Política

If universal health coverage (UHC) cannot be achieved without the sexual and reproductive health (SRH) needs of the population being met, what then is the current situation vis-à-vis universal coverage of SRH services, and the extent to which SRH services have been prioritised in national UHC plans and processes? This was the central question that guided this critical review of more than 200 publications between 2010 and 2019. The findings are the following. The Essential Package of Healthcare Services (EPHS) across many countries excludes several critical SRH services (e...

The 2030 Sustainable Development Goals committed to "Leave No One Behind" regardless of social identity. While access to sexual and reproductive health (SRH) services has improved globally, people with disabilities continue to face enormous barriers to SRH, infringing on their SRH rights (SRHR). Uganda adopted pro-disability legislation to promote the rights of people with disabilities. Despite these legal instruments, SRHR of people with disabilities continue to be violated and denied. To address this, we sought to understand and document how people with disabilities perceive the relationships between their use of SRH services, legislation, and health policy in three districts of the post-conflict Northern region of Uganda...

OBJETIVOS: Un vínculo claro entre la evaluación y la toma de decisión constituye un principio de buena práctica en evaluación de tecnologías sanitarias (ETESA) reconocido a nivel internacional. El objetivo del Foro de Políticas en Latino-América (LatamPF) 2019 de Health Technology Assessment International fue explorar los diferentes modelos que vinculan la ETESA y la toma de decisión y discutir su potencial aplicabilidad en Latino-América. MÉTODOS: Este manuscrito está basado en un documento base y en el trabajo deliberativo realizado por los miembros (54 participantes, 12 países) que asistieron al LatamPF, a través de la metodología design thinking...

INTRODUCTION: Total hip arthroplasty is a successful and safe surgical procedure, but it involves an associated blood loss. When this surgery is carried out on a scheduled basis, the implantation of a multimodal approach of Patient Blood Management (PBM) will significantly reduce transfusion needs. OBJECTIVE: To present the clinical-analytical results and the transfusion incidence after the implantation of a PBM protocol in those patients who are going to undergo prosthetic hip surgery...

OBJECTIVE: To verify whether health councils in Brazil carry out permanent education activities for municipal, state and federal district councilors. METHOD: This was a cross-sectional study with secondary data collection in the Health Council Monitoring System (Sistema de Acompanhamento dos Conselhos de Saúde - Siacs) from May to August 2017. The Siacs is publicly accessible and available on the internet. It provides data from thousands of health councils throughout Brazil...

The present article compares clinical trial regulations in Brazil, India, Canada, and the European Union with the aim of providing evidence for an evaluation of the Brazilian regulatory policy. For that, a document analysis approach was used, in four steps: preliminary exploratory analysis; descriptive study; categorization of information; contrasting contents. Noteworthy differences between the Brazilian regulatory framework as compared to the other regions studied include the existence of several laws and regulations in Brazil vs...

The present report describes the process of convergence between the Brazilian National School Feeding Program (PNAE) and the Brazilian National Textbook Program (PNLD), highlighting a project that introduced diet and nutrition topics on the covers of textbooks distributed at no cost to all public schools in Brazil. This intersectoral initiative speaks directly to the recommendations of the Dietary Guidelines for the Brazilian Population, the principles of the Nutrition Education Framework for Public Policies, and the proposals laid out in the United Nations Decade of Action on Nutrition...

This paper describes a dataset about institutional and interpersonal trust, life satisfaction and health in Cali, one of the major cities in Colombia, South America. Data was collected with the purpose of monitoring trust levels in the population and to serve as baseline information to monitor changes in population trust after the implementation of government interventions aimed at increasing institutional trust. Data was collected in 2017 with subsequent waves in 2018 and 2019, this manuscript presents data collected in 2017, which corresponds to the data analyzed in the paper related to this manuscript...

ABSTRATO: FUNDO: A depressão é uma das principais causas de incapacidade crônica em todo o mundo e um importante fator de risco cardiovascular, aumentando o risco relativo de doença arterial coronariana, bem como as taxas de morbimortalidade cardiovascular. Concomitantemente à alta prevalência de depressão, houve uma redução na exposição à luz solar com o aumento da urbanização e do uso de protetores solares, o que levou a uma redução nos níveis séricos de 25-hidroxivitamina D...

Resumen: Este estudio se enfoca en cómo un grupo de inmigrantes originarios del estado de Yucatán, en México, y quienes viven en el sur de California, atienden las enfermedades que les aquejan y cómo articulan sus prácticas de atención con sus condiciones socioeconómicas, su estatus migratorio y acceso a los servicios de salud institucionales. La metodología elegida fue de corte cualitativo, a través de entrevistas se recopilaron datos etnográficos analizados con el software MAXQDA12. Las modalidades de las trayectorias en la búsqueda de atención son complejas al ser articulaciones a través de las cuales los entrevistados enfrentan las barreras estructurales para acceder a servicios médicos, y por constituirse al mismo tiempo como una síntesis dinámica de los sistemas de conocimiento científico y del saber popular...

This paper aimed to identify and analyze in national and international literature whether and how the theme of violence is addressed in the studies of public policies for older adults in Long-Term Care Institutions (LTCI). We conducted an integrative review of the published literature between 2010 and August 2016. The primary bibliographic databases were consulted using descriptors "idoso", "políticas públicas", "instituição de longa permanência para idosos", "asilo", "casa de repouso" and "ILPI" in Portuguese and their equivalent in English and Spanish...

No abstract text is available yet for this article.

Introducción: Asturias es reconocida por su riqueza natural y paisajística y por su rica tradición gastronómica. Objetivos: conocer la identidad gastronómica tradicional de Asturias y su relación con los hábitos de consumo alimentario, la ingesta nutricional y los indicadores de salud de la población. Métodos: búsqueda bibliográfica (PubMed, Google Scholar) con distintas combinaciones de las palabras clave. Resultados: Asturias tiene una gastronomía caracterizada por una gran variedad de alimentos y platos, con preparaciones culinarias emblemáticas...

INTRODUCTION: An integral diagnosis of population contemplates within its components the population demographic analysis that is indispensable in the formulation of public policies. Population policy has a clearly transversal nature, since all actions in the economic, social, political, cultural, geographical, and obviously, demographic fields, have direct or indirect repercussions on it. OBJECTIVES: To determine the population dynamics and the global growth of the older adult population (OAP) of 60 years and more...

Changes in the demographic profile over recent decades, especially population aging, have implications for Brazilian public policies. This study aims to analyze how family health strategy teams implement and carry out care for the elderly in a Brazilian municipality. The qualitative field research was conducted by collecting data through semistructured interviews using Minayo as a point of reference and employing thematic content analysis. One observation was that the National Health Policy for Elderly People (Política Nacional de Saúde da Pessoa Idosa - PNSPI) has been facing challenges in its implementation at the municipal level in terms of the lack of specific actions by the PNSPI, limited actions or lack of accessibility, lack of training for health professionals, hiring and management of workers, intersectoral actions, and management...

Resumen: se reconoce a la lactancia materna como la modalidad alimentaria ideal para el óptimo crecimiento y desarrollo infantil. En México, la prevalencia nacional de lactancia materna exclusiva entre los menores de 6 meses es de 30.8%, cifra que constituye un desafío a la promoción de la salud. Las fórmulas infantiles se han constituido en productos socialmente aceptables, convenientes y equivalentes, sea por las condiciones del trabajo materno, las dificultades propias de la lactancia, el uso rutinario de fórmulas y biberones durante la atención del parto, la desinformación médica, el prestigio social de las fórmulas, el papel del Estado y la mercadotecnia de fabricantes...

La evolución del sector del juego online en España muestra una tendencia alcista desde el inicio del mercado regulado.  Al margen de su impacto económico, es preciso tomar en consideración los aspectos sociales, de orden público y de salud asociados a esta actividad recreativa. Con el fin de promocionar actitudes de juego moderado, no compulsivo y responsable, en el artículo 8 de la Ley 13/2011, de 27 de mayo, de regulación del juego, se establece la obligatoriedad de desarrollar esta actividad lúdica desde una política integral de responsabilidad social corporativa que contemple acciones preventivas, de sensibilización, intervención y control, así como medidas para paliar los efectos negativos producidos...

ResumenObjetivosEl reciente desarrollo de marcos de valor responde a una demanda por hacer más explícito e inclusivo el proceso de toma de decisiones sobre asignación de recursos sanitarios. El objetivo del Foro de Políticas en Latino América 2018 de Health Technology Assessment International fue explorar las experiencias internacionales y discutir la potencial aplicación de marcos de valor en la región.MétodosEste manuscrito está basado en un documento base y en las presentaciones y discusiones mantenidas por los miembros del Foro (43 participantes, 12 países) durante el Foro del 2018...

Aim: The aim of this paper was to survey the current management of the problem of smoking in our Mental Health Units, the structural characteristics of the units and how a total smoking ban would be perceived by doctors and nurses. Method: An 18 items survey about smoking habits of inpatients and department inner regulations was sent to the Head Physician and the Charge Nurse of all the Intensive Psychiatric Care General Hospital Units in Italy (228 units), in order to increase the answer rate and to investigate if the perception of the problem is eventually different between the two groups...

Introduction: Biobanks for research purposes are public assets that require active participation from all interested parties; therefore, it is important to discern and investigate the perception that the general public in Colombia has with regards to their participation in a biobank. Objective: To question different healthy Colombian social agents about the perception they have on donating human biological material to be stored in a biobank for future research purposes. Materials and methods: We conducted an exploratory quantitative and qualitative research by means of an anonymous survey on healthy members of the Colombian community in order to evaluate their knowledge and stances related to biobanks...