ABSTRACT
Se realizó un estudio retrospectivo, para conocer el impacto quetuvo el Plan Nacer en la cobertura de atención de los 97 Centros de Salud, dependientes de la Municipalidad de Córdoba. Siendo launidad de análisis el resumen mensual de programas, tomando los periodos sin plan 2005- 2008 y con el plan 2009-2012. Se analizaron comparativamente los años pre y post plan de los distintos programas de la Dirección de Atención Primaria. En relación con los programas de embarazo y puerperio si bien nose detectaron diferencias significativas, el numero promedio de las mismas fueron mayores, (un 5% y 2% respectivamente) enrelación a los valores al inicio del plan. En cuanto al programa de salud reproductiva, con la implementación del plan se observo un promedio significativamente mayor. Respecto al programa de crecimiento y desarrollo los valores promedios de los indicadores en la etapa posterior al plan Nacer no mostraron diferencias respecto de los valores previos al plan. Sinembargo durante los años del plan se observó una disminución de 3248 casos en la brecha entre niños fichados y niños que concurren mensualmente a control y, a su vez, el promedio de kgde leche entregados se incrementó en 12259 kg.
A retrospective study was conducted to know the impact of theBirth Plan care coverage of the 97 health centers, dependent on theMunicipality of Cordoba. As the unit of analysis the monthly summaryof programs, taking no plan periods 2005- 2008 and with the planperiods 2009-2012. They are comparatively analyzed pre and postyear plan individual programs of the Department of Primary Care.In relation to pregnancy and postpartum programs although significantdifferences were detected, the average number of them were older(5% and 2% respectively) relative to the values at the beginning of theplan. Regarding reproductive health program, with the implementationof the plan significantly higher average was observed.With regard to the Growth and Development average values of theindicators in the post Birth Plan showed no differences from theprevious plan values. However for plan years 3248 cases adecrease in the gap between on file children and childrenattending monthly to control and, in turn, the average kg of delivered milkincreased by 12259 kg was observed.
Subject(s)
Female , Humans , Adolescent , Pregnancy , Infant, Newborn , Family Development Planning , Impacts of Polution on Health/methods , Primary Health Care/organization & administration , Health Centers , Health Services Administration/trends , ArgentinaABSTRACT
La medición del riesgo cardiovascular en un mismo grupo de personas del área mediterránea española arroja resultados diferentes según la herramienta que se elija, incluso aunque las herramientas empleadas utilicen los mismos parámetros para determinar el riesgo.
Subject(s)
Cardiovascular Abnormalities/classification , Cardiovascular Abnormalities/epidemiology , Cardiovascular Abnormalities/prevention & control , Spain , Impacts of Polution on Health/classification , Impacts of Polution on Health/methods , Impacts of Polution on Health/prevention & controlABSTRACT
O objetivo do artigo consiste em apresentar e discutir um modelo compreensivo/explicativo, de caráter ecossistêmico, sobre o processo de transmissão da dengue nos níveis de micro e macrocontexto, a partir da identificação das situações de riscos envolvidas. Considerou-se a dengue como doença infecciosa viral de transmissão vetorial que traz, na sua dinâmica de transmissão, elementos das dimensões biológicas, de conduta, ecológicas, políticas e econômicas, o que a caracteriza como um problema complexo e exige um enfoque sistêmico para seu controle. Assim, para a construção da modelagem, utilizaram-se o enfoque teórico da reprodução social de Juan Samaja e seus condicionantes de macro e microcontexto, e o enfoque operativo ecossistêmico, que buscou responder à pergunta condutora desta construção: quais são as situações de risco para transmissão da dengue, considerando as diversas dimensões da "reprodução social da saúde" no nível local? A visão ampliada das inter-relações entre as diversas situações de risco envolvidas na determinação multidimensional da dengue poderá servir como eixo direcionador para uma gestão integrada das ações do programa de controle da doença, articuladas entre os diversos setores envolvidos.
This paper aims to present and discuss a comprehensive / explanatory model, of ecosystem approach, on the process of transmission of dengue in the levels of micro and macro context, from the identification of the risks involved. Dengue was considered a viral infectious disease of vectorial transmission that carries on its transmission dynamics, elements of the biological, behavioral, ecological, political and economic dimensions, that make it a complex problem and require a systemic approach to its control. Thus, for the construction of modeling, we used the theoretical framework of social reproduction of Juan Samaja and its conditions of macro and micro-context, and the operating ecosystem approach, which sought to answer the question driving this construction: what are the risk situations for the transmission of dengue, considering the different dimensions of "social reproduction of health" at the local level? The enlarged view of the interrelationships among the various risk situations involved in determining multidimensional dengue could guide the integrated management of actions of a disease control program, coordinated by the several sectors involved.
Subject(s)
Humans , Male , Female , Pest Control, Biological/economics , Pest Control, Biological/methods , Pest Control, Biological/organization & administration , Dengue/diagnosis , Dengue/epidemiology , Dengue/prevention & control , Public Health/economics , Public Health/methods , Public Health , Environmental Hazards , Health Management , Impacts of Polution on Health/methods , Impacts of Polution on Health/policies , Impacts of Polution on Health/prevention & control , Larvicides/prevention & control , Public Health Practice/economics , Public Health Practice/ethics , Public Health Practice/standardsABSTRACT
Asma es la enfermedad crónica más común en la infancia. Sus cifras de incidencia y prevalencia siguen aumentando a nivel mundial a pesar de los nuevos métodos diagnósticos y el arsenal terapéutico específico utilizado para lograr un control adecuado. El fracaso en dicho control depende, en alto grado, del poco conocimiento que tiene el paciente sobre su enfermedad y el tipo de tratamiento que debe realizar para lograrlo. Aun en países con excelentes sistemas de salud y suministro de medicamentos gratuitos, el ansiado control total ha sido difícil de alcanzar y las cifras de personas que manejan bien su asma son decepcionantes. Urge convocar equipos multidisciplinarios de salud, educación, deporte y desarrollo social, de sectores públicos y privados, para la elaboración de políticas públicas efectivas tendientes a enfrentar la gran carga que representa el asma en la economía estadal y doméstica, así como también el deterioro importante en la calidad de vida de quienes la sufren. Los programas de seguimiento y educación sanitaria del asmático y sus cuidadores deben constituir una prioridad para el Estado, quien está encargado de velar, gratuitamente, por el bienestar biopsicosocial de cada uno de sus miembros.
Asthma is the most common chronic disease during childhood. Despite the growing number of methods and techniques employed for diagnosis and medical treatments, asthma keeps growing in number of person who suffer it. Failure to control asthma will depend on the knowledge that the patient has about the disease and the treatment that is given by the medical team. Even in countries with excellent health systems and free supply of, the longed total control has been difficult to reach and the numbers of persons who deal well the disease are disappointing. It is urgent to summon multidisciplinary work teams in health, education, sport and social development in public and private sectors. These efforts should be aimed at the production of effective public policies tending to face the great load that asthma represents for the local and national economy, as well as to alleviate the important deterioration in the quality of life of those who suffer it. The programs of follow-up and sanitary education of the asthmatic patient and his keepers must constitute a priority for the State, who is entrusted to watch, free of cost, over the biopsicosocial well-being of each of his members.