[Analysis of community agendas in primary care and factors associated with their implementation]. / Análisis de las agendas comunitarias en atención primaria y factores asociados a su implantación.

OBJECTIVE: To describe the community agendas created by the Aragonese Primary Care Teams (PCT), to analyze the characteristics of said PCT, and to explore factors related to their implementation. METHOD: Descriptive observational study of the community agendas and the Aragonese PCT that have created them since the implementation of the Aragonese Community Care Strategy (ACCS) in 2016 until March 2021. Bivariate and multivariate analysis of the characteristics of these PCT that have created the agenda with respect to those who have not developed it. RESULTS: 75 of the 123 Aragonese PCT (61%) have created the community agenda. 74.7% of them also have an active Health Council. 45 of the 75 agendas are of the advanced type, with 41 PCT that had carried out the zone health diagnosis and 28 PCT that made asset recommendations. It was observed how the creation of the community agenda is related to being a PCT belonging to a semi-urban basic health zone (odds ratio [OR]: 3.02; 95% confidence interval [95% CI]: 1.22-7.47; p=0.017) and that at least one professional would have received specific training (OR: 5.29; 95% CI: 1.09-25.72; p=0.039). CONCLUSIONS: The community agenda is a tool that supports the development of community care for PCT. The training provided by the ACCS has been shown to be key to the development of the agendas, and this work must continue, with special emphasis on the PCT belonging to rural or urban basic health zones, since they are the ones that are experiencing the greatest difficulties.

Análisis de las agendas comunitarias en atención primaria y factores asociados a su implantación / Analysis of community agendas in primary care and factors associated with their implementation

Objetivo: Describir las agendas comunitarias creadas por los equipos de atención primaria (EAP) aragoneses, analizar las características de dichos EAP y explorar factores relacionados con la puesta en marcha de las agendas. Método: Estudio observacional descriptivo de las agendas comunitarias y los EAP aragoneses que las han creado desde la implantación de la Estrategia de Atención Comunitaria Aragón (EACA) en 2016 hasta marzo de 2021. Análisis bivariante y multivariante de las características de estos EAP que han creado una agenda con respecto a los que no la han desarrollado. Resultados: De los 123 EAP aragoneses, 75 (61%) han creado la agenda comunitaria. El 74,7% de ellos tienen también activo el Consejo de Salud de zona. De las 75 agendas, 45 son de tipo avanzado, con 41 EAP que tenían realizado el diagnóstico de salud de zona y 28 EAP que realizaban recomendación de activos. Se observó que la creación de la agenda comunitaria está relacionada con ser un EAP perteneciente a una zona básica de salud semiurbana (odds ratio [OR]: 3,02; intervalo de confianza del 95% [IC95%]: 1,22-7,47; p = 0,017) y que al menos un profesional del EAP hubiera recibido formación específica (OR: 5,29; IC95%: 1,09-25,72; p = 0,039). Conclusiones: La agenda comunitaria es una herramienta que apoya el desarrollo de la atención comunitaria de los EAP. La formación impartida desde la EACA se ha demostrado clave para el desarrollo de las agendas, debiendo continuar con este trabajo y haciendo especial énfasis en los EAP pertenecientes a zonas básicas de salud rurales o urbanas, pues son los que están teniendo mayores dificultades. (AU)

Objective: To describe the community agendas created by the Aragonese Primary Care Teams (PCT), to analyze the characteristics of said PCT, and to explore factors related to their implementation. Method: Descriptive observational study of the community agendas and the Aragonese PCT that have created them since the implementation of the Aragonese Community Care Strategy (ACCS) in 2016 until March 2021. Bivariate and multivariate analysis of the characteristics of these PCT that have created the agenda with respect to those who have not developed it. Results: 75 of the 123 Aragonese PCT (61%) have created the community agenda. 74.7% of them also have an active Health Council. 45 of the 75 agendas are of the advanced type, with 41 PCT that had carried out the zone health diagnosis and 28 PCT that made asset recommendations. It was observed how the creation of the community agenda is related to being a PCT belonging to a semi-urban basic health zone (odds ratio [OR]: 3.02; 95% confidence interval [95% CI]: 1.22–7.47; p = 0.017) and that at least one professional would have received specific training (OR: 5.29; 95% CI: 1.09–25.72; p = 0.039). Conclusions: The community agenda is a tool that supports the development of community care for PCT. The training provided by the ACCS has been shown to be key to the development of the agendas, and this work must continue, with special emphasis on the PCT belonging to rural or urban basic health zones, since they are the ones that are experiencing the greatest difficulties. (AU)

Topics, Concerns, and Feelings Commented on Facebook after the First Death by COVID-19 in Mozambique / Temas, preocupaciones y sentimientos comentados en Facebook tras la primera muerte por COVID-19 en Mozambique

In Mozambique, as in other parts of the world, COVID-19 has had consequences in many areas, especially in the health sector. This study aims to analyze the comments made and discussed on Facebook after the first death from the disease, verifying the main topics, concerns, and feelings that users most expressed on that social network. Using the content analysis method, IRaMuTeQ® generated a dendrogram focused on death, diagnostic circumstances, disease prevention, and restrictive government measures. Users also raised concerns about health care professionals, family and community, and feelings of sadness. Although the feelings presented reflect the lan-guage used in comments on a social network, and it is impossible to diagnose from them, this study creates paths for further research in the area. Therefore, for the first time, it demonstrates results from a mental health study with data analyzed from a social network in Mozambique. These results can guide and alert local health entities about health communications, strategies, and attention that should be given to the mental health of individuals during this pandemic and in the long term

En Mozambique, como en otras partes del mundo, el COVID-19 trajo consecuencias en muchas áreas, principalmente en el sector de la salud. Este estudio tiene como objetivo analizar los comentarios realizados y discutidos en Facebook después de la primera muerte por la enfermedad, con el fin de verificar los principales temas, preocupaciones y sentimientos que los usuarios más expresaron en esa red social. Utilizando el método de análisis de contenido, IRaMuTeQ® generó un dendrograma con temas enfocados en las circunstancias de la muerte, las circunstancias del diagnóstico, la prevención de enfermedades, y las medidas restrictivas del gobierno. También hubo preocupaciones con los profesionales de la salud, la familia y la comunidad, además de sentimientos de tristeza. Aunque los sentimientos presentados reflejan el lenguaje utilizado en los comentarios en una red social, y no es posible dar un diagnóstico basado en ellos, este estudio abre caminos para futuras investigaciones en el área. Por lo tanto, por primera vez, se demuestra un estudio de salud mental con datos analizados en una red social en Mozambique, y puede servir como ayuda y alerta a las entidades locales de salud sobre comunicaciones de salud, estrategias y atención que se debe dar a la salud mental de las personas durante esta pandemia y a largo plazo

Official COVID-19 coping strategies in educational institutions / Estrategias de enfrentamiento oficiales de la COVID-19 en instituciones de enseñanza / Estratégias de enfrentamento oficiais da COVID-19 em instituições de ensino

ABSTRACT Objective: To analyze normative acts on coping with COVID-19 in the teaching environment, sanctioned by the state and federal governments of Brazil. Methods: Documentary research, with a qualitative approach to documents published by federal and state education and health bodies between March/2020 and March/2021, analyzed according to Bardin's Document Analysis framework. Results: From 61 documents, four categories resulted: Acts and strategies to protect against COVID19 adopted by the federal government; Normative acts of state governments on suspension of classes; Strategies to protect against COVID-19 in the teaching environment common among Brazilian states; Strategies to protect against COVID-19 in the teaching environment specific to Brazilian states. Final considerations: The normative acts analyzed present weaknesses regarding the clarification on how to establish the systematization of COVID-19 surveillance actions in the teaching environment, as well as there is a lack of reflections on the importance of such actions.

RESUMEN Objetivo: Analizar actos normativos sobre enfrentamiento de la COVID-19 en instituciones académicas, sancionados por los gobiernos estatales y federal de Brasil. Métodos: Investigación documental, con abordaje cualitativo de documentos publicados por órganos federales y estatales de la educación y de la salud entre marzo/2020 y marzo/2021, analizados conforme el referencial de Bardin de Análisis Documental. Resultados: De 61 documentos, resultaron cuatro categorías: Actos y estrategias de protección contra la COVID-19 adoptadas por el gobierno federal; Actos normativos de gobiernos estatales sobre suspensión de clases; Estrategias de protección contra la COVID-19 en instituciones académicas comunes entre estados brasileños; Estrategias de protección contra la COVID-19 en instituciones académicas específicas de estados brasileños. Consideraciones finales: Los actos normativos analizados presentan fragilidades cuanto al esclarecimiento sobre como establecer la sistematización de las acciones de vigilancia de la COVID-19 en instituciones académicas, así como hay escasez de reflexiones acerca de la importancia de tales acciones.

RESUMO Objetivo: Analisar atos normativos sobre enfrentamento da COVID-19 no ambiente de ensino, sancionados pelos governos estaduais e federal do Brasil. Métodos: Pesquisa documental, com abordagem qualitativa de documentos publicados por órgãos federais e estaduais da educação e da saúde entre março/2020 e março/2021, analisados de acordo com o referencial de Bardin de Análise Documental. Resultados: De 61 documentos, resultaram quatro categorias: Atos e estratégias de proteção contra a COVID-19 adotadas pelo governo federal; Atos normativos de governos estaduais sobre suspensão de aulas; Estratégias de proteção contra a COVID-19 no ambiente de ensino comuns entre estados brasileiros; Estratégias de proteção contra a COVID-19 no ambiente de ensino específicas de estados brasileiros. Considerações finais: Os atos normativos analisados apresentam fragilidades quanto ao esclarecimento sobre como estabelecer a sistematização das ações de vigilância da COVID-19 no ambiente de ensino, bem como há escassez de reflexões acerca da importância de tais ações.

Bolivia 1998: results from the Demographic and Health Survey.

PIP: This document presents the results of the Bolivia Demographic and Health Survey (DHS), or Encuesta Nacional de Demografia y Salud 1998, conducted by the Instituto Nacional de Estadistica, La Paz, Bolivia, within the framework of the DHS Program of Macro International. Data were collected from 12,109 households and complete interviews were conducted with 11,187 women aged 15-49. A male survey was also conducted, which collected data from 3780 men aged 15-64. The information collected include the following: 1) general characteristics of the population, 2) fertility, 3) fertility preferences, 4) current contraceptive use, 5) contraception, 6) marital and contraceptive status, 7) postpartum variables, 8) infant mortality, 9) health: disease prevention and treatment, and 10) nutritional status: anthropometric measures.^ieng

Learning to pull in one direction to improve Kosovo's health.

PIP: In response to the need of a health policy in Kosovo, the UN Mission in Kosovo produced their blueprint for a new health system--the Interim Health Policy Guidelines and Six-Month Action Plan. The document seeks not only to provide a framework for emergency work but also to bring about sustained reform in the current health care system. It also aimed to shift the focus of the whole health care system around giving primary care to Kosovars. Targeted areas are antenatal care and children's and mental health care which are currently falling well below European standards. Although a shift in the system will have huge effects on the health of Kosovars, a problem of changing the attitudes of doctors and of patients to accept general practice as real medicine is seen. However, without a policy framework, emergency activities can skew services dramatically. It can offer unsustainable levels of care and bring in uneven donations to different regions, which would encourage movement in the population.^ieng

[Divorces, 1997]. / Ehescheidungen 1997.

PIP: Divorce statistics for 1997 are presented for Germany, for the former East and West Germany, and for each state. Retrospective data from 1960 to 1997 are included for comparative purposes. Information is given on duration of marriage, type of divorce, nationality, and number of children.^ieng

Births, marriages, divorces, and deaths for September 1997.

PIP: This report presents an overview of statistics for the year ending in September 1997 for states in the US including births, marriages, divorces, and deaths. Provisional data for the 12 months preceding August 1996 and 1997 pertain to causes for 72 diseases for the US. Provisional data for the aforementioned years also pertains to subcategories of malignant tumors, firearm mortality, and infant mortality causes. In the 12 months ending in September 1997, there were 3,869,000 live births, 2,297,000 deaths, and a rate of natural increase of 5.9%. There were 2,326,000 marriages and 1,148,000 divorces. 3% more were married during 1996 and 1997. There were 4% more divorces granted. The death rate was 8.6 deaths/1000 population (1% lower than 1996). The infant mortality rate for the 12 months ending August 1997 was 707/100,000 live births (4% lower than the preceding year).^ieng

A profile of the females in Hong Kong, 1996.

PIP: Data from the 1996 by-census of Hong Kong are used to develop a profile of the female population. The profile includes housing and household, educational, and economic characteristics.^ieng

[Demographic figures by province, 1992-1997]. / Demografische cijfers per provincie, 1992-1997.

PIP: This article contains tabular data on population trends in the Netherlands by province for the period 1992-1997. Information is included on population and population growth, nuptiality, fertility, mortality, changes of residence, and internal and international migration.^ieng

The foreign-born population in the United States: March 1997 (update).

PIP: A one-page summary of information on the foreign-born population of the United States based on the March 1997 Current Population Survey is provided. A paper version of the tables is available for $31 as PPL-92 on request. The detailed tabulations are also available online at http://www.census.gov.^ieng

Demographic trends in Hong Kong 1986-1995.

PIP: Population trends in Hong Kong for the period from 1986 to 1995 are described. There are sections on population size and growth, age structure, sex structure, fertility, mortality, life expectancy, and marriage.^ieng

Households of immigrants from USSR who arrived in Israel in October-December 1990: a follow-up survey, three years after immigration.

PIP: Data on the characteristics of immigrant households from the former Soviet Union who arrived in Israel in the last quarter of 1990 are presented. The data are from a sample survey carried out in 1994, which included interviews with about 3,200 immigrants. The focus of the survey is on the absorption of immigrants into the labor force.^ieng

Internal migration in Israel, 1994.

PIP: Data on internal migration in Israel are presented for 1994. Time series data concerning the whole population are presented for the period 1984-1994. The data for 1994 are presented separately for Jews and non-Jews.^ieng

Births from pre-marital pregnancies among Jews, 1972-1990.

"This publication presents data on first births of Jewish married women [in Israel] who became pregnant prior to marriage." The data are for the period 1972-1990.

Socio-demographic characteristics of women applying for interruption of pregnancy in Israel, 1993.

PIP: Information is presented on the demographic and social characteristics of the 17,165 women who applied for legal abortion in Israel in 1993; of these applications, 16,670 were approved.^ieng

Complete life tables of Israel, 1989-1993.

PIP: Complete life tables are presented for Israel for the period 1989-1993. Data are presented for single ages by sex for the whole population as well as separately for Jews and non-Jews.^ieng

1994 immigrants from former USSR by last republic of residence and by selected demographic characteristics.

PIP: The demographic characteristics of recent immigrants who came to Israel from the former Soviet Union in 1994 are described. The emphasis is on differences in these characteristics by republic of former residence.^ieng

Trends of infant mortality in Hong Kong, 1946-1994.

"This article [which appears as an appendix] describes the trends of infant mortality in Hong Kong from 1946 to 1994. Sex differentials and major causes of infant deaths are analysed. Reasons for the decline in infant mortality and scope for further improvements are also discussed."

1993 immigrants from former USSR by last republic of residence and by selected demographic characteristics.

"The purpose of this supplement is to present the demographic characteristics of the immigrants from the (former) Soviet Union, who arrived in Israel in 1993, by last republic of residence.... It attempts to answer the question whether there are demographic and social differences between immigrants from the various republics."