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2.
MMWR Morb Mortal Wkly Rep ; 69(1): 10-13, 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-31917781

RESUMO

Tailoring communicable disease preparedness and response strategies to unique population movement patterns between an outbreak area and neighboring countries can help limit the international spread of disease. Global recognition of the value of addressing community connectivity in preparedness and response, through field work and visualizing the identified movement patterns, is reflected in the World Health Organization's declaration on July 17, 2019, that the 10th Ebola virus disease (Ebola) outbreak in the Democratic Republic of the Congo (DRC) was a Public Health Emergency of International Concern (1). In March 2019, the Infectious Diseases Institute (IDI), Uganda, in collaboration with the Ministry of Health (MOH) Uganda and CDC, had previously identified areas at increased risk for Ebola importation by facilitating community engagement with participatory mapping to characterize cross-border population connectivity patterns. Multisectoral participants identified 31 locations and associated movement pathways with high levels of connectivity to the Ebola outbreak areas. They described a major shift in the movement pattern between Goma (DRC) and Kisoro (Uganda), mainly through Rwanda, when Rwanda closed the Cyanika ground crossing with Uganda. This closure led some travelers to use a potentially less secure route within DRC. District and national leadership used these results to bolster preparedness at identified points of entry and health care facilities and prioritized locations at high risk further into Uganda, especially markets and transportation hubs, for enhanced preparedness. Strategies to forecast, identify, and rapidly respond to the international spread of disease require adapting to complex, dynamic, multisectoral cross-border population movement, which can be influenced by border control and public health measures of neighboring countries.


Assuntos
Surtos de Doenças , Doença pelo Vírus Ebola/epidemiologia , Migração Humana/estatística & dados numéricos , Participação da Comunidade , República Democrática do Congo/epidemiologia , Surtos de Doenças/prevenção & controle , Doença pelo Vírus Ebola/prevenção & controle , Humanos , Ruanda/epidemiologia , Uganda/epidemiologia
3.
Pflege ; 33(1): 1-2, 2020 02.
Artigo em Alemão | MEDLINE | ID: mdl-31964248
5.
J Environ Manage ; 253: 109602, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-31634746

RESUMO

Central Environmental Inspection (CEI) is a particularly important innovative strategy in the transition of environmental governance in China. The first round of CEI for all provincial regions in mainland China has been finished by the end of 2017, but its actual performance remains to be seen. In this study, a multi-dimensional index system was developed under the framework of Balanced Scorecard. Using the content analysis method, we comprehensively evaluated the performance of CEIs in all provinces inspected from the perspectives of target achievement, local rectification, direct effect, and social involvement. The results indicate that CEI has made encouraging progress in the area of environmental governance and the accumulated experiences of the inspections in the early stage greatly boosted the subsequent performance of CEIs. The provincial performance of the central region was significantly higher than that of other regions. For target achievement, the focal points has been basically realized. Despite some neglect of CEI feedback, local environmental governance is experiencing a promising shift from passive to active in general. For social involvement, the CEI has not only promoted the awakening of public environmental consciousness, but also driven public participation in environmental protection. It is notable that the implementation of environmental co-responsibility between Party and governmental officials needs to be further improved. In addition, the shortcomings of each province were identified as well and policy recommendations for existing problems were offered to guide future optimization of local environmental governance and CEI practice.


Assuntos
Conservação dos Recursos Naturais , Política Ambiental , China , Participação da Comunidade , Humanos
6.
Disasters ; 44(1): 103-124, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31231821

RESUMO

Urban planning can serve to minimise the effects of a tsunami and enhance community resilience. This study explores to what extent urban planning has addressed tsunami resilience in four villages on Chile's South Pacific coast, each of which was struck by tsunamis in 1960, 2010, and 2015. Through a detailed policy review and semi-structured interviews with residents, this paper analyses whether tsunami mitigation policies were incorporated into regional and local planning tools. It finds that although the government proposed relocation to tsunami-safe areas after the tsunami of 1960, urban development continued mainly in tsunami inundation zones-in the context of weak local planning frameworks and in the absence of community participation. In only one of the four case studies did participatory planning bring about the relocation of an entire village to a safe location. This paper concludes that incorporating participatory risk zone planning into urban planning enhances tsunami resilience.


Assuntos
Planejamento de Cidades/organização & administração , Participação da Comunidade/psicologia , Planejamento em Desastres/organização & administração , Resiliência Psicológica , Tsunamis , Chile , Humanos , Risco
7.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46930

RESUMO

Cartilha de Prevenção à Violência Armada em Manguinhos, um material informativo que aborda o impacto da violência armada na saúde de moradores e trabalhadores do território e ficará disponível para download. Contém informações sobre a rede de proteção social a vítimas de violência, medidas preventivas e de tratamento, a cartilha apresenta indicadores do impacto na saúde dos moradores de Manguinhos, Maré e Jacarezinho.


Assuntos
Promoção da Saúde , Participação da Comunidade , Violência com Arma de Fogo , Direitos Humanos Coletivos
8.
Adv Exp Med Biol ; 1171: 127-135, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31823244

RESUMO

Biomedical research is a diverse and rapidly evolving subject area. The research and development that takes place as part of the field is aimed at understanding subjects such as diseases, disease progression, their treatment(s), treatment impact on patients as well as the general increase in understanding of the advancement of health sciences. The money and time invested in research is vast and discovery of novel data and production of publication(s) is seen as success. However in today's connected world scientists have to do more to ensure that their research and the impact thereof, is better communicated to the wider audiences. One of the major means to do this is via public engagement, of which there are many ways to achieve this. Advances in technology have led to interactive and immersive visual technologies that enable the next phase of public engagement to be available to a greater audience.


Assuntos
Pesquisa Biomédica , Participação da Comunidade , Pesquisa Biomédica/educação , Participação da Comunidade/métodos , Humanos , Tecnologia/tendências
9.
RECIIS (Online) ; 13(4): 736-753, out.-dez. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1047532

RESUMO

Este artigo, de caráter interdisciplinar, tem como objetivo articular questões da diversidade sociocultural com o direito à comunicação e à saúde e a estratégias de reconhecimentos identitários. Para isso, propomos uma análise de conteúdo, de abordagem qualitativa, da comunicação produzida pela Equipe de Base Warmis ­ Convergências das Culturas sobre o caso que ficou conhecido como Projeto pró-cesárea no SUS ou PL 435/2019, comparando-a ainda com matérias veiculadas sobre o tema na mídia tradicional comercial e em notas e comunicados oficiais de instituições formais de classe profissional envolvidas com a questão. Como recurso teórico-metodológico, utilizamos os conceitos de interculturalismo e comunicação intercultural. Entre os principais resultados, destacamos que processos comunicacionais, quando entendidos não somente a partir de seu alcance instrumental, mas, em seu sentido de vinculação sociocultural, interação simbólica e produção subjetiva, podem ter caráter mobilizador coletivo e de reconhecimento identitário visando, muitas vezes, a transformação da realidade social, ainda que essa signifique uma coexistência sociocultural capaz de ser negociada.


This interdisciplinary article aims to articulate issues of sociocultural diversity with the right to communication and health and identity recognition strategies. For this, we propose a qualitative content analysis about the communication produced by the Warmis Base Team ­ Convergences of Cultures on the case known as the Pro-cesarean project in SUS or PL 435/2019, comparing it with articles published about the theme in the traditional commercial media and in formal professional class institutions official notes involved with the case. As a theoretical-methodological resource, we use the interculturalism concept and intercultural communication. Among the main results, we highlight that communicational processes, when understood not only from their instrumental reach, but, in their sense of sociocultural attachment, symbolic interaction and subjective production, can have collective mobilizing character and identity recognition, often aiming at the transformation of social reality, even if it means a sociocultural coexistence able of being negotiated.


Este artículo, interdisciplinario, tiene como objetivo articular temas de diversidad sociocultural con el derecho a la comunicación y a la salud y estrategias de reconocimiento de identidad. Para esto, proponemos un análisis de contenido cualitativo de la comunicación producida por el Equipo Base de Warmis ­ Convergencias de las Culturas en el caso conocido como el Proyecto pro cesárea en SUS o PL 435/2019, comparándolos con artículos publicados sobre el tema en los medios comerciales tradicionales y con notas oficiales de instituciones formales de clase profesional involucradas en el tema. Como recurso teórico-metodológico, utilizamos los conceptos de interculturalidad y comunicación intercultural. Entre los principales resultados, destacamos que los procesos comunicacionales, cuando se entienden no solo desde su alcance instrumental, sino que, en su sentido de apego sociocultural, interacción simbólica y producción subjetiva, pueden tener un carácter movilizador colectivo y reconocimiento de identidad, con el objetivo de la transformación de la realidad social, aunque esa signifique una convivencia sociocultural capaz de ser negociada.


Assuntos
Humanos , Participação da Comunidade , Diversidade Cultural , Discurso , Estudos Interdisciplinares , Comunicação em Saúde , Mídias Sociais , Política Pública , Violência , Sistema Único de Saúde , Cesárea/estatística & dados numéricos , Saúde da Mulher , Parto Humanizado , Parto , Violações dos Direitos Humanos , Emigração e Imigração , Competência Cultural
10.
Estud. pesqui. psicol. (Impr.) ; 19(3): 753-771, dez. 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1046077

RESUMO

A captura da cidadania como princípio das práticas de saúde mental e discurso a ser incorporado subjetivamente pelo louco cria um impasse na própria atitude subversiva pretendida pela Reforma Psiquiátrica Brasileira. A Psicanálise sustenta o ato de escuta do sujeito, em uma posição de autoria, responsabilização pelo seu sofrimento e sustentação de seu desejo, estando aí uma possível contribuição da psicanálise para a luta antimanicomial. A partir de uma pesquisa analítica, de enfoque qualitativo, aborda-se os significantes de cidadania e de sujeito em psicanálise e quais as implicações práticas e políticas de tais concepções para o cotidiano dos Centros de Atenção Psicossocial. Aposta-se em uma contribuição teórica e política ao apontar as diferenças entre o trabalho orientado pela cidadania e aquele orientado pelos efeitos do inconsciente, sem objetivar, contudo, uma oposição entre essas perspectivas de trabalho.(AU)


The capture of citizenship as a principle of mental health practices and discourse to be subjectively incorporated by the crazy creates a standoff in the subversive attitude intended by the Brazilian Psychiatric Reform. Psychoanalysis supports the act of listening to the subject, in a position of authorship, responsibility for their suffering and support of their desire, being there a possible contribution of psychoanalysis to the antimanicomial fight. Based on an analytical research, with a qualitative focus, the article approaches the signifiers of citizenship and subject in psychoanalysis and what are the practical and political implications of such conceptions for the daily life of the Psychosocial Care Centers. It is based on a theoretical and political contribution in pointing out the differences between work oriented by citizenship and that guided by the effects of the unconscious, however, without objecting to an opposition between these perspectives of work.(AU)


La captura de la ciudadanía como principio de las prácticas de salud mental y discurso a ser incorporado subjetivamente por el loco crea una dificultad en la actitud subversiva pretendida por la Reforma Psiquiátrica Brasileña. El psicoanálisis sostiene el acto de escucha del sujeto, en una posición de autoría, responsabilización por su sufrimiento y sustentación de su deseo, estando ahí una posible contribución del psicoanálisis a la lucha antimanicomial. A partir de una investigación analítica, de enfoque cualitativo, se abordan los significantes de ciudadanía y de sujeto en psicoanálisis y cuáles las implicaciones prácticas y políticas de tales concepciones para el cotidiano de los Centros de Atención Psicosocial. Se apunta en una contribución teórica y política al apuntar las diferencias entre el trabajo orientado por la ciudadanía y aquel orientado por los efectos del inconsciente, sin embargo, sin objetivar una oposición entre esas perspectivas de trabajo.(AU)


Assuntos
Saúde Mental , Psicanálise , Serviço Social em Psiquiatria , Participação da Comunidade
11.
BMJ ; 367: l6377, 2019 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-31852659

RESUMO

OBJECTIVE: To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period. DESIGN: Prospective cohort study. PARTICIPANTS: English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05. INTERVENTION: Self reported receptive arts engagement (going to museums, art galleries, exhibitions, the theatre, concerts, or the opera). MEASUREMENT: Mortality measured through data linkage to the National Health Service central register. RESULTS: People who engaged with receptive arts activities on an infrequent basis (once or twice a year) had a 14% lower risk of dying at any point during the follow-up (809/3042 deaths, hazard ratio 0.86, 95% confidence interval 0.77 to 0.96) compared with those who never engaged (837/1762 deaths). People who engaged with receptive arts activities on a frequent basis (every few months or more) had a 31% lower risk of dying (355/1906 deaths, 0.69, 0.59 to 0.80), independent of demographic, socioeconomic, health related, behavioural, and social factors. Results were robust to a range of sensitivity analyses with no evidence of moderation by sex, socioeconomic status, or social factors. This study was observational and so causality cannot be assumed. CONCLUSIONS: Receptive arts engagement could have a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors.


Assuntos
Arte , Participação da Comunidade/estatística & dados numéricos , Mortalidade/tendências , Idoso , Cognição , Inglaterra/epidemiologia , Exercício , Feminino , Seguimentos , Comportamentos Relacionados com a Saúde , Humanos , Longevidade , Estudos Longitudinais , Masculino , Saúde Mental , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Estudos Prospectivos , Medicina Estatal
12.
Afr J Reprod Health ; 23(3): 106-119, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31782636

RESUMO

Unmet need for contraception remains a challenge especially in low and middle-income countries. Community participation or the -active involvement of affected populations in all stages of decision-making and implementation of policies, programs, and services‖ is a precondition for attaining the highest standard of health. Participation as a key component of rights and quality of care frameworks could increase met needs. However, it has been inadequately addressed in contraceptive programs. A qualitative, exploratory methodology that included focus group discussions and in-depth interviews with community members, healthcare providers, and other stakeholders were conducted to identify domains or key thematic areas of action through which stakeholders could be engaged. The study conducted in Kenya, South Africa, and Zambia explored knowledge and use of contraceptives, barriers and enablers to access, quality of care, and participatory practices. Thematic analysis was used, facilitated by NVivo (version 10 QSR International) with a single master codebook. Comparing the thematic areas that emerged from the county data, four domains were selected: quality of care, informed decision-making, acceptability, and accountability. These domains informed the theory of change of a participatory programme aiming to meet unmet needs. Identifying possible generalizable domains establishes measurable and comparable intermediate outcomes for participatory programs despite diverse African contexts.


Assuntos
Participação da Comunidade , Anticoncepção , Serviços de Planejamento Familiar/estatística & dados numéricos , Pessoal de Saúde , Determinação de Necessidades de Cuidados de Saúde , Anticoncepção/métodos , Grupos Focais , Necessidades e Demandas de Serviços de Saúde , Humanos , Entrevistas como Assunto , Quênia , Pesquisa Qualitativa , África do Sul , Zâmbia
13.
BMC Public Health ; 19(1): 1487, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703655

RESUMO

BACKGROUND: Healthcare services are being increasingly digitalised in European countries. However, in studies evaluating digital health technology, some people are less likely to participate than others, e.g. those who are older, those with a lower level of education and those with poorer digital skills. Such non-participation in research - deriving from the processes of non-recruitment of targeted individuals and self-selection - can be a driver of old-age exclusion from new digital health technologies. We aim to introduce, discuss and test an instrument to measure non-participation in digital health studies, in particular, the process of self-selection. METHODS: Based on a review of the relevant literature, we designed an instrument - the NPART survey questionnaire - for the analysis of self-selection, covering five thematic areas: socioeconomic factors, self-rated health and subjective overall quality of life, social participation, time resources, and digital skills and use of technology. The instrument was piloted on 70 older study persons in Sweden, approached during the recruitment process for a trial study. RESULTS: Results indicated that participants, as compared to decliners, were on average slightly younger and more educated, and reported better memory, higher social participation, and higher familiarity with and greater use of digital technologies. Overall, the survey questionnaire was able to discriminate between participants and decliners on the key aspects investigated, along the lines of the relevant literature. CONCLUSIONS: The NPART survey questionnaire can be applied to characterise non-participation in digital health research, in particular, the process of self-selection. It helps to identify underrepresented groups and their needs. Data generated from such an investigation, combined with hospital registry data on non-recruitment, allows for the implementation of improved sampling strategies, e.g. focused recruitment of underrepresented groups, and for the post hoc adjustment of results generated from biased samples, e.g. weighting procedures.


Assuntos
Participação da Comunidade/estatística & dados numéricos , Pesquisa sobre Serviços de Saúde/estatística & dados numéricos , Sujeitos da Pesquisa/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Participação da Comunidade/psicologia , Metodologias Computacionais , Feminino , Humanos , Masculino , Qualidade de Vida , Sujeitos da Pesquisa/psicologia , Participação Social , Fatores Socioeconômicos , Inquéritos e Questionários , Suécia
14.
Am J Law Med ; 45(2-3): 130-170, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31722626

RESUMO

In many areas of innovation, the United States is a leader, but this characterization does not apply to the United States' position in assisted reproductive technology innovation and clinical use. This article uses a political science concept, the idea of the "democratic deficit" to examine the lack of American public discourse on innovations in ART. In doing so, the article focuses on America's missing public consultation in health care innovation. This missing discourse is significant, as political and ethical considerations may impact regulatory decisions. Thus, to the extent that these considerations are influencing the decisions of federal agency employees, namely those who work within the U.S. Food and Drug Administration, the public is unable to participate in the decision-making process. This lack of a public discourse undermines the goals of the administrative state, which include democratic participation, transparency, and accountability. The United Kingdom, on the other hand, has had a markedly divergent experience with assisted reproductive technology innovation. Instead of ignoring the various ethical, social, and legal issues surrounding assisted reproductive technology innovation, the United Kingdom engaged in a five-strand public consultation on the topic of mitochondrial transfer, a form of assisted reproductive technology that uses genetic modification in order to prevent disease transmission. This article argues that after a multi-decade standstill in terms of the public discourse related to ethical issues associated with assisted reproductive technology and germline modification, it is time for the United States to institute a more democratic inquiry into the scientific, ethical, and social implications of new forms of assisted reproductive technology and ultimately, forthcoming medical innovations that involve genetic modification.


Assuntos
Democracia , Invenções/legislação & jurisprudência , Formulação de Políticas , Técnicas de Reprodução Assistida/legislação & jurisprudência , Participação da Comunidade , Governo Federal , Fertilização In Vitro/ética , Fertilização In Vitro/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Humanos , Invenções/ética , Técnicas de Reprodução Assistida/ética , Responsabilidade Social , Participação dos Interessados , Governo Estadual , Inquéritos e Questionários , Reino Unido , Estados Unidos , United States Food and Drug Administration/legislação & jurisprudência
15.
Am J Law Med ; 45(2-3): 202-223, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31722629

RESUMO

In the 21st century the opportunity for the public to comment to an administrative agency typically means an invitation to go to a website, type words into a box, and hit send. Many advocacy groups provide templates for people to submit a statement in support or opposition to specific proposals. However, standardized comments do not capture the voice of Medicaid. They do not share people's personal experiences and insights. This article describes how consumer advocates in Kentucky devised a strategy, their Secret Sauce, to help consumers participate in the public comment process that is now required for Section 1115 Medicaid demonstration waiver applications. It shows how advocates can help real people's voices be heard in the public comment process, not through templates but through a process that assists people to tell their own stories in their own words. This is Medicaid's voice, the stories of real people who rely on Medicaid. Medicaid's voice can help policy makers understand the real-life impact of policy choices they make. It can also provide relevant evidence for courts reviewing the Secretary's grant of a Section 1115 waiver. Medicaid's voice can also help build political momentum, bringing those who rely on Medicaid to the polls and into the political conversation about the future of Medicaid.


Assuntos
Participação da Comunidade , Defesa do Consumidor , Medicaid/legislação & jurisprudência , Narrativas Pessoais como Assunto , Humanos , Cobertura do Seguro/legislação & jurisprudência , Kentucky , Patient Protection and Affordable Care Act , Estados Unidos
16.
BMC Health Serv Res ; 19(1): 797, 2019 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-31690304

RESUMO

BACKGROUND: Although not an inevitable part of ageing, frailty is an increasingly common condition in older people. Frail older patients are particularly vulnerable to the adverse effects of hospitalisation, including deconditioning, immobility and loss of independence (Chong et al, J Am Med Dir Assoc 18:638.e7-638.e11, 2017). The 'Systematic Approach to improving care for Frail older patients' (SAFE) study co-designed, with public and patient representatives, quality improvement initiatives aimed at enhancing the delivery of care to frail older patients within an acute hospital setting. This paper describes quality improvement initiatives which resulted from a co-design process aiming to improve service delivery in the acute setting for frail older people. These improvement initiatives were aligned to five priority areas identified by patients and public representatives. METHODS: The co-design work was supported by four pillars of effective and meaningful public and patient representative (PPR) involvement in health research (Bombard et al, Implement Sci 13:98, 2018; Black et al, J Health Serv Res Policy 23:158-67, 2018). These pillars were: research environment and receptive contexts; expectations and role clarity; support for participation and inclusive representation and; commitment to the value of co-learning involving institutional leadership. RESULTS: Five priority areas were identified by the co-design team for targeted quality improvement initiatives: Collaboration along the integrated care continuum; continence care; improved mobility; access to food and hydration and improved patient information. These priority areas and the responding quality improvement initiatives are discussed in relation to patient-centred outcomes for enhanced care delivery for frail older people in an acute hospital setting. CONCLUSIONS: The co-design approach to quality improvement places patient-centred outcomes such as dignity, identity, respectful communication as well as independence as key drivers for implementation. Enhanced inter-personal communication was consistently emphasised by the co-design team and much of the quality improvement initiatives target more effective, respectful and clear communication between healthcare personnel and patients. Measurement and evaluation of these patient-centred outcomes, while challenging, should be prioritised in the implementation of quality improvement initiatives. Adequate resourcing and administrative commitment pose the greatest challenges to the sustainability of the interventions developed along the SAFE pathways. The inclusion of organisational leadership in the co-design and implementation teams is a critical factor in the success of interventions targeting service delivery and quality improvement.


Assuntos
Cuidados Críticos/organização & administração , Procedimentos Clínicos/organização & administração , Fragilidade/terapia , Melhoria de Qualidade/organização & administração , Idoso , Idoso de 80 Anos ou mais , Participação da Comunidade , Idoso Fragilizado/psicologia , Idoso Fragilizado/estatística & dados numéricos , Pessoal de Saúde/psicologia , Pesquisa sobre Serviços de Saúde , Humanos , Participação do Paciente
17.
J Emerg Manag ; 17(5): 385-401, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31736045

RESUMO

Situated in Yogyakarta's northern region, Merapi is one of Indonesia's most active volcanoes. Surrounded by densely populated farming communities, Merapi has had 68 eruptions since 1548. Merapi's 2010 eruption was marked by bursts of ash clouds, subsidence of its top-most layer, inundation of rivers and soils by lava currents, and the alteration of its surrounding natural landscapes. Local communities depend on the natural resources on Merapi's slope for farming, livelihood, and subsistence. The eruption had sizable impacts on community lives in terms of living conditions, livelihood, and social and political structures. The dynamics of community life in response to Merapi's volcanic activities are highlighted. Using a particular focus on farming communities as the case study, the article discusses community user groups' adaptive management capacity to dynamic natural landscape frequently marked by volcanic eruptions. The discussions support local government in fostering community resilience and social cohesion in response to Merapi's activities. Empirical findings suggest that social institutions and local rules come into play and the people practice collective disaster management on behalf of the community. These social institutions take the form of neighborly ties, reciprocity, collective identity, and social and ecological responsibilities. Merapi's pasture is not free access, but dynamically governed by local and informal rules to maintain its benefits for the safety of the community.


Assuntos
Fortalecimento Institucional , Participação da Comunidade , Comportamento Cooperativo , Planejamento em Desastres/métodos , Desastres , Erupções Vulcânicas/efeitos adversos , Humanos , Indonésia , Resiliência Psicológica
18.
Lima; Perú. Ministerio de Salud; 1 ed., 4 reimp; 20191100. 35 p. ilus.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1026346

RESUMO

La publicación describe las pautas y disposiciones técnico normativas para que el personal de salud fomente la implementación de los grupos de apoyo comunal que promuevan y protejan la lactancia materna exitosa. Asimismo, las acciones necesarias para apoyar la lactancia materna en establecimientos de salud que brinden atención materno infantil


Assuntos
Aleitamento Materno , Conhecimentos, Atitudes e Prática em Saúde , Saúde Materno-Infantil , Pessoal de Saúde , Agentes Comunitários de Saúde , Participação da Comunidade , Prioridades em Saúde , Promoção da Saúde
19.
Lima; Perú. Ministerio de Salud; 2 ed; 20191100. 50 p. ilus.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1026367

RESUMO

La publicación describe las pautas y disposiciones técnico normativas para que el personal de salud fomente la implementación de los grupos de apoyo comunal que promuevan y protejan la lactancia materna. La estructura del rotafolio está compuesta de secciones: a. Lactancia materna y embarazo; b. Lactancia materna en el parto y puerperio; c. Lactancia materna en la atención infantil. Cada sección, su uso será de acuerdo a las necesidades de la familia


Assuntos
Aleitamento Materno , Conhecimentos, Atitudes e Prática em Saúde , Saúde Materno-Infantil , Pessoal de Saúde , Participação da Comunidade , Promoção da Saúde
20.
BMC Public Health ; 19(1): 1334, 2019 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-31640592

RESUMO

BACKGROUND: In the Netherlands as well as in other countries citizens take initiatives to provide or maintain services in the area of care and welfare. Citizens' initiatives (CI's) are organisations some of which have a formal structure while others are informally connected groups of citizens, that are established by a group of citizens with the aim to increase the health and welfare within their local community and that are not focused on making a profit. Although CI's have been around since at least the 1970's little research has been done on the phenomenon, with most of it consisting of case studies or qualitative exploratory research. To fill part of this gap in knowledge, we have studied the geographical variation in the presence of CI's in the Netherlands and tried to explain this variation. METHODS: Data on the presence of CI's were obtained by combining two existing inventories. We did an ecological regression analysis to test hypotheses about the relationship between the presence of CI's and the existence of a care vacuum, the capacity for self-organisation and models of action in local communities. RESULTS: We counted 452 CI's in care and welfare in the Netherlands in January 2016. Our results show a spatial concentration of care initiatives in urban areas in the Randstad cities in the west of the country and in rural areas in the south-east. The presence of CI's is only weakly associated with a care vacuum, but is related to indicators for the capacity of concerted action and models of action. CONCLUSION: There are by now a considerable number of CI's in the area of care and welfare in the Netherlands. Apparently, citizens take collective initiatives to provide services that are not, or no longer, available to the local community. The initiatives are concentrated in certain parts of the country. However, our theoretical model to explain this geographical pattern is only partially confirmed.


Assuntos
Participação da Comunidade/estatística & dados numéricos , Seguridade Social , Cidades , Geografia , Humanos , Países Baixos
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