A training approach for community maternal health volunteers that builds sustainable capacity

This article examines a training approach for community health volunteers which increased access to maternal health services in rural communities in Zambia. The effectiveness of the training approach was evaluated in an operations research component. Skilled birth attendance rates increased by 63% from baseline over a two-year period in the intervention districts, out-performing increases recorded in control sites at statistically significant levels. As a low-cost, high-impact intervention which shows good sustainability potential, the approach is suitable for national level scale-up and for adaptation for use in other countries in support of maternal and new-born health goals.     

Community Wise: Paving the way for empowerment in community reentry

Theoretical approaches traditionally applied in mental health and criminal justice interventions fail to address the historical and structural context that partially explains health disparities. Community Wise was developed to address this gap. It is a 12 week group intervention informed by Critical Consciousness Theory and designed to prevent substance abuse, related health risk behaviors, psychological distress, and reoffending among individuals with a history of incarceration and substance abuse. This paper reports findings from the first implementation and pilot evaluation of Community Wise in two community-based organizations. This pre–posttest evaluation pilot-tested Community Wise and used findings to improve the intervention. Twenty-six participants completed a phone and clinical screening, baseline, 6- and 12-week follow-ups, and a focus group at the end of the intervention. Measures assessed participants' demographic information, psychological distress, substance use, criminal offending, HIV risk behaviors, community cohesion, community support, civic engagement, critical consciousness, ethnic identification, group cohesion, client satisfaction, and acquired treatment skills. Research methods were found to be feasible and useful in assessing the intervention. Results indicated that while Community Wise is a promising intervention, several changes need to be made in order to enhance the intervention. Community Wise is a new approach where oppressed individuals join in critical dialogue, tap into existing community resources, and devise, implement and evaluate their own community solutions to structural barriers.     

Involuntary detention and treatment of the mentally ill: China's 2012 Mental Health Law

The long-awaited Mental Health Law of China was passed on 26 October 2012 and took effect on 1 May 2013. Being the first national legislation on mental health, it establishes a basic legal framework to regulate mental health practice and recognizes the fundamental rights of persons with mental disorders. This article focuses on the system of involuntary detention and treatment of the mentally ill under the new law, which is expected to prevent the so-called “Being misidentified as mentally disordered” cases in China. A systematic examination of the new system demonstrates that the Mental Health Law of China implicitly holds two problematic assumptions and does not provide adequate protection of the fundamental rights of the involuntary patients. Administrative enactments and further national legislative efforts are needed to remedy these flaws in the new law.     

保险法理论的发展与保险实务的应对及挑战——以《保险法司法解释二》的实施为中心

《最高人民法院关于适用〈保险法〉若干问题的解释（二）》就保险实务中若干重问题予以了规定,包括保险利益、追溯保险、如实告知义务的内容以及保险金给付与其他请求权之间的关系等,此次解释或采纳了最新的保险法理论研究成果,或根据保险法原理突破了传统法规的不合理适用规则,为更好地保护保险消费者权益以及保险业的发展创造了良好的司法环境.     

刍议卫生行政执法裁量权

当今卫生行政执法工作中存在大量裁量权不当行使甚至裁量权滥用的现象,而对于卫生行政执法领域的裁量权却难于查找到权威的理论依据。因此,对于卫生行政执法裁量权的理论研究极具价值。     

论基本医疗卫生法的立法定位及其主要内容

基本医疗就是要让国民小病看得起、医保广覆盖、医疗服务质量有保障的满足患者基本医疗需求的医疗模式。基本医疗卫生法就是围绕这一核心予以规制和保障的法律。基本医疗卫生法是公民健康保障的基本法律,是跨领域跨专业的综合性法律,是各具体职能部门共同保障基本医疗服务的法律。基本医疗卫生法的立法基本原则是理论与实践相结合的原则、平衡各方利益的原则、厘清争议问题的原则。基本医疗卫生法立法的核心内容包括：基本医疗卫生法的基本原则、政府的基本医疗保障责任、医疗保险付费为主的多渠道医疗费用筹措机制、基层医疗机构担负国民健康守门员的职责、弱势群体医疗救助制度等。     

宁波市地方卫生立法的现状研究

宁波市是国务院批准的具有地方立法权的较大的市。近年来为了促进地方卫生事业的发展,保障人民健康权益,宁波市不断推进地方卫生立法工作,取得了较为突出的成效。本文通过对宁波地方卫生立法的类型进行分析,归纳了宁波市地方卫生立法的特点,宁波市地方卫生立法体现了＂以人为本,立法为民＂,体现了前瞻性和创新性,体现了区域特殊性和相对独立性,并且在实施过程中取得了明显的成效。     

Fighting antisemitism with numbers in early twentieth-century Britain

ABSTRACT

In the 1920s and 1930s, the Jewish Health Organization of Great Britain (JHOGB) and its president, Redcliffe Nathan Salaman, championed the collection and analysis of demographic data about the Anglo-Jewish community as a way to counter rising antisemitism. In this article, Endelman discusses the belief in the ability of statistical research to undermine lies and distortions about the Jews of Britain that rested on untested Enlightenment assumptions about human nature and the sources of human behaviours and sentiments. While the JHOGB’s faith in statistical research as a bulwark of counter-propaganda never faltered, and while it obtained funding for a handful of projects, it failed to convince the leaders of Anglo-Jewry of the necessity to create and support a permanent statistical bureau. With the onset of the Second World War, the organization ceased its work, as more pressing communal priorities, especially caring for refugees from Nazism, rose to the fore.     

全球卫生公共产品供给:中国角色与路径

卫生议题正处在当前全球治理的突出位置,其核心是如何更有效地实现全球卫生公共产品供给。作为新兴负责任大国,中国秉持人类命运共同体理念,积极参与全球卫生治理体系变革,成为日益重要的引领者与公共产品供给者。中国通过多边、区域、双边等多元路径实现供给,国内与国际逻辑趋于统一,逐渐形成了自己的鲜明特色;但在供给体制、产品结构等方面也存在一些不足。新时代中国卫生外交需着眼于全球治理趋势,立足于自身实力与责任,通过提供更多全球卫生公共产品来推动全球卫生领域的良好治理,为构建人类卫生健康共同体作出应有贡献。     

African solutions to African problems and the Ebola virus disease in Nigeria

Africa grapples with the world's most serious public health crisis, but this article shows that there are public health solutions that work in the African setting. When the Ebola virus disease outbreak was announced in Nigeria in July 2014, some public health specialists worried that an apocalyptic outbreak would sweep through the vast slums of Lagos. The words “Ebola” and “Lagos” in the same sentence were viewed as a dangerous combination, due to the large population of Lagos and the inefficient health care system in the city. Contrary to this view, the outbreak of Ebola virus disease was successfully contained in Nigeria. This article focuses on the factors that were responsible for this success. It examines strategies developed within Nigeria that help to ensure the successful containment of the disease. The paper identifies lessons that can be learnt by other countries from the Nigerian experience.