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Achieving Millennium Development Goals for health: building understanding, trust and capacity to respond
Downs, T. J ; Larson, H. J .
Afiliação
  • Downs, T. J ; Environmental Science and Policy Graduate Program. Department of International Development, Community and Environment (IDCE). USA
  • Larson, H. J ; Harvard Center for Population and Development Studies. USA
Health policy ; 83(2/3): 144-161, Oct. 2007. ilus, tab
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-59811
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT
Biomedical interventions promise achievement of health-related Millennium Development Goals provided social-, capacity- and knowledge-based constraints to scaling up and reaching marginalized people at risk, are addressed, and balance between prevention and treatment is struck. We argue for a new

approach:

multi-stakeholder capacity building and learning for empowerment MuSCLE. MuSCLE is used as a way to frame three systemic weaknesses in traditional health science and policy approaches (1) a lack of engagement with people at risk to build a collective understanding of the contexts of health problems, including social drivers; (2) a lack of multi-criteria evaluation of alternative interventions; (3) a lack of attention paid to integrated capacity building. The MuSCLE framework responds in three ways (1) participatory assessment of the ecological, socio-cultural, economic and political contexts of health, identifying priorities using risk and vulnerability science, and modeling drivers; (2) selection among intervention alternatives that makes ecological, socio-cultural, economic and political tradeoffs transparent; (3) integrated capacity building for sustainable and adaptive interventions. Literature and field lessons support the argument, and guidelines are set down. A MuSCLE approach argues for a transformation in health science and policy in order to achieve Millennium Development Goals for health. (AU)
Assuntos
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Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal Tema em saúde: 11_multisectoral_coordination Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Participação da Comunidade / Prioridades em Saúde / Promoção da Saúde Tipo de estudo: Guia de prática clínica Limite: Humanos Idioma: Inglês Revista: Health policy Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: Environmental Science and Policy Graduate Program/USA / Harvard Center for Population and Development Studies/USA
Buscar no Google
Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal Tema em saúde: 11_multisectoral_coordination Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Participação da Comunidade / Prioridades em Saúde / Promoção da Saúde Tipo de estudo: Guia de prática clínica Limite: Humanos Idioma: Inglês Revista: Health policy Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: Environmental Science and Policy Graduate Program/USA / Harvard Center for Population and Development Studies/USA
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