Strategies for Strengthening the Resilience of Public Health Systems for Pandemics, Disasters, and Other Emergencies.

OBJECTIVE: The aim of this study was to identify and prioritize strategies for strengthening public health system resilience for pandemics, disasters, and other emergencies using a scorecard approach. METHODS: The United Nations Public Health System Resilience Scorecard (Scorecard) was applied across 5 workshops in Slovenia, Turkey, and the United States of America. The workshops focused on participants reviewing and discussing 23 questions/indicators. A Likert type scale was used for scoring with zero being the lowest and 5 the highest. The workshop scores were analyzed and discussed by participants to prioritize areas of need and develop resilience strategies. Data from all workshops were aggregated, analyzed, and interpreted to develop priorities representative of participating locations. RESULTS: Eight themes emerged representing the need for better integration of public health and disaster management systems. These include: assessing community disease burden; embedding long-term recovery groups in emergency systems; exploring mental health care needs; examining ecosystem risks; evaluating reserve funds; identifying what crisis communication strategies worked well; providing non-medical services; and reviewing resilience of existing facilities, alternate care sites, and institutions. CONCLUSIONS: The Scorecard is an effective tool for establishing baseline resilience and prioritizing actions. The strategies identified reflect areas in most need for investment to improve public health system resilience.

Evaluación de calidad de vida percibida en población marginal: una experiencia con treinta integrantes de familias residentes en la "Villa 31" de la Ciudad de Buenos Aires / Evaluation of perceived quality of life in marginal population: a study on thirty family members residing in

Conocer cómo viven los sujetos no sólo implica el análisis de sus condiciones objetivas, sino también el grado de satisfacción percibida y las expectativas de transformación que de estas condiciones tienen. Este trabajo se basa en un abordaje que analiza la Calidad de Vida desde las experiencias subjetivas e intersubjetivas de los individuos. Bajo el supuesto de que la pobreza es uno de los indicadores con más peso al momento de medir la Calidad de Vida de una sociedad, se llevó a cabo un trabajo de campo en el cual se evaluó, a través de un instrumento desarrollado para esta investigación, la Calidad de Vida de los habitantes de una población marginal de Buenos Aires.De esta manera, se refleja la importancia de la evaluación subjetiva que las personas hacen de su Calidad de Vida, y sus expectativas de cambio como base de la planificación, desarrollo y evaluación de intervenciones comunitarias.