scholarly journals Interventions to Promote an Integrated Approach to Public Health Problems: An Application to Childhood Obesity

2012 ◽  
Vol 2012 ◽  
pp. 1-14 ◽  
Author(s):  
Anna-Marie Hendriks ◽  
Jessica S. Gubbels ◽  
Nanne K. De Vries ◽  
Jaap C. Seidell ◽  
Stef P. J. Kremers ◽  
...  
Keyword(s):  
Public Health ◽  
Childhood Obesity ◽  
Local Governments ◽  
Research Question ◽  
Integrated Approach ◽  
Health Policies ◽  
Intersectoral Collaboration ◽  
Public Health Policies ◽  
Obesity Epidemic ◽  
Children’S Physical Activity

Experts stress the need to bring the childhood obesity epidemic under control by means of an integrated approach. The implementation of such an approach requires the development of integrated enabling policies on public health by local governments. A prerequisite for developing such integrated public health policies is intersectoral collaboration. Since the development of integrated policies is still in its early stages, this study aimed to answer the following research question: “What interventions can promote intersectoral collaboration and the development of integrated health policies for the prevention of childhood obesity?” Data were collected through a literature search and observations of and interviews with stakeholders. Based on a theoretical framework, we categorized potential interventions that could optimize an integrated approach regarding children's physical activity and diet. The intervention categories included education, persuasion, incentivization, coercion, training, restriction, environmental restructuring, modeling, and enablement.

scholarly journals Towards Health in All Policies for Childhood Obesity Prevention

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Anna-Marie Hendriks ◽  
Stef P. J. Kremers ◽  
Jessica S. Gubbels ◽  
Hein Raat ◽  
Nanne K. de Vries ◽  
...  
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Childhood Obesity ◽  
Local Government ◽  
Integrated Approach ◽  
Organizational Structures ◽  
Intersectoral Collaboration ◽  
Health In All Policies ◽  
Obesity Epidemic ◽  
Health Goals

The childhood obesity epidemic can be best tackled by means of an integrated approach, which is enabled by integrated public health policies, orHealth in All Policies. Integrated policies are developed through intersectoral collaboration between local government policy makers from health and nonhealth sectors. Suchintersectoral collaborationhas been proved to be difficult. In this study, we investigated which resources influence intersectoral collaboration. Thebehavior change wheelframework was used to categorize motivation-, capability-, and opportunity-related resources for intersectoral collaboration. In-depth interviews were held with eight officials representing 10 non-health policy sectors within a local government. Results showed that health and non-health policy sectors did not share policy goals, which decreased motivation for intersectoral collaboration. Awareness of the linkage between health and nonhealth policy sectors was limited, and management was not involved in creating such awareness, which reduced the capability for intersectoral collaboration. Insufficient organizational resources and structures reduced opportunities for intersectoral collaboration. To stimulate intersectoral collaboration to prevent childhood obesity, we recommend that public health professionals should reframe health goals in the terminology of nonhealth policy sectors, that municipal department managers should increase awareness of public health in non-health policy sectors, and that flatter organizational structures should be established.

scholarly journals Sustainable Urban Mobility Policies as a Path to Healthy Cities—The Case Study of LMA, Portugal

2019 ◽  
Vol 11 (10) ◽  
pp. 2929 ◽  
Author(s):  
Ana Louro ◽  
Nuno Marques da Costa ◽  
Eduarda Marques da Costa
Keyword(s):  
Public Health ◽  
Sustainable Development ◽  
Research Question ◽  
Health Policies ◽  
Healthy Cities ◽  
Urban Mobility ◽  
Public Health Policies ◽  
To Come ◽  
Sustainable Urban Mobility

Sustainable development has become the basis of several worldwide policies over the last few decades, and its role will continue to shape policies for decades to come, especially those that are focused on urban mobility. At the same time, urban mobility is included in the framework of the Healthy Cities movement. In this context, using the Lisbon Metropolitan Area (LMA), Portugal, as the study area, this article intends to answer the following research question: are sustainable urban mobility policies contributing to healthy cities? Urban mobility planning and public health instruments were compared with the discourses and practices of those responsible for the implementation of urban mobility policies and Healthy Cities projects. The results reveal that a large number of responses proposed in the mobility planning instruments are, to some extent, related to the principles of healthy cities. Also, while municipal agents tend not to consider the inclusion of those principles, they instead incorporate the concepts of sustainable development. Nevertheless, we found that both approaches overlap the policy directions of healthy cities. On the other hand, public health policies and Healthy Cities projects presented a scarce number of references to its interventions in the urban mobility domain and mainly focused on the promotion of soft modes. It is concluded that, in the case of the observed municipalities of the LMA, the healthy cities framework is greatly benefited by the inclusion of sustainable development principles in all policies, especially those for urban mobility.

scholarly journals Judicialização das políticas públicas: desafios frente a gestão financeira dos municípios brasileiros / Judicialization of public policy: cha¬llenges ahead financial management of brazilian municipalities

2018 ◽  
pp. 23-40
Author(s):  
Ricardo Hermany ◽  
Daniela Arguilar Camargo
Keyword(s):  
Public Health ◽  
Financial Management ◽  
Local Governments ◽  
Health Policies ◽  
Intergovernmental Transfers ◽  
Public Health Policies ◽  
Municipal Management ◽  
Financial Administration ◽  
The Impact ◽  
Methodological Strategy

A judicialização das políticas públicas teve um aumento significativo nos últimos anos gerando discussões quanto aos reflexos na gestão municipal. Em governos locais onde os recursos são parcos, estes são dependentes das transferências intergovernamentais das esferas superiores sendo a análise de suma importância tendo em vista a oneração que a judicialização vem ocasionando. A estratégia metodológica dedutiva e bibliográfica parte da análise da administração financeira municipal e suas principais restrições à expansão da arrecadação, posteriormente observar as transferências intergovernamentais para os entes locais e ao final verificar o impacto que a judicialização das políticas públicas de saúde causa no orçamento municipal. Ao fim apresenta-se ainda a importância da cooperação entre os entes federados, sob pena de inviabilizar a continuidade das políticas públicas de saúde em vários municípios brasileiros.   The judicialization of public policies has increased significantly in recent years generating discussions about the effects on municipal management. In local governments, where resources are scarce, they are dependent on intergovernmental transfers from the higher spheres, and the analysis is of the utmost importance in view of the burden incurred by judicialization. The deductive and bibliographic methodological strategy starts from the analysis of the municipal financial administration and its main restrictions to the expansion of the collection, later observe the intergovernmental transfers to the local entities and at the end verify the impact that the judicialization of public health policies causes in the municipal budget. Finally, the importance of cooperation between federated entities is presented, failing to make the continuity of public health policies in several Brazilian municipalities unfeasible.

scholarly journals Population simulations of COVID-19 outbreaks provide tools for risk assessment and continuity planning

JAMIA Open ◽  
2021 ◽  
Author(s):  
Bo Peng ◽  
Rowland W Pettit ◽  
Christopher I Amos
Keyword(s):  
Public Health ◽  
Risk Assessment ◽  
Emergency Response ◽  
Robustness Analysis ◽  
Health Policies ◽  
Command Line ◽  
Public Health Policies ◽  
Continuity Planning ◽  
Quantitative Estimates ◽  
Community Infection

Abstract Objectives We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations. Materials and methods Our simulator simulates the entire course of infection and transmission of the virus among individuals in heterogeneous populations, subject to operations and influences, such as quarantine, testing, social distancing, and community infection. It provides command-line and Jupyter notebook interfaces and a plugin system for user-defined operations. Results The simulator provides quantitative estimates for COVID-19 outbreaks in a variety of scenarios and assists the development of public health policies, risk-reduction operations, and emergency response plans. Discussion Our simulator is powerful, flexible, and customizable, although successful applications require realistic estimation and robustness analysis of population-specific parameters. Conclusion Risk assessment and continuity planning for COVID-19 outbreaks are crucial for the continued operation of many organizations. Our simulator will be continuously expanded to meet this need.

scholarly journals Characterization of death from colorectal cancer in Mato Grosso State/Legal Amazon/Brazil, 2000-2016

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Caló ◽  
B S N Souza ◽  
N D Galvão ◽  
R A G Souza ◽  
J C S Oliveira ◽  
...  
Keyword(s):  
Public Health ◽  
Colorectal Cancer ◽  
International Classification Of Diseases ◽  
Health Policies ◽  
Rectosigmoid Junction ◽  
Mato Grosso ◽  
Public Health Policies ◽  
Goods And Services ◽  
Classification Of Diseases ◽  
Using Data

Abstract Background Colorectal cancer has been one of the cancers that most contributed to mortality, in both sexes in the world. In Brazil, cancer is among the top five causes of death and colorectal cancer is ranked on the fifth position. Of the Federative Units belonging to the Legal Amazon, Mato Grosso stands out for the higher adjusted incidence of colorectal cancer for both sexes. Thus, the objective is to characterize deaths from colorectal cancer, according to sociodemographic variables in Mato Grosso from 2000 to 2016. Methods A descriptive study was carried out, using data from the Mortality Information System, made available by the Department of Health of the Mato Grosso State. Deaths of all ages were selected, whose basic cause was identified by the codes from the International Classification of Diseases: (C.18) colon cancer, (C.19) rectosigmoid junction cancer, (C.20) rectal cancer or (C.21) anus cancer. Results Between 2000 and 2016, 31,607 deaths from cancer were registered. Of these, 1,750 (5.6%) were due to colorectal cancer. An increased number of deaths was observed at the end of the period, with a variation from 46 deaths in 2000 from 173 in 2016. Highest frequency was verified in men (51.3%), people aged 60 years or older (59.7%), black (54.6%), married (52.3%) and those with primary education (55.2%). According to Brazilian occupation classification options or those answers filled out on the death certificate, highest frequency were for “Retired” (26.2%), “Housewife” (23.1%), Agricultural/Forestry and Fisheries” (11.3%) and “Production of Industrial Goods and Services” (10.3%). Conclusions This study evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State, and identified priority groups for interventions through public health policies which should include screening and early diagnosis to cope with the disease. Key messages Evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State. Identified priority groups for interventions through public health policies.

Epidemiological surveillance and performance assessment: the two roles of health indicators during the COVID-19 pandemic

2021 ◽  
Vol 17 (2) ◽  
pp. 186-203
Author(s):  
Nathan Genicot
Keyword(s):  
Public Health ◽  
Performance Assessment ◽  
Health Indicators ◽  
Health Policies ◽  
Epidemiological Surveillance ◽  
Public Health Policies ◽  
History Of ◽  
And Performance ◽  
The One ◽  
Massive Development

AbstractThe COVID-19 pandemic has given rise to the massive development and use of health indicators. Drawing on the history of international public health and of the management of infectious disease, this paper attempts to show that the normative power acquired by metrics during the pandemic can be understood in light of two rationales: epidemiological surveillance and performance assessment. On the one hand, indicators are established to evaluate and rank countries’ responses to the outbreak; on the other, the evolution of indicators has a direct influence on the content of public health policies. Although quantitative data are an absolute necessity for coping with such disasters, it is critical to bear in mind the inherent partiality and precarity of the information provided by health indicators. Given the growing importance of normative quantitative devices during the pandemic, and assuming that their influence is unlikely to decrease in the future, they call for close scrutiny.

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