ABSTRACT
Background: The COVID-19 pandemic is putting a pressure on global health systems. The disruption of essential health services (EHS) has an impact on the health of mothers, neonate and children in developing countries. Therefore, the main aim of this study was assessing the availability of Maternal, Newborn care and Child health (MNCHS) services at primary health care unit during COVID-19 outbreak. Methods: A cross-sectional survey was conducted in five regions of Ethiopia in 2021. Descriptive analyses were undertaken using STATA 16 software and the results presented using tables and different graphs. A continuity of EHS assessment tool adopted from WHO was used for data collection. Result: During COVID -19 pandemic, 30 (69.8%) of woreda health offices, 52 (56.5%) of health centers (HCs), 7 (44.4%) of hospitals, and 165 (48%) of health posts (HPs) had a defined list of EHS. In comparison with other EHS, family planning is the least available service in all regions. At HPs level care for sick children and antenatal care (ANC) were available at 59.1 and 58.82% respectively. Except immunization services at SNNP, all other maternal, newborn, and child health EHS were not available to all HPs at full scale. Conclusion: Immunization services were most available, while ANC and care for sick children were least available during COVID-19 at the HPs level. There was regional variation in MNCH EHS service availability at all levels.
Subject(s)
Humans , Male , Female , Maternal Health , COVID-19ABSTRACT
O presente artigo se propõe a refletir sobre a saúde mental na IV região de saúde do estado de Pernambuco, permeando pela Reforma Psiquiátrica Brasileira em um contexto de regionalização no agreste setentrional do estado. Foram consideradas as vivências de uma profissional de fisioterapia residente de saúde coletiva da Escola de Governo de Saúde Pública de Pernambuco ESPPE, a qual passou dois anos na região e, dentre esse tempo, três meses na coordenação da política de saúde mental. A saúde mental ainda não é uma linha de cuidado prioritária para a gestão do SUS na região, mesmo tendo o estado de PE delimitado a mesma como uma das linhas de cuidado a ser estruturada nas regiões de saúde. A reforma psiquiátrica precisa ser descentralizada e chegar ao agreste setentrional do estado de Pernambuco. (AU)
This article proposes to reflect on mental health in the IV health region of the state of Pernambuco, permeating the Brazilian Psychiatric Reform in a context of regionalization in the northern agreste of the state. The experiences of a physiotherapist resident in Public Health of the School of Public Health of Pernambuco - ESPPE, who spent two years in the region and, during this time, three months in the coordination of mental health policy were considered. Mental health is still not a priority care line for the management of the SUS in the region, even if the state of PE delimited it as one of the care lines to be structured in the health regions. The psychiatric reform must be decentralized and reach the northern agreste of the state of Pernambuco. (AU)
Subject(s)
Mental Health , Mental Health Assistance , Regional Health Planning , Health Policy , Mental Health ServicesABSTRACT
O artigo discorre sobre a Comissão Intergestora Regional (CIR) da V Região de Saúde de Pernambuco e a participação dos gestores municipais de saúde nesse espaço. É uma pesquisa de cunho quantitativo que utilizou, para coleta de dados, os documentos oficiais das reuniões da CIR, pautas e atas de frequência e reunião, do período de janeiro de 2016 a dezembro de 2017. Tais documentos foram analisados de acordo com o método de Bardin, e por fim dividido em duas categorias: frequências dos gestores municipais de saúde nas reuniões da CIR e; quantidades de pactuação realizadas nas reuniões. Os dados adquiridos revelaram que o período de agosto a outubro do ano de 2016 não atingiu o mínimo de participação dos gestores nas reuniões da CIR para pactuar propostas. Porém, em 2017, todas a reuniões realizadas obtiveram mais de 50% da frequência dos gestores municipais, por conseguinte o percentual de aprovação das pactuações foi maior que o ano anterior, mesmo com esta mudança, municípios próximos da sede continuaram com baixa frequência ao contrário de municípios distantes, com mais de 90km da sede, mostrando que a distância não é fator impeditivo para a frequência dos gestores nas reuniões. Vale salientar que devido a existência de um quórum mínimo de 11 municípios para aprovação das pactuações, a ausência dos gestores não afeta apenas o seu município, mas prejudica diretamente as pactuações que beneficiam os outros municípios, e consequentemente o fortalecimento da regional a qual faz parte. (AU)
The article discusses the Regional Interactive Commission (CIR) of the V Health Region of Pernambuco and the participation of municipal health managers in this area. It is a quantitative research that used, for data collection, the official documents of the meetings of the CIR, schedules and minutes of attendance and meeting, from January 2016 to December 2017. These documents were analyzed according to the Bardin method, and finally divided in two categories: frequencies of the municipal health managers in the meetings of the CIR and; agreed upon at the meetings. The acquired data revealed that the period from August to October of 2016 did not reach the minimum participation of the managers in the meetings of the CIR to negotiate proposals. However, in 2017, all the meetings held obtained more than 50% of the frequency of the municipal managers, therefore the approval percentage of the agreements was higher than the previous year, even with this change, municipalities near the headquarters continued with low frequency, unlike municipalities distant, with more than 90km from headquarters, showing that distance is not a factor preventing attendance of managers in meetings. It is worth mentioning that due to the existence of a minimum quorum of 11 municipalities to approve pacts, the absence of managers does not only affect their municipality, but directly affects the agreements that benefit the other municipalities, and consequently the strengthening of the regional one that makes part. (AU)
Subject(s)
Humans , Public Health Administration , Health Management , Professional Staff Committees , Health ManagerABSTRACT
The present article addresses the need to have regionalization of decentralization, in order to cluster together what this could supposedly have broken apart. On revisiting the constitutional guidelines on decentralization, the authors propose measures to provide assurance thereof, in addition to administrative tools that allow the formation of health regions to supply at least 95% of the health needs of the regional territory, to ensure sanitary independence. The authors suggest solutions that include the establishment of regional and associative corporate institutions resulting from the clustering of the federative institutes operating in the health area. The authors also state what has not worked out in the Brazilian National Health System (Sistema Único de Saúde - SUS), due to mistakes that have originated in the best of intentions, as also the opportunism that these mistakes have generated. The authors defend the need to bring judicial and administrative answers to a SUS that is interfederative in character, both in management, which requires some sharing, as also in financing which also remains interdependent. The conclusion reached is that the only way in which the SUS can be national is to regionalize it, and to give the health region all the instruments that are necessary for shared, interfederative and responsible management.
O presente artigo desenvolve o tema da necessidade de se regionalizar a descentralização no sentido de aglutinar o que esta supostamente poderia ter fracionado. Ao revisitar a diretriz constitucional da descentralização os autores propõem medidas que visem sua garantia ao lado de ferramentas administrativas que permitam a formação de regiões de saúde resolutivas em pelo menos 95% das necessidades de saúde do território regional, para garantir autonomia sanitária. Os autores propõem soluções que passam pela criação de pessoas jurídicas associativas regionais, resultantes da aglutinação dos entes federativos em região de saúde. Apontam ainda o que não deu certo no Sistema Único de Saúde - SUS Brasil em razão tanto de equívocos originados nas melhores intenções, quanto do oportunismo que esses equívocos geraram. Advogam os autores a necessidade de respostas jurídico-administrativas para um SUS de caráter interfederativo tanto na sua gestão, que exige compartilhamentos, quanto no seu financiamento, que se mantém interdependente também. Concluem que o único caminho para o SUS ser nacional, é regionalizá-lo e dotar a região de saúde de todo o instrumental necessário à gestão compartilhada, interfederativa e responsável.
Subject(s)
Humans , Male , Female , Politics , Healthcare Financing , Health Management , Health Planning , Regional Health Planning , Health Services , Unified Health SystemABSTRACT
Objective:Development of health resources is extremely uneven in China. It is need to consider the situation of each region for China 's health regional planning, so area classification should be in progress. Methods Considering the economic, social, population and health factors, the study conducted principal component analysis and factor analysis by statistical yearbook data to calculate the composite score for each region. Then cluster analysis was conducted. Results Principal components and factor analysis were both divided the country in to six categories. Conclusions:The study divided the country into six regions, the first class area:Shanghai, Beijing;the second class area:Tianjin; the third class area: Jiangsu, Zhejiang, Guangdong; the fifth class area: Guangxi, Ningxia, Xin-jiang, Gansu, Guizhou, Yunnan, Qinghai;the sixth class area:Tibet. The rest is the forth class area.