Visual Impairment, Inclusion and Citizenship in South Africa.

People with visual impairment face significant material challenges to access and inclusion in South Africa. These are in large part rooted in and supported by prejudiced assumptions about the needs, nature and capabilities of this group. The cultural and psychological face of oppression needs to be attended to. To this end, this viewpoint brings together the work of three visually impaired scholars in three key areas pertaining to the promotion of the inclusion and citizenship of visually impaired persons in South Africa. These areas are education; rehabilitation; and social inclusion and visibility. This work argues that undoing lifelong exclusion requires examining how disablism is embedded in the very fabric of our societies and operational at various levels: material, administrative, cultural and relational.

Naturalization of treated wastewater by a constructed wetland in a water-scarce Mediterranean region.

The effluents from conventional wastewater treatment plants (WWTP), even if accomplishing quality regulations, substantially differ in their characteristics with those of waters in natural environments. Constructed wetlands (CWs) serve as transitional ecosystems within WWTPs, mitigating these differences and restoring natural features before water is poured into the natural environment. Our study focused on an experimental surface-flow CW naturalizing the WWTP effluent in a semiarid area in Eastern Spain. Despite relatively low pollutant concentrations entering the CW, it effectively further reduced settled organic matter and nitrogen. Dissolved organic matter (DOM) reaching the CW was mainly protein-like, yet optical property changes in the DOM indicated increased humification, aromaticity, and stabilization as it flowed through the CW. Flow cytometry analysis revealed that the CW released less abundant but more active bacterial populations than those received. MiSeq Illumina sequencing highlighted changes in the prokaryotic community composition, with phyla Proteobacteria, Bacteroidetes, Firmicutes, and Actinobacteria dominating the CW outflow. Functional prediction tools (FaproTax and PICRUSt2) demonstrated a shift towards microbial guilds aligned with those of the natural aquatic environments, increased aerobic chemoheterotrophs, photoautotrophs, and metabolic reactions at higher redox potentials. Enhanced capabilities for degrading plant material correlated well with changes in the DOM pool. Our findings emphasize the role of CWs in releasing biochemically stable DOM and functionally suited microbial populations for natural receiving environments. Consequently, we propose CWs as a naturalization nature-based solution (NBS) in water-scarce regions like the Mediterranean, where reclaimed discharged water can significantly contribute to ecosystem's water resources compared to natural flows.

Driving employee organizational citizenship behaviour through CSR: An empirical study in the context of luxury hotels.

In the recent years, there has been a rising interest among luxury brands to be environmentally responsible and promote employee discretionary behaviour. However, the underlying mechanisms that explain why, when, and how employees demonstrate discretionary environmental attitudes and behaviour in luxury contexts are not well-known. To accelerate this discourse; the current study examines the impact of environmental corporate social responsibility (CSR) on employees' organizational citizenship behaviour towards environment. Drawing insights from social cognitive theory, this study empirically validates a conceptual model through the data collected from 406 employees of luxury hotels and analysed using structural equation modelling. The results confirm the significant effect of environmental CSR on employees' organizational citizenship behaviour towards environment. The results also reveal that employee environmental commitment and green work engagement partially mediate the proposed relationship. Moreover, contrary to expectations, gender did not moderate the influence of environmental CSR on employee environmental commitment and employee green work engagement, whereas the relationship between environmental CSR and organizational citizenship behaviour towards environment was stronger for males than females. We argue that creative environmental CSR assignments in luxury hotel chains help employees develop engagement, identification, and commitment with the environmental strategy of the hotels towards solving grave environmental problems that modern societies are grappling with.

Citizenship status and career self-efficacy: An intersectional study of biomedical trainees in the United States.

This study examines the intersectional role of citizenship and gender with career self-efficacy amongst 10,803 doctoral and postdoctoral trainees in US universities. These biomedical trainees completed surveys administered by 17 US institutions that participated in the National Institutes of Health Broadening Experiences in Scientific Training (NIH BEST) Programs. Findings indicate that career self-efficacy of non-citizen trainees is significantly lower than that of US citizen trainees. While lower career efficacy was observed in women compared with men, it was even lower for non-citizen female trainees. Results suggest that specific career interests may be related to career self-efficacy. Relative to US citizen trainees, both male and female non-citizen trainees showed higher interest in pursuing a career as an academic research investigator. In comparison with non-citizen female trainees and citizen trainees of all genders, non-citizen male trainees expressed the highest interest in research-intensive (and especially principal investigator) careers. The authors discuss potential causes for these results and offer recommendations for increasing trainee career self-efficacy which can be incorporated into graduate and postdoctoral training.

Religious attitude and sense of citizenship effect on organ donation in nursing students: A cross-sectional study.

AIM: This study examined the effect of religious attitude and sense of citizenship to organ donation attitudes and organ donation willingness among nursing students. BACKGROUND: Organ donation is an issue that should be evaluated together with medical, religious, social, economic, cultural, legal and ethical variables. However, there is no research examining the effect of religious attitudes or sense of citizenship on organ donation attitudes and willingness. DESIGN: A descriptive, correlational study. METHODS: A total of 225 nursing students participated in the study between February and April 2020. The data were collected with the Ok-Religious Attitude Scale, the Sense of Citizenship Scale, an Organ Donation Questionnaire and the Organ Donation Attitude Scale. RESULTS: A sample of 187 nursing students participated; 50.8% of them were in the stage of thinking about organ donation willingness. Older nursing students (ß =.231, p<.001) was positively affected to the positive organ donation attitude, while being male (ß = -.151, p=.035) was negatively affected. Male gender (ß=0.201, p=.004) was positively affected to the negative organ donation attitude. Acceptance of differences (ß=-0.262, p<.001) and relationship with God score (ß=-0.189, p=.006) were negatively affected to the negative organ donation attitude. Regarding the participants' willingness to donate, acceptance of differences (ß=.213, p=.004) was found to be a significant predictor. CONCLUSIONS: In this study, it was found that being female, relationship with God and acceptance of differences had a positive effect on organ donation attitude. Acceptance of differences was found as important factor in organ donation willingness.

Naturalization and invasion potential of Sesuvium portulacastrum L. recorded as alien species in Egypt.

Sesuvium portulacastrum is a perennial halophyte of family Aizoaceae, non-native to Egypt, which was introduced from France ten years ago as an ornamental species. This study reports the detection of S. portulacastrum in the wild in Egypt. Voucher specimens were deposited in the Herbarium of Alexandria University (ALEX). A population of the species was recorded in the wild near Maruit Lake in the north-western coast of Egypt in 2018 during plant resources surveys of the region. The study aimed to assess the potential for S. portulacastrum to spread as an alien species through field observations and geospatial measurements under current conditions in its new habitat. The measured morphological parameters were higher than those recorded in its native habitats. The field observation for three years revealed that the species is proliferating and expanding in the investigated site forming large mats of mean size of up to 9 m2. The spatial extent of S. portulacastrum based on the EOO and AOO was quantified, and the expansion rate was estimated at 0.16 ha/year in the investigated site. The geospatial parameter used in the study will not only help in determining the spread rate of the alien species spatially and temporally, but also in its effective management through guiding managers in developing monitoring plans for the species under the changing climate uncertainty. Continuous monitoring and early detection of any potential threats of the introduced species are highly recommended, to avert any potential adverse impacts on native biodiversity and assess its behaviour in the wild habitat.

Plant invasion and naturalization are influenced by genome size, ecology and economic use globally.

Human factors and plant characteristics are important drivers of plant invasions, which threaten ecosystem integrity, biodiversity and human well-being. However, while previous studies often examined a limited number of factors or focused on a specific invasion stage (e.g., naturalization) for specific regions, a multi-factor and multi-stage analysis at the global scale is lacking. Here, we employ a multi-level framework to investigate the interplay between plant characteristics (genome size, Grime's adaptive CSR-strategies and native range size) and economic use and how these factors collectively affect plant naturalization and invasion success worldwide. While our findings derived from structural equation models highlight the substantial contribution of human assistance in both the naturalization and spread of invasive plants, we also uncovered the pivotal role of species' adaptive strategies among the factors studied, and the significantly varying influence of these factors across invasion stages. We further revealed that the effects of genome size on plant invasions were partially mediated by species adaptive strategies and native range size. Our study provides insights into the complex and dynamic process of plant invasions and identifies its key drivers worldwide.

[Franco Basaglia and the Italian mental health act: a law aimed to restore the rights of citizenship.] / Franco Basaglia e la riforma psichiatrica: una legge per i diritti.

The psychiatric reform act passed in Italy in 1978 - which was born in the wake of Franco Basaglia's work - had among its main aims the restoration of dignity and rights to people suffering from mental disorders and the closure of asylums and other totalizing institutions. On the centenary of Basaglia's birth, we must reason on the state of social and health care not only in the field of mental health. In fact, the rights of women seeking for abortion, the rights of the LGBTQIA+ community, the prison population, and migrants are also on the take. If the one led by Franco Basaglia in Italy was a revolution, it cannot be said to have been accomplished until the rights of citizenship are restored to all the people to whom these same rights are not recognized.

The impact of leader member exchange quality and differentiation on counterproductive and citizenship behavior in health care teams.

BACKGROUND: Organizational citizenship behavior (OCB) may increase service quality. In contrast, counterproductive work behavior (CWB) may undermine patient safety. Efforts to increase OCB and reduce CWB rely on a good understanding of their antecedents, yet there is a lack of research in health care to inform such endeavors. PURPOSE: The aim of this study was to investigate the role of leadership, specifically leader-member exchange (LMX), in reducing CWB and increasing OCB in health care teams. METHODOLOGY/APPROACH: Team survey data were collected from 75 teams in U.S. health services organizations. Polynomial regression and response surface analysis was used to investigate our hypotheses. RESULTS: For OCB, the response surface along the line of incongruence (a3) was positive and significant, and for CWB, a3 was negative and significant. CONCLUSION: The results of polynomial regression and response surface analysis indicate that OCB increases when LMX quality is high and that LMX differentiation is comparatively lower. In contrast, CWB increases when LMX differentiation is high, whereas LMX quality is lower. PRACTICE IMPLICATIONS: These findings provide useful suggestions to promote valuable extra-role behaviors in health care teams. Health care team leaders should aim to develop strong exchange relationships with all members if they wish to increase citizenship behavior and decrease counterproductive behavior. Building positive exchange relationships with only a few team members is likely to undermine citizenship behavior and increase counterproductive behavior.

Organizational citizenship behavior in the military context: Are we missing the mark?

Organizational citizenship behavior (OCB), discretionary behavior that promotes organizational effectiveness, is a well-developed construct with great importance to the military. Despite its significance, few studies have examined OCB within the armed services. Those that have tended to use existing OCB scales without additional validation and only minimal adaptation to the military context. This is problematic because of the distinctive features of the American armed services, such as the substantial power leaders possess to compel behavior and the uniqueness of behaviors that create military value. The purpose of this study is to develop and validate five OCBs and a second-order OCB factor that are fully discretionary and produce unique and substantial value for the military. These military OCBs include sacrificing, providing positive word-of-mouth endorsement of the military, voluntary retention in the organization, voluntary participation in activities, and use of services that improve welfare and readiness. Some of these behaviors are so vital that the military could not achieve its mission without them. This study also seeks to understand and assess antecedents of military OCB. Using survey data from several Army populations and a series of validation analyses, the results reveal five military OCB factors, a second-order OCB construct, and four new military OCB antecedents. Opportunities and implications for the use of military OCBs are developed and the limitations of the study are examined.

Thalassophilia and marine identity: Drivers of 'thick' marine citizenship.

Changing humanity's relationship with the ocean is identified as one of ten key challenges in the UN Decade of Ocean Science for Sustainable Development (2021-2030). Marine citizenship is one potential policy approach for reducing anthropogenic harms to the ocean and promoting ocean recovery, and there is a need to better understand marine citizenship motivating factors and their interactions. To contribute to a more holistic understanding, we approached this problem using an interdisciplinary, mixed methodology, which prioritised the voices and experiences of active marine citizens. An online survey and semi-structured interviews were conducted to examine factors spanning environmental psychology (values, environmental identity) and human geography (place attachment and dependency). Our data uncovered a unique marine place attachment, or thalassophilia, which is a novel conceptualisation of the human capacity to bond with a type of place beyond human settlements or defined localities. It is the product of strong emotional responses to the sensorial experience of the ocean and shared social or cultural understanding of ocean place identifications. A key driver of deeper marine citizenship is marine place dependency, and it is positively influence by stimulation and non-conformity values, environmental identity, and thalassophilia. We map significant motivating factors to identity process theory and describe a novel marine identity concept. We propose this as an operational mechanism of marine citizenship action, potentially filling the value- and knowledge-action gaps in the context of marine environmental action. This research provides a cornerstone in marine citizenship research by analysing together in one study a multitude of variables, which cross human-ocean relationships and experiences. The identification and characterisation of thalassophilia and marine identity process theory will enable research and practice to move forwards with a clearer framework of the role of the ocean as a place in environmental action.

Empowering teachers through principals' emotional intelligence: Unlocking the potential of organizational citizenship behavior in Taiwan's elementary schools.

The organizational citizenship behavior (OCB) of teachers is crucial for effective school functioning, and accessing valuable resources from principals greatly influences this behavior. Grounded in the conservation of resources (COR) theory, this study explored how a principal's emotional intelligence (EI) and teachers' organizational trust (OT) impact teachers' OCB. A survey was conducted on 521 elementary teachers in Taiwan using established scales to measure the constructs. Perceived principal's EI was assessed across self-awareness, self-management, social awareness, and relationship management dimensions. Similarly, teachers' OCB was examined through interpersonal citizenship performance, organizational citizenship performance, and job/task conscientiousness dimensions. Teachers' OT was explored in terms of personal trust in the individual, trust in the principal, and trust in the school. The mediation effect of OT in the relationship between a principal's EI and teachers' OCB was analyzed using Hayes' PROCESS macro for SPSS. The results yielded valuable evidence supporting the mediating model that teachers' OCB, influenced by the principal's EI, can be seen as secondary gains driven by higher levels of OT cultivated by emotionally intelligent principals. This study emphasizes the pivotal role of a principal's EI in fostering teachers' OT and OCB, underscoring the significance of EI in educational leadership. Investing in the EI development of school principals can nurture a positive school culture, enabling teachers to fully realize their potential and contribute to the overall well-being of the school community. However, the research results face limitations in generalizability due to the restricted sample size exclusive to Taiwan and the reliance on self-report measures in the study.

Loneliness and Psychological Distress Among Older Californians: The Moderating Roles of Citizenship Status and English Proficiency.

OBJECTIVES: Guided by the theory of stress proliferation, our study examined whether loneliness, citizenship status, and English proficiency were associated with psychological distress among older adults, and if citizenship status and English proficiency moderated these relationships. METHODS: Using the older adult subsample (65+ years) of the 2019-2020 California Health Interview Survey (N = 15,210), we assessed cross-sectional associations between loneliness, citizenship status, and English proficiency on psychological distress by conducting multivariable linear regression models. Interaction terms were included in subsequent models to determine if citizenship status and English proficiency moderated the relationship between loneliness and psychological distress. RESULTS: In unadjusted models, greater loneliness was associated with higher distress. Both naturalized citizens and noncitizens, and those with limited English proficiency (LEP) exhibited greater distress than US born citizens and those who speak English only (EO). After adjusting for sociodemographic and health covariables, loneliness remained significant for distress although the relationships between citizenship status and English proficiency became attenuated. With the inclusion of interactions, the magnitude of the relationship between loneliness and distress was stronger for naturalized citizens and those with LEP than native-born citizens and those who speak EO, respectively. DISCUSSION: Loneliness was the most consistent stressor affecting multiple life domains. However, our findings demonstrate that stress proliferation is occurring among older immigrant adults and the interplay between loneliness, citizenship status, and English proficiency is contributing to heightened distress. Further attention is needed in understanding the role of multiple stressors influencing mental health among immigrant older adults.

Naturalization and immigrants' health.

The "healthy immigrant effect" refers to the well-documented fact that immigrants are healthier than natives upon arrival, but their health level converges to that of natives over time. Unfortunately, we know little about whether environmental, institutional, or selective return migration mechanisms are behind the convergence. In this paper, I test whether immigrants' naturalization influences health convergence speed. Using restricted-access Spanish health data from the National and European Health Surveys, I estimate the impact of naturalization on health by exploiting that naturalization is possible after 2 years of residence for immigrants from specific countries and after 10 years for all other immigrants. I find that naturalization worsens immigrants' health and thus accelerates the speed of convergence to natives' health. Increases in employment are potential mechanisms behind this effect.

Shaping Citizenship in the Classroom: Peer Influences on Moral Disengagement, Social Goals, and a Sense of Peer Community.

Despite the important role of peers in the social process of classroom citizenship, the peer influence related to moral disengagement, social goals, and a sense of peer community remain unclear. To this end, it was examined to what extent youth become similar to their friends in moral disengagement, social goals, and a sense of peer community. Participants were 283 South Korean third to sixth graders (Mage = 9.60 years, SD = 0.97; 51.6% girls) who completed an online survey for moral disengagement, social goals, the sense of peer community and friendship network across the beginning (Time 1) and end (Time 2) of the school semester (September to December). Longitudinal social network analyses indicated that youth became more similar to their friends concerning moral disengagement and a sense of peer community, but did not select friends based on these aspects. The strength of these influence effects varied in terms of different levels of these aspects. Specifically, youth were more likely to become similar to their friends at lower levels of moral disengagement. Youth tended to be similar to the friends' level of sense of peer community. This tendency was relatively strong at the lowest and the highest levels of a sense of peer community. Future research should address the role of friendship in shaping classroom citizenship and the importance of classroom daily teaching practice in youth citizenship development.

Global Citizenship: Cultural, Religious and Spiritual-An Exploratory Scoping Review.

This paper seeks to provide an exploration of the interplay between global citizenship, culture, religion and spirituality. Arksey and O'Malley's (Int J Soc Res Methodol 8(1):19-32, 2005) scoping literature review framework was utilised to qualify the research question, develop inclusion and exclusion criteria, select relevant studies, chart data and collate information. From the available peer-reviewed literature, a total of 44 articles were initially identified using the selection criteria, 19 of which were subsequently analysed. Eight main themes were identified within the literature; (1) development of global citizenship identity, (2) prosocial values and perspectives, (3) cultural competence and influence, (4) religion and religious teachings, (5) immersion experiences, (6) normative influence, (7) political compass and (8) spirituality. The literature suggests a clear link between global citizenship and spirituality. There were, however, some inconsistencies in the relationship between formalised religion and global citizenship across the studies, with evidence of religion both contributing to and detracting from prosocial values related to global citizenship. Additionally, cultural experiences, including immersion experiences, volunteering and study aboard were all positively linked to prosocial values related to global citizenship. Global citizenship provides individuals with an opportunity to develop intercultural skills, respect, sensitivity, empathy and concern for all of humanity. It is recommended that future global citizenship research should ensure adequate definitions of religion and spirituality, with caution to not generalise the two terms into one concept. Additional research into the relationship between spiritualty and global citizenship could provide a strong basis to increase understanding of the contributing factors to global citizenship identity.

A implementação do eixo de promoção da cultura de paz, direitos humanos e cidadania do programa saúde na escola no município de Francisco Morato - São Paulo / The implementation of the axis of promoting the culture of peace, human rights and citizenship of the school health program in the municipality of Francisco Morato - São Paulo

Ao longo da história brasileira, a relação entre os setores da saúde e da educação foi marcada pela interconectividade, evoluindo de práticas higienistas eugenistas para abordagens voltadas à prevenção de doenças e agravos à saúde e, sobretudo, à promoção da saúde nas escolas. Recentemente, a temática da violência escolar voltou a ser um objeto de notório interesse público, em especial para os setores da saúde e da educação, tendo em vista o aumento nos casos de atentados a escolas brasileiras. Isso tem convidado especialistas de diversas áreas a refletir sobre formas de promover um ambiente escolar saudável, capaz não apenas de prevenir violências, mas fomentar a paz. A presente monografia busca contribuir para essa meta, ao discutir a implementação do eixo 4 do Programa Saúde na Escola (PSE) ­ Promoção de Cultura de Paz, Cidadania e Direitos Humanos no município de Francisco Morato, São Paulo. Trata-se de uma pesquisa qualitativa de caráter exploratório-descritivo, cujos dados foram coletados por meio de entrevistas semiestruturadas realizadas com a gestoras, coordenadoras e diretoras dos setores da saúde e/ou educação e uma roda de conversa com estudantes de uma escola estadual no município. As falas foram organizadas em mapas dialógicos a partir dos quais emergiram três categorias diretamente relacionadas aos objetivos específicos deste estudo: a definição, descrição e avaliação das ações voltadas à promoção da cultura de paz, cidadania e direitos humanos em Francisco Morato. Os resultados mostram que a gestão e os profissionais da ponta possuem um conhecimento limitado sobre a definição de promoção de cultura de paz, cidadania e direitos humanos, assumindo-a a partir de uma perspectiva negativa, associada à ausência de violência, o que reflete em ações focadas na prevenção da violência. A falta de capacitação dos profissionais e a ausência de avaliação formal também parecem comprometer a eficácia das ações. Há falta de repertórios para falar sobre promoção de cultura de paz, direitos humanos e cidadania entre os estudantes, o que evidencia a necessidade de direcionamento melhor as ações do eixo 4 do PSE para esse público. A pesquisa ressalta a importância de investigações mais aprofundadas para compreender e aprimorar a implementação dessas práticas em Francisco Morato.

Do psychological capital and transformational leadership make differences in organizational citizenship behavior?

This research is proposed to determine factors affecting organizational citizenship behavior (OCB), tested on counselors, totaling 156 respondents. This study applied three waves in data collection with an interval of 30 days and a multigroup analysis to validate OCB. The analysis technique used is the Structural Equation Modeling (SEM) method using the IBM SPSS AMOS v26. The results showed that transformational leadership and psychological capital could, directly and indirectly, influence OCB and substantially affect work engagement as the mediator. Furthermore, male counselors with OCB were more dominantly influenced by work engagement, whereas female counselors were by transformational leadership. The results of this study can be used as a basis for policy recommendations by organizational management, especially organizations in the public service. This research has strengthened the empirical foundation on voluntary extra-role behavior and initiatives that can improve organizational effectiveness. This behavior can be manifested by strengthening psychological capital, transformational leadership, and work engagement.

Impactos da covid-19: desafios da pandemia na perspectiva da comunicação e saúde / Impacts of covid-19: challenges of the pandemic in perspective of communication and health / Impactos del covid-19: desafíos de la pandemia en perspectiva de la comunicación y la salud

O ano de 2020 ficou marcado pelo surgimento da maior pandemia deste século, a covid-19. Somando-se às dificuldades impostas por uma emergência sanitária dessa amplitude, fomos desafiados também por fenômenos comunicacionais complexos, como a desinformação, a infodemia, a sindemia e as fake news, o que gerou a necessidade de a doença ser vista por perspectivas antes negligenciadas. O livro Desinformação e covid-19: desafios contemporâneos na comunicação e saúde oferece uma diversidade de análises e iniciativas para o enfrentamento das dificuldades fomentadas pela covid-19, a partir de diferentes concepções teóricas que buscam compreender as interfaces complexas que conectam a comunicação e a saúde. Como resultado, temos a expectativa de que se amplie a capacidade de garantirmos os direitos de cidadania, com uma saúde realmente equânime, universal e integral, oferecendo respostas melhores às crises que, porventura, estejam em nosso futuro

The year 2020 was marked by the emergence of the biggest pandemic of this century, covid-19. In addition to the difficulties imposed by a health emergency of this magnitude, we were also challenged by complex communicational phenomena, such as disinformation, infodemic, syndemic, and fake news, which generated the need for the disease to be seen from previously neglected perspectives. The book Disinformation and Covid-19: Contemporary Challenges in Communication and Health offers a diversity of analyses and initiatives to face the difficulties fostered by covid-19 from different theoretical conceptions that seek to understand the complex interfaces that connect communication and health. As a result, we expect that the capacity to guarantee citizenship rights will be expanded, with truly equitable, universal and comprehensive health, offering better responses to the crises that may be in our future

El año 2020 ha estado marcado por la aparición de la mayor pandemia de este siglo, el covid-19. Además de las dificultades que impone una emergencia sanitaria de esta envergadura, también nos hemos visto desafiados por complejos fenómenos de comunicación como la desinformación, la infodemia, la sindemia y las fake news, lo que ha llevado a la necesidad de contemplar la enfermedad desde perspectivas que hasta ahora se habían descuidado. El libro Desinformación y covid-19: desafíos contemporáneos en comunicación y salud ofrece una variedad de análisis e iniciativas para abordar las dificultades causadas por el covid-19 desde diferentes concepciones teóricas que buscan comprender las complejas interfaces que conectan la comunicación y la salud. Como resultado, tenemos la expectativa de que podemos ampliar nuestra capacidad para garantizar los derechos de la ciudadanía, con una salud verdaderamente equitativa, universal e integral, ofreciendo mejores respuestas a las crisis que pueden acechar nuestro futuro