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1.
Pediatr Clin North Am ; 70(1): 53-65, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36402471

RESUMEN

This case study illustrates state legislative advocacy in action in Maryland. Success in strengthening maternal and child health is described using the Academic Pediatric Association's 4-step approach to advocacy: (1) Identify the Issue and Target Audience; (2) Craft the Message; (3) Develop Relationships and Coalitions, and (4) Communicate the Message. Starting with state legislation and formation of a Maryland Maternal Child Health Task Force led to maternal child health named as 1 of 3 state population health priorities. This guided subsequent programmatic investment and attention. Further dissemination of task force recommendations has led to additional supportive legislation.


Asunto(s)
Prioridades en Salud , Salud Poblacional , Niño , Humanos , Maryland , Salud Infantil
2.
Front Public Health ; 10: 980086, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36419992

RESUMEN

In the context of complex public health challenges led by interdependent changes such as climate change, biodiversity loss, and resistance to treatment, it is important to mobilize methods that guide us to generate innovative interventions in a context of uncertainty and unknown. Here, we mobilized the concept-knowledge (CK) design theory to identify innovative, cross-sectoral, and cross-disciplinary research and design programs that address the challenges posed by tick-borne Lyme disease in France, which is of growing importance in the French public health and healthcare systems. Within the CK methodological framework, we developed an iterative approach based on literature analysis, expert interviews, analysis of active French research projects, and work with CK experts to contribute to design "an action plan against Lyme disease." We produced a CK diagram that highlights innovative concepts that could be addressed in research projects. The outcome is discussed within four areas: (i) effectiveness; (ii) environmental sustainability in prevention actions; (iii) the promotion of constructive involvement of citizens in Lyme challenges; and (iv) the development of care protocols for chronic conditions with an unknown diagnosis. Altogether, our analysis questioned the health targets ranging from population to ecosystem, the citizen involvement, and the patient consideration. This means integrating social and ecological science, as well as the multidisciplinary medical patient journey, from the start. CK theory is a promising framework to assist public health professionals in designing programs for complex yet urgent contexts, where research and data collection are still not sufficient to provide clear guidance.


Asunto(s)
Prioridades en Salud , Enfermedad de Lyme , Humanos , Salud Pública , Ecosistema , Enfermedad de Lyme/prevención & control , Francia
3.
Healthc Q ; 25(3): 30-35, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36412526

RESUMEN

In March 2020, the Toronto Region COVID-19 Hospital Operations Table developed a policy to guide visitor restrictions at six hospitals (Toronto Region COVID-19 Hospital Operations Table 2021). We conducted nine interviews with the developers and implementers of the policy based on the accountability for reasonableness (A4R) framework. Participants agreed that the A4R principles were met suggesting fair development and implementation of the policy. However, recurrent themes suggested that the policy disadvantaged those unable to advocate for themselves and that there were unaccounted costs to patients, such as lost time and function. We suggest that visitor policies incorporate equity considerations upfront and predetermine metrics to measure harms to patients.


Asunto(s)
COVID-19 , Prioridades en Salud , Humanos , COVID-19/epidemiología , COVID-19/prevención & control , Responsabilidad Social , Hospitales , Políticas
4.
BMC Med Res Methodol ; 22(1): 292, 2022 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-36357847

RESUMEN

BACKGROUND: To report our recommended methodology for extracting and then confirming research uncertainties - areas where research has failed to answer a research question - derived from previously published literature during a broad scope Priority Setting Partnership (PSP) with the James Lind Alliance (JLA). METHODS: This process was completed in the UK as part of the PSP for "Common Conditions Affecting the Hand and Wrist", comprising of health professionals, patients and carers and reports the data (uncertainty) extraction phase of this. The PSP followed the robust methodology dictated by the JLA and sought to identify knowledge gaps, termed "uncertainties" by the JLA. Published Cochrane Systematic Reviews, Guidelines and Protocols, NICE (National Institute for Health and Care Excellence) Guidelines, and SIGN (Scottish Intercollegiate Guidelines Network) Guidelines were screened for documented "uncertainties". A robust method of screening, internally verifying and then checking uncertainties was adopted. This included independent screening and data extraction by multiple researchers and use of a PRISMA flowchart, alongside steering group consensus processes. Selection of research uncertainties was guided by the scope of the Common Conditions Affecting the Hand and Wrist PSP which focused on "common" hand conditions routinely treated by hand specialists, including hand surgeons and hand therapists limited to identifying questions concerning the results of intervention, and not the basic science or epidemiology behind disease. RESULTS: Of the 2358 records identified (after removal of duplicates) which entered the screening process, 186 records were presented to the PSP steering group for eligibility assessment; 79 were deemed within scope and included for the purpose of research uncertainty extraction (45 full Cochrane Reviews, 18 Cochrane Review protocols, 16 Guidelines). These yielded 89 research uncertainties, which were compared to the stakeholder survey, and added to the longlist where necessary; before derived uncertainties were checked against non-Cochrane published systematic reviews. CONCLUSIONS: In carrying out this work, beyond reporting on output of the Common Conditions Affecting the Hand and Wrist PSP, we detail the methodology and processes we hope can inform and facilitate the work of future PSPs and other evidence reviews, especially those with a broader scope beyond a single disease or condition.


Asunto(s)
Investigación Biomédica , Prioridades en Salud , Humanos , Investigadores , Encuestas y Cuestionarios , Incertidumbre , Muñeca
5.
JAMA ; 328(20): 2007-2008, 2022 11 22.
Artículo en Inglés | MEDLINE | ID: mdl-36331491

RESUMEN

This Viewpoint discusses a federal policy loophole that allows psychotropic cannabis products to be commercially marketed and sold across the US, even in states where recreational cannabis is not legal.


Asunto(s)
Cannabis , Prioridades en Salud , Marihuana Medicinal , Práctica de Salud Pública , Dronabinol , Alucinógenos , Marihuana Medicinal/uso terapéutico
6.
Front Public Health ; 10: 1028545, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36339196

RESUMEN

The genomics revolution over the past three decades has led to great strides in rare disease (RD) research, which presents a major shift in global policy landscape. While RDs are individually rare, there are common challenges and unmet medical and social needs experienced by the RD population globally. The various disabilities arising from RDs as well as diagnostic and treatment uncertainty were demonstrated to have detrimental influence on the health, psychosocial, and economic aspects of RD families. Despite the collective large number of patients and families affected by RDs internationally, the general lack of public awareness and expertise constraints have neglected and marginalized the RD population in health systems and in health- and social-care policies. The current Coronavirus Disease of 2019 (COVID-19) pandemic has exposed the long-standing and fundamental challenges of the RD population, and has reminded us of the critical need of addressing the systemic inequalities and widespread disparities across populations and jurisdictions. Owing to the commonality in goals between RD movements and universal health coverage targets, the United Nations (UN) has highlighted the importance of recognizing RDs in policies, and has recently adopted the UN Resolution to promote greater integration of RDs in the UN agenda, advancing UN's commitment in achieving the 2030 Sustainable Development Goals of "leav[ing] no one behind." Governments have also started to launch Genome Projects in their respective jurisdictions, aiming to integrate genomic medicine into mainstream healthcare. In this paper, we review the challenges experienced by the RD population, the establishment and adoption of RD policies, and the state of evidence in addressing these challenges from a global perspective. The Hong Kong Genome Project was illustrated as a case study to highlight the role of Genome Projects in enhancing clinical application of genomic medicine for personalized medicine and in improving equity of access and return in global genomics. Through reviewing what has been achieved to date, this paper will provide future directions as RD emerges as a global public health priority, in hopes of moving a step toward a more equitable and inclusive community for the RD population in times of pandemics and beyond.


Asunto(s)
COVID-19 , Enfermedades Raras , Humanos , Enfermedades Raras/epidemiología , Enfermedades Raras/diagnóstico , Enfermedades Raras/genética , Prioridades en Salud , COVID-19/epidemiología , Salud Pública , Política Pública
7.
J Infect Dev Ctries ; 16(10): 1648-1649, 2022 10 31.
Artículo en Inglés | MEDLINE | ID: mdl-36332220

RESUMEN

The first year of the Coronavirus disease (COVID-19) pandemic registered the highest number of children under the age of one year who did not receive basic vaccines since 2009. The pronounced rise in vaccine-preventable diseases in 2020 and 2021 was largely attributable to the disruption of the vaccine schedule for children around the world. Routine vaccinations were missed in consideration of movement restrictions to prevent the spread of COVID-19. On the other hand, health resources were re-allocated to COVID-19, resulting in strained health care systems and the marginalization of essential health services like routine vaccination campaigns. The COVID-19 pandemic has clearly illustrated the potential of vaccines in saving lives and preventing disabilities. The unequal roll-out of vaccination programmes has simultaneously deepened the existing gaps between high and low-income countries. Disruption in other key life-saving immunization programmes is driving these inequalities even further. Prompt and sustainable investments in routine immunization programmes, including catch-up vaccination strategies, are essential to avert the impact of years of neglect of this important public health issue. In particular, the recent declining trends in vaccination coverage are putting decades of progress at risk.


Asunto(s)
COVID-19 , Vacunas , Lactante , Niño , Humanos , Pandemias , COVID-19/prevención & control , Prioridades en Salud , Vacunación , Programas de Inmunización , Esquemas de Inmunización , Inmunización , Salud Global
8.
Rev. Rol enferm ; 45(10): 36-45, Oct. 2022. tab, ilus
Artículo en Español | IBECS | ID: ibc-211108

RESUMEN

Se presenta un trabajo conceptual sobre el análisis de los hallazgos del sondeo sobre la conceptualización de los planes de la Red de Conocimientos en Enfermería en los países de habla hispana como parte de la acción internacional de la Red. La información recopilada ha sido revelada por profesores de Chile, Colombia, España, México, Paraguay y Perú. Las respuestas han permitido reflexionar sobre conceptualizaciones y áreas que requieren más exploración para responder de manera efectiva a las lagunas en la enseñanza y la práctica de la investigación en Enfermería. Se presentan las brechas en la investigación que pueden explicarse por la falta de políticas gubernamentales e institucionales para financiar la investigación en Enfermería en áreas que tradicionalmente no se perciben como prioridades de salud pública. Otros temas analizados fueron los obstáculos a la difusión del conocimiento científico en Enfermería, las posibilidades de reforzar la investigación en Enfermería y los beneficios deseados con la participación a la Red. Entre las fortalezas de este sondeo está su originalidad y su potencial para estimular las actividades de cooperación para la producción de conocimiento, en particular, el fortalecimiento de los estudios de posgrado con la movilidad académica y de profesores en proyectos internacionales de investigación multicéntrica, la tutoría y el coaching para la investigación. Las respuestas indican una novedad en las áreas prospectivas de desarrollo profesional para educadores, investigadores, así como áreas de posible adopción de la innovación en la educación para los estudiantes. (AU)


Conceptual work is presented regarding the analysis of information gathered from an environmental scan underpinning the plans for the creation of the Nursing Knowledge Network in Spanish-speaking countries as part of the international action of the Network. The information is structured according to the compilation of baseline information provided by nursing faculty from Chile, Colombia, Spain, Mexico, Paraguay and Peru. The information helped conceptualize and anticipate areas that require further exploration to effectively respond to gaps in Nursing teaching and research practice. The reported gaps in current research can be explained by lack of government and institutional policies to finance nursing research in areas that are not traditionally perceived as public health priorities. Other topics analyzed included obstacles to dissemination of scientific knowledge in Nursing, the possibilities of reinforcing Nursing research and the desired benefits of participating in the Network. Among the strengths of this environmental scan is its originality and potential to stimulate activities of cooperation for the production of knowledge, in particular the strengthening of graduate studies with faculty and students’ mobility in international multicenter research projects, research tutoring and coaching. Information also indicates new prospective areas of professional development for faculty, researchers, as well as areas of possible adoption of innovation in student education. (AU)


Asunto(s)
Humanos , Educación en Enfermería , Investigación en Enfermería , Encuestas y Cuestionarios , Difusión de la Información , Prioridades en Salud
10.
Health Educ Res ; 37(6): 393-404, 2022 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-36197434

RESUMEN

This study examined how schools prioritize ten key health concerns among their student populations over time and whether schools' prioritization of alcohol and other drug use (AODU) corresponds to students' substance use behaviours and cannabis legalization as a major policy change. Data were collected from a sample of secondary schools in Ontario, Canada across four years (2015/16-2018/19 [N2015/16 = 65, N2016/17 = 68, N2017/18 = 61 and N2018/19 = 60]) as a part of the COMPASS study. School-level prevalence of cannabis and alcohol use between schools that did and did not prioritize student AODU as a health concern was examined. Ordinal mixed models examined whether student cannabis and alcohol use were associated with school prioritization of AODU. Chi-square tests examined changing health priorities among schools pre-post cannabis legalization. School priority ranking for AODU was mostly stable over time. While AODU was identified as an important health concern, most schools identified mental health as their first priority across the four years of the study. No significant changes to school AODU priorities were observed pre-post cannabis legalization nor was school prioritization of AODU associated with student cannabis and alcohol use behaviours. This study suggests that schools may benefit from guidance in identifying and addressing priority health concerns among their student population.


Asunto(s)
Cannabis , Trastornos Relacionados con Sustancias , Humanos , Ontario/epidemiología , Prioridades en Salud , Instituciones Académicas , Estudiantes , Canadá , Trastornos Relacionados con Sustancias/epidemiología
11.
Washington, D.C.; OPS; 2022-10-11.
en Español | PAHO-IRIS | ID: phr-56518

RESUMEN

Este material de entrenamiento en ética de la salud pública, que incluye casos de discusión de distintas partes del mundo, fue editado por Barrett et al. y publicado en inglés por la editorial Springer (https://link.springer.com/book/10.1007/978-3-319-23847-0). Desde su publicación en el 2016, ha sido descargado más de 1,3 millones de veces. El Programa Regional de Bioética de la OPS pone a disposición la traducción al español de esta obra con el objetivo de fortalecer las capacidades en ética de la salud pública en la Región.


Asunto(s)
Bioética , Discusiones Bioéticas , Ética en Investigación , Factores de Riesgo , Enfermedades Transmisibles , Pandemias , Disparidad de Salud, Minorías y Poblaciones Vulnerables , Prioridades en Salud , Salud Global
12.
BMJ Open ; 12(9): e061330, 2022 09 28.
Artículo en Inglés | MEDLINE | ID: mdl-36171048

RESUMEN

INTRODUCTION: Methodologically robust clinical trials are required to improve neonatal care and reduce unwanted variations in practice. Previous neonatal research prioritisation processes have identified important research themes rather than specific research questions amenable to clinical trials. Practice-changing trials require well-defined research questions, commonly organised using the Population, Intervention, Comparison, Outcome (PICO) structure. By narrowing the scope of research priorities to those which can be answered in clinical trials and by involving a wide range of different stakeholders, we aim to provide a robust and transparent process to identify and prioritise research questions answerable within the National Healthcare System to inform future practice-changing clinical trials. METHODS AND ANALYSIS: A steering group comprising parents, doctors, nurses, allied health professionals, researchers and representatives from key organisations (Neonatal Society, British Association of Perinatal Medicine, Neonatal Nurses Association and Royal College of Paediatrics and Child Health) was identified to oversee this project. We will invite submissions of research questions formatted using the PICO structure from the following stakeholder groups using an online questionnaire: parents, patients, healthcare professionals and academic researchers. Unanswered, non-duplicate research questions will be entered into a three-round eDelphi survey of all stakeholder groups. Research questions will be ranked by mean aggregate scores. ETHICS AND DISSEMINATION: The final list of prioritised research questions will be disseminated through traditional academic channels, directly to key stakeholder groups through representative organisations and on social media. The outcome of the project will be shared with key research organisations such as the National Institute for Health Research. Research ethics committee approval is not required.


Asunto(s)
Academias e Institutos , Prioridades en Salud , Consenso , Técnica Delfos , Femenino , Humanos , Recién Nacido , Embarazo , Ensayos Clínicos Controlados Aleatorios como Asunto , Encuestas y Cuestionarios , Reino Unido
13.
Diabet Med ; 39(11): e14947, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-36054410

RESUMEN

AIM: To establish outcomes of a priority setting partnership between participants with diabetes mellitus and clinicians to identify the top 10 research priorities for preventing and treating diabetic foot ulcers (DFUs). METHODS: Due to the COVID-19 pandemic, the James Lind Alliance Priority Setting Partnership process was adapted into a digital format which involved a pilot survey to identify understandable uncertainties with high relevance for participants tested by calculating the content validity index; a main survey answered by 53 participants living with diabetes and 49 clinicians; and a final digital workshop to process and prioritise the final top 10 research priorities. RESULTS: The content validity index was satisfactory for 20 out of 25 uncertainties followed by minor changes and one additional uncertainty. After we processed the 26 uncertainties from the main survey and seven current guidelines, a list of 28 research uncertainties remained for review and discussion in the digital workshop. The final top 10 research priorities included the organisation of diabetes care; screening of diabetes, impaired blood circulation, neuropathy, and skin properties; vascular surgical treatment; importance of self-care; help from significant others; pressure relief; and prevention of infection. CONCLUSION: The top 10 research priorities for preventing and treating DFUs represent consensus areas from persons living with diabetes and clinicians to guide future research. These research priorities can justify and inform strategic allocation of research funding. The digitalisation of James Lind Alliance methodology was feasible.


Asunto(s)
Investigación Biomédica , COVID-19 , Diabetes Mellitus , Pie Diabético , COVID-19/terapia , Pie Diabético/prevención & control , Prioridades en Salud , Humanos , Pandemias , Encuestas y Cuestionarios
14.
Health Expect ; 25(6): 2960-2970, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36129063

RESUMEN

BACKGROUND: Public resources to answer pertinent research questions about the impact of illness and treatment on people with mental health problems are limited. To target funds effectively and efficiently and maximize the health benefits to populations, prioritizing research areas is needed. Research agendas are generally driven by researcher and funder priorities, however, there is growing recognition of the need to include user-defined research priorities to make research more relevant, needs-based and efficient. OBJECTIVE: To gain consensus on top priorities for research into early intervention in psychosis through a robust, democratic process for prioritization enlisting the views of key stakeholders including users, carers and healthcare professionals. We also sought to determine which user-prioritized questions were supported by scientific evidence. DESIGN AND METHODS: We used a modified nominal group technique to gain consensus on unanswered questions that were obtained by survey and ranked at successive stages by a steering group comprising users, carer representatives and clinicians from relevant disciplines and stakeholder bodies. We checked each question posed in the survey was unanswered in research by reviewing evidence in five databases (Medline, Cinahl, PsychInfo, EMBASE and Cochrane Database). RESULTS: Two hundred and eighty-three questions were submitted by 207 people. After checking for relevance, reframing and examining for duplicates, 258 questions remained. We gained consensus on 10 priority questions; these largely represented themes around access and engagement, information needs before and after treatment acceptance, and the influence of service-user (SU) priorities and beliefs on treatment choices and effectiveness. A recovery SUtheme identified specific self-management questions and more globally, a need to fully identify factors that impact recovery. DISCUSSION AND CONCLUSIONS: Published research findings indicated that the priorities of service users, carers and healthcare professionals were aligned with researchers' and funders' priorities in some areas and misaligned in others providing vital opportunities to develop research agendas that more closely reflect users' needs. PATIENT AND PUBLIC CONTRIBUTION: Initial results were presented at stakeholder workshops which included service-users, carers, health professionals and researchers during a consensus workshop to prioritize research questions and allow the opportunity for feedback. Patient and public representatives formed part of the steering group and were consulted regularly during the research process.


Asunto(s)
Prioridades en Salud , Trastornos Psicóticos , Humanos , Investigadores , Selección de Paciente , Trastornos Psicóticos/terapia , Investigación
15.
Washington D.C; Organización Panamericana de la Salud; 1 ed; Set. 2022. 48 p. ilus.
Monografía en Español | LIPECS, MINSAPERÚ | ID: biblio-1397935

RESUMEN

La presente publicación describe un panorama del impacto de la COVID-19 en la Región, y ofrece una visión prospectiva para construir sistemas de salud resilientes y sostenibles y asegurar la salud universal como herramienta para hacer frente a las emergencias de salud pública actuales y futuras.


Asunto(s)
Salud Pública , Pandemias , Cobertura Universal de Salud , COVID-19 , Prioridades en Salud , Cooperación Internacional
16.
Washington, D.C.; OPAS; 2022-09-28. (OPAS/EIH/HA/22-0024).
en Portugués | PAHO-IRIS | ID: phr-56473

RESUMEN

A Região das Américas é uma das mais afetadas pela COVID-19, com mais de 175 770 000 casos da doença notificados desde o início da pandemia até 31 de agosto de 2022. Além disso, a pandemia colocou em evidência os desafios enfrentados pelos sistemas de saúde da Região para garantir o acesso universal à saúde e a cobertura universal de saúde, e freou o avanço para alcançar os Objetivos de Desenvolvimento Sustentável (ODS) e cumprir a Agenda 2030 para o Desenvolvimento Sustentável. Entre outras consequências devastadoras, a expectativa de vida em 2021 caiu para níveis comparáveis aos de 2004; desde 2020, o número de vacinas administradas às crianças caiu drasticamente; a prevalência de depressão e ansiedade aumentou 27,6% e 25,7%, respectivamente, em relação aos níveis pré-pandêmicos; e as metas relativas à tuberculose, ao HIV e à malária sofreram um grande retrocesso no rumo para alcançar o ODS 3. A Região, como o resto do mundo, enfrenta uma crise não apenas de saúde pública mas também econômica e social, que atingiu em maior medida os grupos mais vulneráveis da população, tais como pessoas idosas, de baixa renda, minorias étnicas, migrantes e pessoas sem residência fixa. Nesta publicação, a Organização Pan-Americana da Saúde apresenta uma visão geral do impacto da COVID-19 na Região e oferece uma visão de futuro para a construção de sistemas de saúde resilientes e sustentáveis, bem como para garantir a saúde universal como uma ferramenta para enfrentar emergências de saúde pública atuais e futuras.


Asunto(s)
Cooperación Técnica , Cooperación Internacional , Prioridades en Salud , Factores Socioeconómicos , Estadísticas de Salud , Indicadores de Servicios , COVID-19 , Américas
17.
Washington, D.C.; PAHO; 2022-09-27. (PAHO/EIH/HA/22-0024).
en Inglés | PAHO-IRIS | ID: phr-56472

RESUMEN

The Region of the Americas is one of the most affected by COVID-19. More than 175 770 000 cases of the disease were recorded between the beginning of the pandemic and 31 August 2022. The pandemic has also highlighted the challenges faced by the Region's health systems in ensuring universal access to health and universal health coverage and has slowed progress towards achieving the Sustainable Development Goals (SDGs) and the 2030 Agenda for Sustainable Development. Among other devastating consequences, life expectancy in 2021 fell to levels comparable to those of 2004; since 2020, the number of vaccines administered to children has fallen dramatically; the prevalence of depression has increased by 27.6%, and anxiety by 25.7%, relative to pre-pandemic levels; and the targets for tuberculosis, HIV, and malaria have suffered major setbacks on the road to achieving SDG 3. The Region, like the rest of the world, is facing not only a public health crisis but also an economic and social crisis that has especially affected populations in conditions of vulnerability, such as older people, lower-income groups, ethnic groups, migrants, and homeless people. This publication by the Pan American Health Organization presents an overview of the impact of COVID-19 in the Region and offers a forward-looking vision to build resilient and sustainable health systems and ensure universal health as a tool to address current and future public health emergencies.


Asunto(s)
Prioridades en Salud , Políticas, Planificación y Administración en Salud , Cooperación Técnica , Cooperación Internacional , Rectoría y Gobernanza del Sector de Salud , Factores Socioeconómicos , Estadísticas de Salud , Indicadores de Servicios , COVID-19 , Américas
18.
Washington, D.C.; OPS; 2022-09-27. (OPS/EIH/HA/22-0024).
en Español | PAHO-IRIS | ID: phr-56471

RESUMEN

La Región de las Américas es una de las más afectadas por la COVID-19; se registran más de 175 770 000 casos de la enfermedad desde el inicio de la pandemia hasta el 31 de agosto del 2022. Además, la pandemia ha puesto en evidencia los retos que enfrentan los sistemas de salud de la Región para garantizar el acceso universal a la salud y la cobertura universal de salud, y ha frenado el progreso hacia el cumplimiento de los Objetivos de Desarrollo Sostenible (ODS) y la Agenda 2030 para el Desarrollo Sostenible. Entre otras consecuencias devastadoras, la esperanza de vida del 2021 se redujo a unos niveles comparables a los del 2004; desde el 2020, el número de vacunas administradas a la población infantil ha caído de manera drástica; la prevalencia de la depresión y la ansiedad ha aumentado 27,6% y 25,7%, respectivamente, con relación a los niveles prepandémicos; y las metas relativas a la tuberculosis, el VIH y la malaria han sufrido un revés importante en el camino hacia el logro del ODS 3. La Región, como el resto del mundo, se enfrenta no solo a una crisis de salud pública, sino también a una crisis económica y social que ha afectado en mayor medida a los grupos de población en situación de vulnerabilidad, como las personas mayores, los grupos con menores ingresos, los grupos étnicos, las personas migrantes y las personas en situación de calle. En esta publicación, la Organización Panamericana de la Salud presenta un panorama del impacto de la COVID-19 en la Región, y ofrece una visión prospectiva para construir sistemas de salud resilientes y sostenibles y asegurar la salud universal como herramienta para hacer frente a las emergencias de salud pública actuales y futuras.


Asunto(s)
Cooperación Técnica , Cooperación Internacional , Prioridades en Salud , Políticas, Planificación y Administración en Salud , Estadísticas de Salud , Factores Socioeconómicos , Indicadores de Salud , COVID-19 , Américas
19.
Washington, D.C.; OPAS; 2022-09-23. (OPAS/PUB/D/22-0001).
No convencional en Portugués | PAHO-IRIS | ID: phr-56452

RESUMEN

Este é o resumo executivo do Relatório quinquenal 2018-2022 do Diretor da Repartição Sanitária Pan-Americana: Defendendo a equidade em saúde em prol do desenvolvimento sustentável. Ele destaca as realizações da Repartição Sanitária Pan-Americana (RSPA) durante os cinco anos anteriores, contextualiza desafios significativos, resume os principais problemas enfrentados e apresenta conclusões. Durante esse período, a RSPA continuou a apoiar o progresso dos Estados Membros em direção à consecução da saúde universal, respondeu a várias emergências de saúde, apoiou o desenvolvimento de sistemas de saúde resilientes e fez parceria com países para abordar os determinantes sociais do acesso à saúde e dos resultados de saúde não equitativos. O resumo se concentra em dois desafios abrangentes deste período: a pandemia de COVID-19 e a crise financeira da Organização Pan-Americana da Saúde, ambas exacerbadas pela “infodemia” relacionada à COVID-19 e pelos atrasos sem precedentes no pagamento das contribuições fixas. Embora esses dois desafios tenham prejudicado significativamente o trabalho da RSPA, a crise financeira ameaçou a própria existência da Organização. Um tema fundamental das lições aprendidas é a absoluta necessidade de colocar a equidade no centro das estratégias para alcançar a saúde universal. Outras lições importantes, destacadas especialmente durante a pandemia, incluem a necessidade de mais investimento na autossuficiência regional de medicamentos e produtos médicos essenciais, a importância vital de manter programas nacionais de vacinação fortes e proteger o Fundo Rotativo para Acesso a Vacinas, e a função crucial da RSPA como agência técnica politicamente neutra que detém a confiança de todos os Estados Membros, ao servir como agente honesta para a saúde de todos os povos das Américas.


Asunto(s)
Cooperación Técnica , Cooperación Internacional , Prioridades en Salud , Políticas, Planificación y Administración en Salud , Determinantes Sociales de la Salud , Equidad en el Acceso a los Servicios de Salud , Equidad en Salud , Equidad en el Acceso a los Servicios de Salud , Enfermedades Transmisibles , Enfermedades no Transmisibles , Urgencias Médicas , Pandemias , COVID-19 , Factores de Riesgo , Política Informada por la Evidencia , Cobertura de Vacunación , Américas , Organización Panamericana de la Salud
20.
Washington, D.C.; OPS; 2022-09-23. (OPS/PUB/D/22-0001).
No convencional en Español | PAHO-IRIS | ID: phr-56450

RESUMEN

Este es el resumen del Informe quinquenal 2018-2022 del Director de la Oficina Sanitaria Panamericana: Defender la equidad en la salud en pro del desarrollo sostenible. En este informe se ponen de relieve los logros de la Oficina Sanitaria Panamericana (la Oficina) en los últimos cinco años, se contextualizan desafíos importantes, se resumen los principales problemas enfrentados y se presentan conclusiones. Durante este período, la Oficina siguió apoyando el progreso de los Estados Miembros hacia el logro de la salud universal, respondió a diferentes emergencias de salud, brindó apoyo en el establecimiento de sistemas de salud resilientes y se asoció con los países para abordar los determinantes sociales de la desigualdad en el acceso y los resultados de salud. El resumen se centra en dos retos que se extendieron a lo largo de este período, la pandemia de COVID-19 y la crisis financiera de la Organización Panamericana de la Salud, que se hicieron aún más graves por la "infodemia" relacionada con la COVID-19 y por retrasos sin precedentes en el pago de las contribuciones señaladas. Aunque ambos retos generaron obstáculos considerables a la Oficina en su labor, la crisis financiera representó una amenaza para la existencia misma de la Organización. Un tema central de las enseñanzas extraídas es la necesidad absoluta de poner la equidad en el centro de las estrategias para lograr la salud universal. Entre otras enseñanzas clave, que se hicieron particularmente evidentes durante la pandemia, se encuentran la necesidad de una mayor inversión en la autosuficiencia regional en lo referente a medicamentos y productos médicos esenciales; la importancia fundamental de mantener programas nacionales de vacunación sólidos y proteger el Fondo Rotatorio para el Acceso a las Vacunas; y la función crucial de la Oficina como un organismo técnico políticamente neutral que tiene la confianza de todos los Estados Miembros al servir como intermediario honesto en los esfuerzos en pro de la salud de todos los pueblos de la Región de las Américas.


Asunto(s)
Cooperación Técnica , Cooperación Internacional , Prioridades en Salud , Políticas, Planificación y Administración en Salud , Determinantes Sociales de la Salud , Equidad en el Acceso a los Servicios de Salud , Equidad en Salud , Equidad en el Acceso a los Servicios de Salud , Enfermedades no Transmisibles , Enfermedades Transmisibles , Pandemias , Factores de Riesgo , Política Informada por la Evidencia , Cobertura de Vacunación , COVID-19 , Américas , Organización Panamericana de la Salud
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