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271.
Stephen Thompson Kovin Naidoo Joel Bambamba Vanessa Moodley Diane van Staden Amanda Forde 《Development in Practice》2019,29(2):263-269
The Mozambique Eyecare Project was an international partnership to implement and research eye health education in Mozambique and the Africa region. An optometry degree was developed at Universidade Lúrio, Mozambique. In addition, existing eye health workers were upskilled with training. Researchers from various disciplines evaluated the project and its potential for impact on eye health in the region. The body of evidence generated from the research provides useful lessons for development programmes in general, as well as specific lessons for delivering eye health education and service delivery models for low-income settings. 相似文献
272.
273.
Despite widespread aims to strengthen the Health Information System (HIS) as a tool for decentralised health care, there is a strong tendency in most developing countries that the HIS continues to reflect the central level's needs and requirements. The traditional design approach with little or no end user involvement results in a centralised HIS with an extensive, somewhat inappropriate, but also inflexible set of standards. Consequently, the HIS is not very useful for the wished‐for decentralisation of health services, and there is an urgent need to redesign the existing HIS in order to make it locally relevant and appropriately decentralised. Based on a comparative case analysis of the HIS in Tanzania and Ethiopia, we offer practical recommendations on the way to achieve this redesign. A central design goal should be to achieve a balance between centralised control and local autonomy. Some degree of control over a decentralised HIS, including budgets and the use of resources, should be delegated to the district administration. In order to achieve the aim of a locally relevant, well‐working HIS, it is necessary that appropriate authority, capacity and decentralised allocation of resources for HIS will be developed at the district and sub‐district levels. Copyright © 2008 John Wiley & Sons, Ltd. 相似文献
274.
Hans Morten Haugen 《The Journal of World Intellectual Property》2010,13(6):697-728
Concerns have been expressed over the role of the World Intellectual Property Organization (WIPO) in influencing the intellectual property policies of other specialized agencies of the United Nations. This article reviews the policies of the Food and Agricultural Organization (FAO), World Health Organization (WHO) and United Nations Educational, Scientific and Cultural Organization (UNESCO), in addition to WIPO itself, and finds very interesting patterns of cooperation. While intellectual property law is primarily concerned with providing incentives for the production of new, creative and applicable arts and knowledge, human rights law is primarily concerned with providing improved access to goods crucial for human well-being and survival. While UNESCO has paid less attention to intellectual property rights over the last decades, rather emphasizing cultural preservation, both FAO and WHO have increased their focus on intellectual property rights. The latter two have increased their cooperation with WIPO, but without a formal agreement with WIPO. The article finds that WIPO, as a specialized agency, has to cooperate with specialized agencies, and there is no reason to believe that the cooperation will be in the form of a “one-way” process in which WIPO instructs the other agencies. At the same time, it must be acknowledged that intellectual property rights can also hamper research, in addition to impacting on the access to the crucial goods. 相似文献
275.
NIELAN BARNES 《Politics & Policy》2011,39(1):69-89
Post‐North American Free Trade Agreement and post‐9/11, increasing labor mobility combined with tightening security regimes and rising anti‐immigrant sentiment has negatively impacted the health of mobile transnational populations in North America. Public health and immigration researchers have documented the problems faced by migrants and immigrants, including lack of access to health services and increased risk of exposure to infectious disease, work‐related hazards, and violence. This article examines how civil society organizations that serve transnational populations act as drivers for health policy innovation and convergence. The methodology is a comparative case study that combines qualitative methods to analyze data across a range of knowledge domains. The article generates new knowledge about the role of nonstate actors on hemispheric integration and policy convergence. Después del Tratado de Libre Comercio de América del Norte y 11/9, la movilidad laboral en aumento junto con el refuerzo de las medidas de seguridad y el creciente sentimiento anti‐inmigrante ha impactado negativamente la salud de la población trasnacional móvil en América del Norte. La salud pública y los investigadores de inmigración han documentado los problemas que enfrentan los migrantes y emigrantes, incluyendo la falta de acceso a los servicios de salud, un mayor riesgo de exposición a las enfermedades infecciosas, riesgos en el trabajo y violencia. Este artíclo examina cómo las organizaciones de la sociedad civil que atienden a las poblaciones transnacionales actúan como motor de la innovación y convergencia. La metodología es un estudio de caso comparativo que combina métodos cualitativos para analizar información a través de una serie de ámbitos del conocimiento. El artículo genera nuevo conocimiento acerca del rol de los actores no‐gubernamentales en la integración hemisférica y la convergencia de políticas. 相似文献
276.
Improving access to water and sanitation facilities has been a priority on the international development agenda. Halving the number of those who do not have access to sanitation facilities is an MDG target. This study assessed the toilet conditions in an urban slum in Ghana. Many felt that the sanitary conditions were deplorable; they were unsatisfied with having to walk over half a kilometre before using a toilet. Government efforts to improve hygiene and address sanitation problems need to take into account financial, religious, and other factors that promote the supply and maintenance of appropriate toilet facilities and services in urban communities. Toilettes n'est pas un mot tabou : à deux doigts d'atteindre les OMD en matière d'assainissement ? L'amélioration de l'accès à l'eau et aux installations sanitaires a été une priorité de l'ordre du jour international en matière de développement. La réduction de moitié du nombre de personnes qui n'ont pas accès à des installations d'assainissement est un OMD. Cette étude a évalué les conditions sur le plan des toilettes dans un bidonville urbain du Ghana. De nombreuses personnes estimaient que les conditions d'assainissement y étaient déplorables; elles n'étaient pas satisfaites de devoir parcourir plus d'un demi-kilomètre pour pouvoir utiliser des toilettes. Les efforts fournis par les pouvoirs publics pour améliorer l'hygiène et résoudre les problèmes d'assainissement doivent tenir compte des facteurs financiers, religieux et autres qui favorisent la fourniture et l'entretien d'installations et de services de toilettes dans les communautés urbaines. Excusado no es una mala palabra: ¿se está próximo a cumplir con los odm en el área de saneamiento? La ampliación del acceso al agua potable y al saneamiento ha sido una prioridad del desarrollo internacional. Una de las metas de los odm es reducir a la mitad el número de personas que actualmente carecen de acceso al saneamiento. El presente artículo valora las condiciones en que se encuentran los excusados en un barrio pobre de Ghana. Muchos de quienes residen allí consideran que las condiciones de saneamiento son deplorables, manifestando su desacuerdo con tener que caminar más de medio kilómetro para hacer uso del excusado. Los esfuerzos realizados por el gobierno para mejorar la higiene y enfrentar los problemas de saneamiento, deberán tomar en cuenta tanto los factores financieros como los religiosos u otros que promuevan la oferta y el mantenimiento de excusados, así como la posibilidad de otros servicios de saneamiento en las comunidades urbanas. Banheiro não é uma palavrão: estamos prestes a cumprir os ODMs para saneamento? Melhorar o acesso a redes de abastecimento de água e saneamento tem sido uma prioridade na agenda de desenvolvimento internacional. Reduzir pela metade o número de pessoas que não têm acesso a redes de saneamento faz parte dos Objetivos de Desenvolvimento do Milênio (ODMs). Este estudo avaliou as condições de banheiros em uma favela na zona urbana de Gana. Muitos sentiam que as condições de saneamento eram deploráveis e estavam insatisfeitos em ter de caminhar mais de meio quilômetro para usar um banheiro. Esforços do governo para melhorar a higiene e abordar os problemas de saneamento precisam levar em conta fatores financeiros, religiosos, além de outros, que promovam o fornecimento e manutenção de instalações de banheiros e serviços adequados nas comunidades urbanas. 相似文献
277.
Tarcísio Hardman Reis 《The Journal of World Intellectual Property》2006,9(4):413-425
The contemporary scenario of international immunization is focused on the implementation of vaccination programs in developing countries, which demonstrates obvious similarities with the policy “access to medicines” under the Agreement on Trade‐Related Aspects of Intellectual Property Rights. However, the debate on immunization involves distinct elements and presents different concerns and obstacles, which will be presented throughout this study. Three introductory remarks need to be made in order to place intellectual property (IP) as a core problem of global immunization. The first is that immunization is a world priority. The second is that the global immunization challenge faces the hurdle of the poverty gap. Finally, IP plays a controversial role in the implementation of immunization programs in less developed countries. 相似文献
278.
突发公共卫生事件来临时,由于事件的突发性、群体性、严重性等特征,处置突发公共卫生事件过程中行政权 力除具有权力的一般性质外,还具有其特殊的性质。了解突发公共卫生事件中行政权力的特殊性质有助于各级政府及相关 机关在突发公共卫生事件中正确、合理、有效、及时地行使权力;同时,也有助于他们制定好有效而合理的紧急预案、做 好平时的演练,以更好地防范于未然。 相似文献
279.
Paul DiLeo Michael Rowe Barbara Bugella Lauren Siembab James Siemianowski Jennifer Black 《Journal of school violence》2018,17(4):443-450
This article reports on the role, activities, and lessons learned of a state mental health authority—the Connecticut Department of Mental Health and Addiction Services—in responding to the mental health needs of families and community members following the 2012 Sandy Hook Elementary School shooting. Following the introduction, we provide a brief case study of Department of Mental Health and Addiction Services’ role in the aftermath of the Sandy Hook shooting. This role included use of the Incident Command System (ICS) to deploy a standing statewide network of clinicians who provided direct care for surviving children and school personnel, victims’ family members, and others, and coordination of its mental health response with the activities of other state, private, and individual players. We then discuss key themes and lessons learned and offer recommendations to mental health authorities for planning and implementing their own responses to possible like incidents in the future. 相似文献
280.
John N. Gads 《Journal of prevention & intervention in the community》2013,41(1):81-84
SUMMARY This paper focuses on the school as a setting for community-based prevention of factors that place learners at risk such as poverty, violence, substance abuse, learning difficulties and HIV/AIDS. It examines the development of school-based structures aimed at addressing these issues. The health promoting and inclusive schools approaches are explored as strategies to address these and other barriers to learning. Reference is made to innovative practice at a school in a disadvantaged community outside of Cape Town. The case study reveals how school-based teams could be utilized to mobilize school communities in generating solutions to the difficulties that they encounter. 相似文献