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1.
Harm Reduct J ; 19(1): 42, 2022 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-35501857

RESUMEN

To offer a critical reflection on an impoverished neighborhood in Vancouver, Canada, and their access to oral health care. A review of how a lack of publicly funded oral health care affects the most vulnerable, uninsured, and underserved citizens is performed. Personal and professional accounts on how entrepreneurial innovations of not-for-profit organizations can help to close the gap in access to oral health care are offered using the Vancouver Area Network of drug users (VANDU) and the PHS Community Services Society as case studies in British Columbia. Despite the efforts put forward by not-for-profit organizations such as the VANDU and the PHS Community Services Society, a national oral health care plan is warranted though still not a political imperative. Underserved citizens have a right to oral health care that is compassionate, collaborative, accessible, and affordable.


Asunto(s)
Participación de la Comunidad , Consumidores de Drogas , Colombia Británica , Derechos Humanos , Humanos
2.
Acad Med ; 2022 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-35476779

RESUMEN

PURPOSE: The education of health care professionals is a contributing factor to persistent health disparities. Although medical students are expected to understand racism, classism, and other social and structural drivers of health (SDH), standardization and best practices for teaching these concepts are lacking. Some medical schools are adopting social justice curricula (SJC) that prioritize health equity in teaching students to recognize SDH and preparing them to address the consequent health disparities. This systematic review sought to evaluate how these schools have integrated SJC into their core teaching; the criteria they have used to measure success and to what extent these criteria are met; and best practices in planning, implementing, and evaluating SJC. METHOD: The authors searched 7 databases for English-language studies published between January 2000 and April 2020, reporting on longitudinally integrated SJC at U.S. medical schools intended for all students. Quantitative and qualitative outcomes were synthesized and summarized. RESULTS: Searches identified 3,137 articles, of which 11 met inclusion criteria. Results demonstrated schools use a variety of teaching methods over a wide range of didactic hours to teach SJC concepts. Surveys and objective tests indicated students in SJC are generally satisfied and demonstrated improved knowledge and skills related to understanding and mitigating SDH, although findings related to changes in attitudes were equivocal. Evaluations at graduation and in residency demonstrated students who experience SJC are more prepared than their peers to work with patients who are underserved. Best practices in SJC included addressing the hidden curriculum, considering medical mistrust, and using tools like the Racial Justice Report Card and Tool for Assessing Cultural Competence Training. CONCLUSIONS: These findings indicated SJC can prepare students to better address the root causes of health disparities. Future research should consider the long-term influences of these curricula on students, patients, and the community.

3.
Front Public Health ; 10: 844656, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35425747

RESUMEN

The COVID-19 pandemic has caused major catastrophes worldwide. In Indonesia, the pandemic has caused greater barriers for individuals to access mental health services. This article aims to capture the state of public mental health in Indonesia using data from various national surveys. Four main problems were identified: the increase in depression, loneliness, and distress in the general population, disruption in accessing mental health services, mental health problems among vulnerable populations, and the limited scope of available mental health services and facilities in the community. This article provided practical recommendations for the Indonesian government that focuses on preparing a resilient mental healthcare system for future crises, reducing barriers to access mental health services, and expanding the available resources and programs to ensure equal and sustainable access to mental health services in the community.


Asunto(s)
COVID-19 , Derecho a la Salud , COVID-19/epidemiología , Disparidades en el Estado de Salud , Humanos , Indonesia/epidemiología , Salud Mental , Pandemias
5.
Global Health ; 18(1): 38, 2022 04 02.
Artículo en Inglés | MEDLINE | ID: mdl-35366916

RESUMEN

Universal health coverage, as one of the targets of the Sustainable Development Goals, is the access to key promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost. It is a practical expression of the concern for health equity and the right to health, and a goal for all countries. This review is a novel attempt to explore the healthcare provision in the Netherlands as an expression of universal health coverage based on the right to health.The study adopted a narrative review approach using a framework that consists of 10 universal health coverage indicators which are derived from seven human rights principles. The techno-economic approach to healthcare provision by the Dutch state achieves a healthcare system where most of the population is covered for most of the services for most of the costs. The Dutch state complies with its minimum core obligations, while less attention is paid to participatory decision making and non-discrimination principles. However, with the fiscal sustainability of healthcare provision showing erosion, basing healthcare policy on values based on human rights principles might prevent a regressive policy.


Asunto(s)
Derecho a la Salud , Cobertura Universal del Seguro de Salud , Atención a la Salud , Política de Salud , Humanos , Países Bajos
6.
Australas Psychiatry ; 30(2): 195-199, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35382610

RESUMEN

OBJECTIVE: To evaluate the medical assessments of involuntary community patients in a regional mental health service, determine the compliance with requirements under Queensland's Mental Health Act 2016 (the Act) to regularly review orders and assess patients' mental capacity. METHOD: We audited 183 patient records on community treatment authorities (CTAs) to determine whether medical assessments undertaken under the Act included consideration of the person's capacity, and regular reviews by an authorised doctor as required1s205. RESULTS: The audit revealed that 51% of the CTA patients did not comply with legal requirements either to complete a capacity assessment and/or be medically assessed within three months of the last review. CONCLUSIONS: Over 50% of medical assessments did not comply with the legislative requirements to record capacity assessments and review involuntary treatment on at least a three-month basis. However, when the treatment criteria were met, it did not appear to be a basis for CTA revocation. Further research may help determine whether the Mental Health Review Tribunal (Tribunal) could play a greater role in overseeing compliance with the new legislative requirements or if other clinical oversight mechanisms would be appropriate to improve the assessment process.


Asunto(s)
Servicios de Salud Mental , Salud Mental , Derechos Humanos , Humanos , Queensland
9.
Serv. soc. soc ; (143): 121-139, jan.-abr. 2022.
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1357435

RESUMEN

Resumo: Este ensaio tem como objetivo refletir sobre o direito humano à alimentação adequada, de forma universal e permanente, ante a pobreza e a desigualdade social. Expressa a dificuldade das sociedades para eliminar o espectro da fome. Argumenta-se que o direito humano à alimentação adequada dificilmente será materializado sem a superação da fome, da pobreza e da desigualdade social, fenômenos interdependentes e que se inter-relacionam, inerentes e necessários à sociabilidade capitalista.


Abstract: This essay aims to reflect on the human right to proper food, in an universal and permanent way, in the face of poverty and social inequality. It expresses the difficulty of societies to eliminate the spectrum of starvation. It is argued that the human right to adequate food is unlikely to be materialized without overcoming hunger, poverty and social inequality, interdependent and interrelated phenomena, inherent and necessary to capitalist sociability.

10.
J Child Psychol Psychiatry ; 63(4): 480-483, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35253230

RESUMEN

Lansford (2021) has aptly and eloquently reviewed the vast scholarly research on cross-cultural parenting and concludes that similarities in parenting norms and behaviors across cultures reflect universally adaptive behaviors for children's development. Culture-specific differences are due largely to environmental constraints and affordances as well as cultural norms for expected behavior. This is an exemplar review that tells a clear story of what we have learned from the decades of research on this topic and lays the foundation for future scholarship. Specially compelling is Lansford's argument that we need to take stock of what we know and conduct more of this type of research because the majority of what we have now is biased and does not represent the parenting practices of an increasingly diverse population. In this commentary, I provide some context for the value and potential pitfalls of cross-cultural research; discuss the importance of theoretically driven research; discuss the benefits of cross-cultural research; and conclude with some ideas for future investigations.


Asunto(s)
Comparación Transcultural , Responsabilidad Parental , Adaptación Psicológica , Niño , Crianza del Niño , Humanos , Justicia Social
12.
Human Rights and HealthPAHO/LEG/DH/dhs2/21-0001.
No convencional en Inglés | PAHO-IRIS | ID: phr-55797

RESUMEN

People living with mental health conditions are among the most vulnerable in society, as they are victims of enormous prejudice, discrimination, and violations of their fundamental rights. Throughout history, people with disabilities, particularly those with mental health conditions, have been denied the ability to make their own decisions and exercise personal and individual control in all areas of their lives. The instruments and mechanisms of the United Nations and the Inter-American System of Human Rights provide a solid basis for the adoption of measures to promote and protect the rights of persons with mental health conditions in the Region of the Americas.


Asunto(s)
Derechos Humanos , Salud Mental , Enfermedades no Transmisibles , Trastornos Mentales , Naciones Unidas , Desarrollo Sostenible , Desarrollo Sostenible , Desarrollo Sostenible
13.
Human Rights and HealthPAHO/LEG/DH/dhs7/21-0001.
No convencional en Inglés | PAHO-IRIS | ID: phr-55791

RESUMEN

This publication is part of the Human Rights and Health Series. In this publication, the main human rights standards regarding environment and climate change and the measures to be adopted from a human rights-based approach are described, in particular, the right to health and other related rights.


Asunto(s)
Derechos Humanos , Diversidad Cultural , Medio Ambiente y Salud Pública , Aire , Efectos de la Contaminación del Aire , Efectos de la Contaminación del Agua , Agua Potable , Cambio Climático , Desarrollo Sostenible
14.
Int J Prison Health ; ahead-of-print(ahead-of-print)2022 03 18.
Artículo en Inglés | MEDLINE | ID: mdl-35294830

RESUMEN

PURPOSE: The first case of COVID-19 in the Malawi prison system was reported in July 2020. Human rights organisations raised concerns about the possibility of significant COVID-19 outbreaks and deaths in the prison system, because of the poor infrastructure, lack of healthcare and adequate COVID-19 mitigation measures, existing co-morbidities (tuberculosis, HIV and hepatitis C), malnutrition and poor health of many prisoners. DESIGN/METHODOLOGY/APPROACH: The authors conducted a legal-realist assessment of the Malawian prison system response to COVID-19 during state disaster measures, with a specific focus on the right to health and standards of healthcare as mandated in international, African and domestic law. FINDINGS: The Malawi prison system was relatively successful in preventing serious COVID-19 outbreaks in its prisons, despite the lack of resources and the ad hoc reactive approach adopted. Whilst the Malawi national COVID plan was aligned to international and regional protocols, the combination of infrastructural deficits (clinical staff and medical provisions) and poor conditions of detention (congestion, lack of ventilation, hygiene and sanitation) were conducive to poor health and the spread of communicable disease. The state of disaster declared by the Malawi Government and visitation restrictions at prisons worsened prison conditions for those working and living there. ORIGINALITY/VALUE: In sub-Saharan Africa, there is limited capacity of prisons to adequately respond to COVID-19. This is the first legal-realist assessment of the Malawian prison system approach to tackling COVID-19, and it contributes to a growing evidence of human rights-based investigations into COVID-19 responses in African prisons (Ethiopia, South Africa and Zimbabwe).


Asunto(s)
COVID-19 , Desastres , Infecciones por VIH , Derecho a la Salud , COVID-19/epidemiología , Infecciones por VIH/epidemiología , Infecciones por VIH/prevención & control , Accesibilidad a los Servicios de Salud , Derechos Humanos , Humanos , Prisiones , Sudáfrica
16.
Soc Work Health Care ; 61(1): 15-35, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35240950

RESUMEN

Human rights are essential in shaping the pandemic response both for the public health emergency and the broader impact on people's well-being. Utilizing the human rights lenses, this article expatiates on a developmental-clinical social work approach to the COVID-19 pandemic response. The disquisition explores human rights to health, education, adequate food and nutrition, water and sanitation, and development. It conducts projections and a cost-benefit analysis of remedial and developmental focus on health. The paper emphasizes that it is criminal to deprive human beings of their entitlements. The paper argues that socio-economic inequalities deprive people of their human rights. To this end, it calls for the equal distribution of wealth to end poverty and ultimately address human rights concerns. It advances for the integration of health in all policies. The article calls for the social work profession and other helping professions to rethink of their priorities in the enhancement of people's welfare: either to be an agent of social control or an agent of social change. Social work should face the socio-economic inequalities head-on if it is to truly reflect its professional philosophy of social justice.


Asunto(s)
COVID-19 , Pandemias , COVID-19/epidemiología , Atención a la Salud , Derechos Humanos , Humanos , SARS-CoV-2 , Servicio Social
17.
Can J Public Health ; 113(2): 204-208, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35239172

RESUMEN

In 2019, the Canadian Government released a national dementia strategy that identified the need to address the health inequity (e.g., avoidable, unfair, and unjust differences in health outcomes) and improve the human rights of people living with dementia. However, the novel coronavirus disease 2019 (COVID-19) pandemic is having an inequitable impact on people with dementia in terms of mortality and human rights violations. As the new Omicron COVID-19 variant approaches its peak, our commentary highlights the need for urgent action to support people living with dementia and their care partners. More specifically, we argue that reducing COVID-19 inequities requires addressing underlying population-level factors known as the social determinants of health. Health disparities cannot be rectified merely by looking at mortality rates of people with dementia. Thus, we believe that improving the COVID-19 outcomes of people with dementia requires addressing key determinants such as where people live, their social supports, and having equitable access to healthcare services. Drawing on Canadian-based examples, we conclude that COVID-19 policy responses to the pandemic must be informed by evidence-informed research and collaborative partnerships that embrace the lived experience of diverse people living with dementia and their care partners.


RéSUMé: Dans sa stratégie nationale sur la démence publiée en 2019, le gouvernement canadien définissait le besoin de redresser les iniquités en santé (p. ex. les différences évitables, inéquitables et injustes dans les résultats cliniques) et de mieux faire respecter les droits humains des personnes vivant avec la démence. La pandémie de la nouvelle maladie à coronavirus 2019 (COVID-19) touche cependant de façon inéquitable les personnes atteintes de démence sur le plan de la mortalité et des violations des droits humains. À l'heure où le nouveau variant Omicron de la COVID-19 est sur le point d'atteindre son pic, nous faisons valoir qu'il faut appliquer des mesures urgentes pour aider les personnes vivant avec la démence et leurs partenaires soignants. Plus précisément, pour atténuer les effets inégaux de la COVID-19, il faut aborder les facteurs populationnels sous-jacents ­ les déterminants sociaux de la santé. Les disparités de l'état de santé ne peuvent pas être corrigées par la simple observation des taux de mortalité chez les personnes atteintes de démence. Nous croyons donc que pour améliorer les résultats cliniques de la COVID-19 chez ces personnes, il faut aborder les grands déterminants comme leurs milieux de vie, leurs soutiens sociaux et l'équité d'accès aux services de soins de santé. À partir d'exemples canadiens, nous concluons que les interventions stratégiques contre la pandémie de COVID-19 doivent être éclairées par des études fondées sur des données probantes et par des partenariats de collaboration qui tiennent compte du vécu de toutes sortes de personnes vivant avec la démence et de leurs partenaires soignants.


Asunto(s)
COVID-19 , Demencia , Equidad en Salud , COVID-19/epidemiología , Canadá/epidemiología , Demencia/epidemiología , Derechos Humanos , Humanos , Pandemias , SARS-CoV-2 , Determinantes Sociales de la Salud
20.
Recurso Educacional Abierto en Español | CVSP - Argentina | ID: oer-4022

RESUMEN

Incluye además, como material de trabajo, "Abordaje integral de las Violencias por razones de género. Base del proceso de abordaje integral" y "Derechos, salud y marco normativo", tomo 2 y 3 respectivamente del libro "Violencia por razones de género. Lineamientos para el abordaje integral en el sistema sanitario de la Provincia de Buenos Aires", del Ministerio de Salud de la Provincia de Buenos Aires. Subsecretaría de Salud Mental,Consumos Problemáticos y Violencias en el ámbito de la salud. Dirección Provincial contra las Violencias en el ámbito de la Salud Pública.


Asunto(s)
Perspectiva de Género , Transversalidad de Género , Derechos Humanos , Análisis de Género en Salud , Servicios de Salud para las Personas Transgénero , Servicios de Salud para Mujeres , Violencia de Género , Políticas Públicas de no Discriminación
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