators, and knowledge development refers to the mandated production of health overviews in municipalities. CONCLUSIONS: The capacity to reduce health inequities varies among municipalities. However, if municipalities build on the prerequisites they control, establishing inter-sectoral working groups and employing public health coordinators in authoritative positions, national governance instruments and regional resources may sustain their capacity.
[Mh] Termos MeSH primário: Fortalecimento Institucional/organização & administração
Cidades
Disparidades nos Níveis de Saúde
[Mh] Termos MeSH secundário: Política de Saúde
Seres Humanos
Liderança
Governo Local
Noruega
Saúde Pública/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817709412


  8 / 2828 MEDLINE  
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[PMID]:28850009
[Au] Autor:Bekken W; Dahl E; Van Der Wel K
[Ad] Endereço:Department of Social Work, Child Welfare and Social Policy, Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
[Ti] Título:Tackling health inequality at the local level: Some critical reflections on the future of Norwegian policies.
[So] Source:Scand J Public Health;45(18_suppl):56-61, 2017 Aug.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIM: In this paper we discuss recent developments in the policy to reduce health inequalities in Norway in relation to challenges and opportunities associated with tackling health inequality at the local level. METHODS: We discuss government documents and research findings on the implementation of policies to diminish health inequalities at the municipality level. Recent policy developments are briefly reviewed in relation to the 10-year strategy to reduce health inequalities passed by the Parliament in 2007. We then identify opportunities and obstacles to successful action on health inequalities at the local level. RESULTS: The 2012 Public Health Act represented a powerful reinforcement of the strategy to reduce health inequalities at all three levels of government: the national, the regional and the local. However, some aspects of the policies pursued by the current government are likely to make local action to tackle health inequality an uphill struggle. In particular, health equity policies that have hitherto been based on universalism and had a focus on the gradient seem to be running out of fuel. Other challenges are an insufficient capacity for effective action particularly in smaller municipalities, and a rather weak knowledge base, including systems to monitor social inequalities and a general lack of evaluations of trials and new initiatives. CONCLUSIONS: We conclude that the Public Health Act opened up many new opportunities, but that a number of municipalities face obstacles that they need to overcome to tackle health inequalities comprehensively. Furthermore, local efforts need to be coupled with sustained national momentum to be efficient.
[Mh] Termos MeSH primário: Cidades
Política de Saúde/tendências
Disparidades nos Níveis de Saúde
Governo Local
Saúde Pública/legislação & jurisprudência
[Mh] Termos MeSH secundário: Previsões
Seres Humanos
Noruega
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817701012


  9 / 2828 MEDLINE  
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[PMID]:28806038
[Au] Autor:Young ME; Wallace SP; Bonilla A; Pourat N; Rodriguez M
[Ti] Título:Partnership Strategies of Community Health Centers: Building Capacity in Good Times and Bad.
[So] Source:Policy Brief UCLA Cent Health Policy Res;(PB2017-6):1-8, 2017 Jul.
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Federally Qualified Health Centers--commonly referred to as Community Health Centers (CHCs)--serve as critical safety net providers for those who are uninsured or who may become uninsured. This policy brief reports the findings from the Remaining Uninsured Access to Community Health Centers (REACH) research project, which sought to identify the impact of the Affordable Care Act (ACA) on the ability of CHCs to serve the remaining uninsured. We examined strategies undertaken by CHCs in four states to reinforce the local safety net through partnerships, improvements to the local health system, and advocacy. With the uncertainties about whether Medicaid expansion will be continued or will be handed over to the states with limited oversight, partnerships both among CHCs and between CHCs and others in the health care system and beyond may become even more important.
[Mh] Termos MeSH primário: Centros Comunitários de Saúde/organização & administração
Parcerias Público-Privadas/organização & administração
[Mh] Termos MeSH secundário: California
Relações Comunidade-Instituição
Emigração e Imigração
Governo Federal
Georgia
Seres Humanos
Disseminação de Informação
Cobertura do Seguro
Governo Local
Pessoas sem Cobertura de Seguro de Saúde
New York
Defesa do Paciente
Setor Privado
Setor Público
Provedores de Redes de Segurança
Governo Estadual
Texas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE


  10 / 2828 MEDLINE  
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[PMID]:28771558
[Au] Autor:Barasa EW; Manyara AM; Molyneux S; Tsofa B
[Ad] Endereço:KEMRI Centre for Geographic Medicine Research-Coast, and Wellcome Trust Research Programme, Nairobi, Kenya.
[Ti] Título:Recentralization within decentralization: County hospital autonomy under devolution in Kenya.
[So] Source:PLoS One;12(8):e0182440, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functioning. METHODS: We used a qualitative case study approach to examine the level of autonomy that hospitals had over key management functions and how this had affected hospital functioning in three county hospitals in coastal Kenya. We collected data by in-depth interviews of county health managers and hospital managers in the case study hospitals (n = 21). We adopted the framework proposed by Chawla et al (1995) to examine the autonomy that hospitals had over five management domains (strategic management, finance, procurement, human resource, and administration), and how these influenced hospital functioning. FINDINGS: Devolution had resulted in a substantial reduction in the autonomy of county hospitals over the five key functions examined. This resulted in weakened hospital management and leadership, reduced community participation in hospital affairs, compromised quality of services, reduced motivation among hospital staff, non-alignment of county and hospital priorities, staff insubordination, and compromised quality of care. CONCLUSION: Increasing the autonomy of county hospitals in Kenya will improve their functioning. County governments should develop legislation that give hospitals greater control over resources and key management functions.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Hospitais de Condado/organização & administração
Política
Administração da Prática Médica
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Administração Hospitalar
Seres Humanos
Lactente
Quênia
Governo Local
Masculino
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182440



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