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1.
Eur J Health Law ; : 1-23, 2021 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-33827050

RESUMO

The human right to health requires that everyone should have equal opportunities to enjoy the highest attainable standard of health. In practice, this is hard to achieve, as health is shaped by social determinants. This article explores the impact personalized medicine and use of big data may have on health disparities. New health technologies offer a lot of hope for more individual and better health promotion and care, which potentially could be beneficial for the most deprived. However, there are also concerns that not all population groups will profit equally from this new population-based medicine, and that new digital health technologies will maintain - or even reinforce - existing health disparities. This article suggests using insights from poverty studies combined with a patients' and human rights-based approach to ensure that the most deprived are not left behind in the application of new health technologies.

4.
Artigo em Inglês | MEDLINE | ID: mdl-33406580

RESUMO

While air pollution levels in India are amongst the highest in the world, the link between exposure to air pollution and social disadvantages has not been systematically examined. Using a distributive environmental justice framework, this study connects fine particulate matter (PM2.5) concentration data derived from satellite observations, a global chemical transport model, and ground-based measurements to district level socio-demographic information from the 2011 Census of India. The research objectives are to determine if annual average PM2.5 concentrations (2010) and recent increases in average PM2.5 concentrations (2010-2016) are unequally distributed with respect to socially disadvantaged population and household groups, after controlling for relevant contextual factors and spatial clustering. Overall, more than 85% of people and households in India reside in districts where international air quality standards for PM2.5 are exceeded. Although PM2.5 concentration levels are significantly higher in more urbanized districts located predominantly in northern India, recent increases have occurred in less urbanized areas located mainly in southern and central India. Multivariable statistical analysis indicated: (1) higher PM2.5 concentration in districts with higher percentages of Scheduled Castes (SCs), young children, and households in poor condition residence and without toilets; and (2) higher PM2.5 increases in less urbanized districts with higher percentages of SCs, females, children, people with disabilities, and households with no toilets. These findings thus highlight the need to consider the role of air pollution in exacerbating the consequences of social disadvantages in India.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Justiça Social , Fatores Socioeconômicos , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Criança , Pré-Escolar , Exposição Ambiental/análise , Monitoramento Ambiental , Feminino , Humanos , Índia , Masculino , Material Particulado/análise , Densidade Demográfica , População Urbana
5.
Soc Sci Med ; 272: 113707, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33517126

RESUMO

2020 in the United States was marked by two converging crises-the COVID-19 pandemic and the large-scale uprisings in support of Black lives. These crises were met with both a counterproductive and inadequate response from the federal government. We examine these converging crises at the individual, social, and political scales. The biological realities of COVID-19 impact different populations in widely varied ways-the poor, the elderly, Black, Indigenous, and people of color, and those living with comorbidities get sick and die at the highest rates. Social distancing guidelines shifted millions of people to work-from-home and millions more lost their jobs, even as care laborers, preponderantly women, Black, Indigenous, and people of color, were asked to put their and their loved ones' lives on the line for the continuation of all of our lives. These biological, social, and economic crises have been punctuated by civil unrest, as millions took to the streets for racial justice, noting the unequal impacts of the pandemic. These converging crises have laid bare decades of neoliberal and neoconservative policies and ideologies, undergirded as they have been by racial capitalism, for their fundamental uncaringness. In this paper, we argue that this pandemic not only made a wider population more acutely aware of the necessity and importance of the need to care and for caring labors, but also that we stand at the precipice of potentiality--of producing a more caring society. To frame our argument, we draw on Nancy Scheper-Hughes and Margaret Lock's (1987) framework of three bodies-individual, social, and political-to unpack the multi-scalar entanglements in the differential impacts of COVID-19, questions of care, and their articulation in the current political-economic context.


Assuntos
Pandemias , Determinantes Sociais da Saúde , Justiça Social , Afro-Americanos , /mortalidade , Capitalismo , Emprego , Governo Federal , Feminino , Humanos , Determinantes Sociais da Saúde/economia , Estados Unidos
6.
J Appl Psychol ; 106(1): 1-3, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33444047

RESUMO

It is impossible to write this editorial without recognizing that we are living in challenging times. Unprecedented changes in how, when, where, and with whom we work have occurred in response to the COVID-19 pandemic. In addition to the threat to human life, the pandemic is expected to increase poverty and deepen preexisting inequalities for vulnerable groups such as women (United Nations, 2020) and individuals living in poorer countries (United Nations Development Programme, 2020). In the United States, the pandemic has disproportionately negatively affected racial and ethnic minority group members (https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html). For example, in the United States infection and mortality rates are especially high among African Americans (Yancy, 2020). These sobering realities, along with the recent deaths of George Floyd, Ahmaud Arbery, and Breonna Taylor, and so many others, are vivid and wrenching reminders of longstanding social injustice and systematic racism, both in the United States and around the globe. When preparing my candidate statement and vision for the journal, a global pandemic and widespread social protest were the furthest thing from my mind. However, several aspects of my vision for JAP are highly relevant to the current context. This includes increasing representation and supporting diversity, as well as improving the translation of our science for the public good. Other elements of my vision for the journal include enhancing the review process and promoting open science. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
/psicologia , Pobreza/psicologia , Psicologia Aplicada/métodos , Racismo/psicologia , Justiça Social/psicologia , Grupos Étnicos/psicologia , Humanos , Grupos Minoritários/psicologia , Pandemias , Fatores Socioeconômicos , Estados Unidos
7.
J Environ Manage ; 280: 111689, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33342590

RESUMO

With the surge in economic growth in the global-north vis-a-vis social and economic inequalities in the global-south (north-south dichotomy), there is an increasing requirement for critical research and an examination of the policy implications with respect to human rights in emerging economies. This paper draws on the concept of convergence and institutional theories to enhance our understanding of how multinational corporations (MNCs) fulfil their profit maximisation agendas using capitalist principles; and the extent to which these ideologies produce human rights violations in emerging economies. Using multiple data sources from the Human Rights Watch, our study provides a comprehensive list of various human rights violations perpetrated by MNCs from 2002 to 2017. We verified 273 violations by 160 MNCs mostly from developed countries. More than 90% of our sample firms have CSR/sustainability committees, are signatories to the UN Global Compact and have reported compliance with the International Labour Organisation (ILO). This raises questions about the effectiveness of these programmes for CSR compliance. We contribute to the CSR/sustainability literature by providing new insights into the nature and location of human rights violations committed by MNCs.


Assuntos
Direitos Humanos , Organizações , Humanos , Responsabilidade Social , Fatores Socioeconômicos
9.
Nat Hum Behav ; 5(3): 349-360, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33318662

RESUMO

Given the near-historic levels of economic inequality in the United States, it is vital to understand when and why people are motivated to reduce it. We examine whether the manner in which economic inequality and policy are framed-in terms of either upper-socio-economic-class advantages or lower-socio-economic-class disadvantages-influences individuals' reactions to inequality. Across five studies, framing redistributive policy (Study 1) as disadvantage-reducing (versus advantage-reducing) and economic inequality (Studies 2-5) as lower-class disadvantages (versus upper-class advantages or a control frame) enhances support for action to reduce inequality. Moreover, increased support is partly driven by perceptions that inequality is more unjust if framed as lower-class disadvantages. Using diverse methodologies (for example, social media engagement on Facebook) and nationally representative samples of self-reported upper-class and lower-class individuals, this work suggests that the ways in which economic inequality is communicated (for example, by the media) may reliably influence people's reactions to and concern for the issue.


Assuntos
Política Pública , Justiça Social , Percepção Social , Fatores Socioeconômicos , Adulto , Processos Grupais , Humanos , Classe Social
10.
Am J Surg ; 221(1): 155-161, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32758359

RESUMO

BACKGROUND: The purpose of this study was to determine whether racial or other demographic characteristics were associated with declining surgery for early stage gastric cancer. METHODS: Patients with clinical stage I-II gastric adenocarcinoma were identified from the NCDB. Multivariable logistic models identified predictors for declining resection. Patients were stratified based on propensity scores, which were modeled on the probability of declining. Overall survival was evaluated using the Kaplan-Meier method. RESULTS: Of 11,326 patients, 3.68% (n = 417) declined resection. Patients were more likely to refuse if they were black (p < 0.001), had Medicaid or no insurance (p < 0.001), had shorter travel distance to the hospital (p < 0.001) or were treated at a non-academic center (p = 0.001). After stratification, patients who declined surgery had worse overall survival (all strata, p < 0.001). CONCLUSIONS: Racial and sociodemographic disparities exist in the treatment of potentially curable gastric cancer, with patients who decline recommended surgery suffering worse overall survival.


Assuntos
Adenocarcinoma/cirurgia , Afro-Americanos/estatística & dados numéricos , Americanos Asiáticos/estatística & dados numéricos , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Neoplasias Gástricas/cirurgia , Recusa do Paciente ao Tratamento/estatística & dados numéricos , Adenocarcinoma/mortalidade , Adenocarcinoma/patologia , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Demografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Estudos Retrospectivos , Fatores Socioeconômicos , Neoplasias Gástricas/mortalidade , Neoplasias Gástricas/patologia , Taxa de Sobrevida , Estados Unidos
11.
Esc. Anna Nery Rev. Enferm ; 25(2): e20200147, 2021.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1133834

RESUMO

Resumo Objetivo explicar a interferência das condições de vida de mulheres quilombolas na autonomia reprodutiva. Método trata-se de um estudo qualitativo com 10 mulheres quilombolas com idade entre 23 e 49 anos, residentes em comunidades rurais do Território de Identidade da Bahia Sertão Produtivo. Estas compareceram aos encontros e assinaram o Termo de Consentimento Livre e Esclarecido. Os dados foram coletados através de grupos focais e analisados pela análise temática de Bardin. O software NVivo foi utilizado para organização dos dados. Procedeu-se à coleta de dados após a aprovação do Comitê de Ética em Pesquisa. Resultados Considerando o fato de que metade do quantitativo de mulheres era primigesta, a maioria usava contraceptivo oral, não usava preservativo e nem participava do planejamento reprodutivo. Os dados revelaram que a autonomia reprodutiva das mulheres quilombolas sofre interferência do patriarcado, entretanto, vem se remodelando com a independência financeira das mulheres. Após agregação das unidades de registro, emergiram três categorias: "Teria que casar e ter filho(a)!", "Marcas da submissão e a conquista da autonomia" e "Planejamento reprodutivo: conflitos entre liberdade e obrigação". Conclusão e implicações para a prática condições de vida desfavoráveis impedem mulheres quilombolas de vivenciarem a autonomia reprodutiva em plenitude; o conhecimento dessas condições poderão revelar reais necessidades de saúde reprodutiva e subsidiar ações direcionadas a este público.


Resumen Objetivo explicar la interferencia de las condiciones de vida de las mujeres de palenques en la autonomía reproductiva. Método Se trata de un estudio cualitativo con 10 mujeres de palenques de entre 23 y 49 años de edad, residentes en comunidades rurales del Territorio de Identidad del Sertão Productivo de Bahía. Asistieron a las reuniones y firmaron el Término de Consentimiento libre e informado. Los datos fueron recolectados a través de grupos focales y analizados por el análisis temático de Bardin. Se usó el software NVivo para organizar los datos. La recolección tuvo lugar después de la aprobación del Comité de Ética en Investigación. Resultados Teniendo en cuenta el hecho de que la mitad de las mujeres eran primigestas, la mayoría de ellas utilizaban anticonceptivos orales, no utilizaban preservativos ni participaban en la planificación reproductiva. Los datos revelaron que la autonomía reproductiva de las mujeres de palenques sufre la interferencia del patriarcado, sin embargo, se ha ido remodelando con la independencia financiera de las mujeres. Después de la agregación de las unidades de registro, surgieron tres categorías: "¡Tendría que casarme y tener un hijo!", "Marcas de sumisión y el logro de la autonomía" y "Planificación reproductiva: conflictos entre libertad y obligación". Conclusión e implicaciones para la práctica las condiciones de vida desfavorables impiden a las mujeres de palenques experimentar una plena autonomía reproductiva; el conocimiento de estas condiciones puede revelar las necesidades reales de salud reproductiva y subvencionar acciones dirigidas a este público.


Abstract Objective to explain the interference of the living conditions of quilombo women in reproductive autonomy. Method this is a qualitative study with 10 quilombo women aged between 23 and 49 years old, living in rural communities of the Identity Territory of Bahia Productive backlands. They attended the meetings and signed the Free and Informed Consent Form. Data were collected through focus groups and analyzed by Bardin's thematic analysis. NVivo software was used to organize the data. Data collection took place after approval by the Research Ethics Committee. Results Considering the fact that half of quantitative was primigravida women, the majority used oral contraceptives, did not use condoms, nor did they participate in reproductive planning. The data revealed that the reproductive autonomy of quilombo women suffers interference from patriarchy, however, it has been remodeling with the financial independence of women. After aggregating the registration units, three categories emerged: "I would have to marry and have a child!", "Marks of submission and the achievement of autonomy" and "Reproductive planning: conflicts between freedom and obligation". Conclusion and implications for practice unfavorable living conditions prevent quilombo women from fully experiencing reproductive autonomy; knowledge of these conditions may reveal real reproductive health needs and subsidize actions directed to this public.


Assuntos
Humanos , Feminino , Adulto , Condições Sociais , Mulheres , Grupos Étnicos , Autonomia Pessoal , Saúde Reprodutiva , Anticoncepção , Pesquisa Qualitativa , Iniquidade de Gênero
13.
Ciênc. Saúde Colet ; 25(12): 4945-4956, Dec. 2020. tab
Artigo em Português | LILACS, Coleciona SUS, Sec. Est. Saúde SP | ID: biblio-1142715

RESUMO

Resumo A pandemia de Covid-19 revelou a existência de ameaça concreta e imediata à segurança alimentar e nutricional (SAN), em especial de grupos vulnerabilizados. O estudo buscou identificar as estratégias governamentais implementadas no Brasil para prover o Direito Humano à Alimentação Adequada e Saudável em contextos de elevada vulnerabilidade social frente à Covid-19. Foi realizado um estudo transversal, com análise de documentos oficiais publicados entre 20 de março e 30 de julho de 2020 pela União, Distrito Federal, estados e capitais brasileiras, com foco em medidas que assegurem disponibilidade e acesso físico ou financeiro a alimentos. As estratégias implementadas envolvem fundamentalmente distribuição de alimentos e garantia de renda mínima. Foram instituídas: Renda Básica Emergencial (União); Programa de Aquisição de Alimentos (PAA) e auxílio financeiro emergencial (estados); programas de doação emergencial de alimentos (estados e municípios). Medidas existentes foram adaptadas frente à pandemia, como o Programa Nacional de Alimentação Escolar (PNAE), o Programa de Aquisição de Alimentos (PAA) nacional, a distribuição de alimentos e de cestas básicas. Embora importantes, essas estratégias têm alcance limitado e são insuficientes para assegurar a SAN.


Abstract The Covid-19 pandemic revealed a concrete and immediate threat to food and nutrition security (FNS), especially for vulnerable groups. This study aimed to identify government strategies implemented in Brazil to provide the Human Right to Adequate and Healthy Food in high social vulnerability contexts during the Covid-19 pandemic. A cross-sectional study was carried out, with analysis of official documents published between March 20 and July 30, 2020, by the Federal Government, Federal District, Brazilian states, and capitals, focusing on measures to ensure availability and physical or financial access to food. Strategies implemented mainly involve food distribution and minimum income assurance. The following were implemented: Basic Emergency Income (Federal Government); Food Acquisition Program (PAA), and emergency financial aid (states); emergency food donation programs (states and municipalities). Existing measures were adapted to the pandemic, such as the National School Food Program (PNAE), the National Food Acquisition Program (PAA), and the distribution of food and staple food baskets. While essential, these strategies have limited scope and are insufficient to ensure FNS.


Assuntos
Humanos , Infecções por Coronavirus/epidemiologia , Pandemias , Abastecimento de Alimentos/legislação & jurisprudência , Betacoronavirus , Brasil/epidemiologia , Áreas de Pobreza , Estudos Transversais , Regulamentação Governamental , Emergências , Assistência Alimentar/legislação & jurisprudência , Assistência Alimentar/organização & administração , Financiamento Governamental/legislação & jurisprudência , Abastecimento de Alimentos , Abastecimento de Alimentos/economia , Abastecimento de Alimentos/métodos , Dieta Saudável , Renda , Programas Nacionais de Saúde/legislação & jurisprudência , Programas Nacionais de Saúde/organização & administração
14.
Barbarói ; (57): 65-87, jul.-dez. 2020.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1150418

RESUMO

Este artigo tem como objetivo identificar as características do trabalho infantojuvenil a partir da rede de proteção dos direitos das crianças e adolescentes. Participaram da pesquisa 35 atores sociais que atuam na Rede de proteção dos direitos da criança e do adolescente de uma cidade mediana na região central do Tocantins. Utilizou-se de um questionário composto por questões abertas e fechadas e para análise dos dados, a Análise Temática de Bardin. A partir da análise, a maioria dos atores sociais respondeu que a instituição em que atuavam não tinha dados sobre o trabalho infantojuvenil, apenas dois afirmaram que tinham registro de trabalho infantojuvenil; no entanto, quase todos os atores sociais entrevistados já viram ou têm conhecimento de crianças e adolescentes em situação de trabalho. Um dado que chama a atenção é que a maioria dos atores sociais considera o trabalho infantojuvenil bom, como dignificante e que possibilita as crianças e adolescentes criarem responsabilidades, contanto que não interfira nos estudos e não ofereça riscos à saúde.(AU)


The objective of this paper is to identify the characteristics of child labour based on the protection network for the rights of children and adolescents. The research included 35 social actors who work in the Network for the protection of the rights of children and adolescents from a medium-sized city in the central region of Tocantins. A questionnaire composed of open and closed questions and for the analysis of the data the Bardin Thematic Analysis was used. From the data, most social actors answered that the institution they worked in did not have data on child and youth work, only two stated that they had child and youth work records, however, almost all social actors interviewed have seen or have knowledge of children and adolescents in work situations. A fact that draws attention is that most social actors consider child and youth work to be good, dignified and that allows children and adolescents to create responsibilities, as long as it does not interfere with studies and does not offer health risks.(AU)


Este artículo tiene como objetivo identificar las características del trabajo infantil y juvenil basado en la red de protección de los derechos de niños, niñas y adolescentes. Participaron en la investigación 35 actores sociales que trabajan en la Red para la protección de los derechos de niños, niñas y adolescentes de una ciudad mediana en la región central de Tocantins. Se utilizó un cuestionario compuesto por preguntas abiertas y cerradas y para el análisis de los datos se utilizó el Análisis temático de Bardin. A partir de los datos, la mayoría de los actores sociales respondieron que la institución en la que trabajaban no tenía datos sobre el trabajo infantil y juvenil, solo dos declararon que tenían registros de trabajo infantil y juvenil, sin embargo, casi todos los actores sociales entrevistados han visto o tienen conocimiento de los niños. y adolescentes en situaciones laborales. Un hecho que llama la atención es que la mayoría de los actores sociales consideran que el trabajo infantil y juvenil es bueno, digno y que permite a los niños y adolescentes crear responsabilidades, siempre que no interfiera con los estudios y no ofrezca riesgos para la salud.(AU)


Assuntos
Humanos , Pré-Escolar , Criança , Adolescente , Trabalho Infantil , Defesa da Criança e do Adolescente , Serviços de Proteção Infantil
15.
New Solut ; : 1048291120970207, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-33131378

RESUMO

We examine the educational experience of Latinx hired child farmworkers in North Carolina, using a social justice framework. Qualitative (n = 30) and quantitative (n = 202) data collected among children ten to seventeen years of age revealed elevated rates of grade retention and dropout status. Children reported disruption to their schooling caused by international and interstate migration and intrastate movement. Few worked during school time; nevertheless, children reported missed participation in educational enrichment opportunities and little integration into school life. Schools often failed to accommodate language difficulties and problems caused by migration, and an atmosphere of racism prevailed. Educational programs for children in farmworker families were established during the 1960s. However, they do not meet the needs of hired child farmworkers. Policies to reduce child employment in agriculture and to meet their educational needs are necessary to ensure the education needed for future health and well-being. We discuss the applied implications of findings.

16.
Washington, D.C.; PAHO; 2020-11-30. (PAHO/IMS/FPL/COVID-19/20-0021).
em Inglês | PAHO-IRIS | ID: phr-53078

RESUMO

The purpose of this guide is to offer recommendations for improving the implementation of non‑pharmacological public health measures during the COVID-19 response and compliance with these measures by population groups in situations of vulnerability. This requires determining the main barriers to implementing these measures so that we can identify the groups and territories most affected during the different phases of the pandemic. With this objective in mind––and within the framework of an equity, human rights, and diversity approach––, policies, strategies, and interventions to accompany the implementation and flexibilization of the measures are recommended to ensure that no one is left behind.


Assuntos
Infecções por Coronavirus , Coronavirus , Infecções por Coronavirus , Determinantes Sociais da Saúde , Saúde Pública , Vulnerabilidade Social , Equidade em Saúde , Direitos Humanos , Cobertura Universal de Saúde , Vulnerabilidade em Saúde , Estudo sobre Vulnerabilidade , Betacoronavirus , Pandemias , Monitoramento das Desigualdades em Saúde , Pesquisa
18.
Afr J Prim Health Care Fam Med ; 12(1): e1-e3, 2020 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-33054263

RESUMO

For Africa, the backdrop1 against which COVID-19 emerged is a stark one. Although sub-Saharan Africa accounts for 11% of the world's population, it bears 24% of the global disease burden. The continent is home to 60% of the people with human immunodeficiency virus (HIV), and over 90% of malarial patients. In this region, infectious diseases such as malaria and HIV cause 69% of deaths. As states respond to COVID-19, we need to keep our eyes open to what effective responses are notifying us about our healthcare systems, so that we can craft sustainable interventions as a result and uphold the right to health. This is especially true in the light of the ongoing nature of pandemics on the continent, making urgent the need to maximise the value of our health system and its resources, as we seek lasting transformation.


Assuntos
Infecções por Coronavirus , Acesso aos Serviços de Saúde , Pandemias , Pneumonia Viral , Pobreza , Privatização , Direito à Saúde , África ao Sul do Saara/epidemiologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Infecções por Coronavirus/virologia , Assistência à Saúde/métodos , Infecções por HIV/epidemiologia , Humanos , Malária/epidemiologia , Defesa do Paciente , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Pneumonia Viral/virologia
19.
Niger J Clin Pract ; 23(10): 1333-1338, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33047688

RESUMO

Backround: The fiduciary duty of a managing physician makes paediatric discharges against medical advice (DAMA) particularly challenging as children lack the legal power or authority to make their health decisions. Aim: It is aimed in the present study to determine the prevalence of paediatric DAMA in a mission tertiary hospital. Methods: This was a prospective descriptive study carried out from June 2018 to May 2019 among paediatric inpatients at the Bowen University Teaching Hospital, Ogbomoso, Nigeria whose parent/ care giver signed DAMA, despite adequate counselling. Data was analysed using SPSS version 23. Results: The prevalence of DAMA in the study was of 4.1%, and the neonatal group accounted for the largest bulk of DAMA. Birth asphyxia was the commonest diagnosis among this group. There was a slight female predominance among the patients whose parents signed DAMA. Financial constraint was the commonest reason [13(30.2%)] given for DAMA and none of the children whose parents signed DAMA was enrolled on the National Health Insurance Scheme (NHIS). Conclusion: Rate of DAMA in a private mission tertiary hospital was lower than previously reported from government tertiary hospitals in the present-day Nigeria.


Assuntos
Cuidadores/estatística & dados numéricos , Hospitais Religiosos/estatística & dados numéricos , Pais/psicologia , Alta do Paciente/estatística & dados numéricos , Pediatria , Recusa do Paciente ao Tratamento/estatística & dados numéricos , Cuidadores/psicologia , Criança , Pré-Escolar , Aconselhamento , Feminino , Hospitais Privados , Humanos , Pacientes Internados , Masculino , Nigéria/epidemiologia , Prevalência , Estudos Prospectivos , Fatores Socioeconômicos
20.
Washington, D.C.; OPS; 2020-10-28. (OPS/IMS/FPL/COVID-19/20-0021).
em Espanhol | PAHO-IRIS | ID: phr-52955

RESUMO

El propósito de este documento es presentar orientaciones para mejorar la aplicación de medidas de salud pública no farmacológicas durante la respuesta a la COVID-19, así como la adherencia a dichas medidas por parte de los grupos de población en situación de vulnerabilidad. Para ello, es necesario identificar los principales obstáculos a la aplicación de las medidas, lo que nos permite determinar los grupos y territorios más afectados en las diferentes fases de la pandemia. Con este objetivo, y desde un marco de equidad, derechos humanos y diversidad, se recomiendan políticas, estrategias e intervenciones que acompañan la aplicación y flexibilización de las medidas, de modo que nadie quede atrás.


Assuntos
Infecções por Coronavirus , Coronavirus , Infecções por Coronavirus , Determinantes Sociais da Saúde , Saúde Pública , Vulnerabilidade Social , Equidade em Saúde , Direitos Humanos , Cobertura Universal de Saúde , Vulnerabilidade em Saúde , Estudo sobre Vulnerabilidade , Betacoronavirus , Pandemias , Monitoramento das Desigualdades em Saúde , Pesquisa
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