RESUMO
A teoria do amadurecimento, construída por Winnicott, aponta a importância da facilitação do ambiente para o desenvolvimento das tendências herdadas do indivíduo. Ao estudarmos a família, no século XXI, vemos que a configuração familiar tradicional, embora ainda dominante, tem se apresentado ao lado de outras configurações - famílias recompostas, famílias ampliadas, famílias homoparentais, famílias monoparentais, entre outras -, em que algumas, mesmo que sempre tenham existido de forma marginal em menor número, têm o prenúncio de um aumento expressivo desse número no futuro. Este texto pretende, assim, discutir os aspectos que essas novas configurações precisam preservar em si, em meio às mudanças que as fazem novas, para viabilizarem a condição de ambiente facilitador, bem como os aspectos da teoria do amadurecimento que contribuem para que as novas famílias se sintam potencialmente facilitadoras do amadurecimento emocional dos indivíduos em seu seio.
The theory of maturation, built by Winnicott, points out the importance of the facilitating environment for the development of the inherited tendencies of the individual. As we study the family in the twenty-first century, we see that the traditional family setting, although still dominant, has performed alongside other settings - recomposed families, extended families, gay families, single parents, among others - where some even that have always existed marginally fewer have the beginnings of a significant increase in this number in the future, due to the recent social and legal recognition. This conference thus aims to discuss the aspects that these new settings need to preserve itself in the midst of changes that make them new, to permit the condition of enabling environment, as well as the aspects of the theory of maturation that contribute to the new families feel potentially enabling the emotional maturity of the individuals within it.
RESUMO
The effectiveness of eye care service delivery is often dependant on how the different stakeholders are aligned. These stakeholders range from the ministries of health who have the capacity to grant government subsidies for eye care, down to the primary healthcare workers who can be enrolled to screen for basic eye diseases. Advocacy is a tool that can help service providers draw the attention of key stakeholders to a particular area of concern. By enlisting the support, endorsement and participation of a wider circle of players, advocacy can help to improve the penetration and effectiveness of the services provided. There are several factors in the external environmental that influence the eye care services – such as the availability of trained manpower, supply of eye care consumables, government rules and regulations. There are several instances where successful advocacy has helped to create an enabling environment for eye care service delivery. Providing eye care services in developing countries requires the support – either for direct patient care or for support services such as producing trained manpower or for research and dissemination. Such support, in the form of financial or other resources, can be garnered through advocacy.