Achieving Millennium Development Goals for health: building understanding, trust and capacity to respond
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)
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Coleções:
Bases de dados temática
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
Problema de saúde:
Coordenação Multissetorial
Base de dados:
CidSaúde - Cidades saudáveis
Assunto principal:
Participação da Comunidade
/
Prioridades em Saúde
/
Promoção da Saúde
Tipo de estudo:
Guia de prática clínica
/
Estudo prognóstico
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