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11.
Am J Trop Med Hyg ; 104(2): 449-452, 2020 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-33331263

RESUMO

COVID-19 is a global public health emergency affecting many countries around the world. Although African governments and other stakeholders are making efforts to contain the pandemic, the outbreak continues to impact human rights and exacerbates inequalities and disparities that are already in existence. The concept of inclusive health focuses on good health and well-being for everyone, and this entails health services that are equitable, affordable, and efficacious. Creating equitable access to mainstream health and healthcare services and ensuring inclusive health responses remain a means of addressing health inequities and disparities. In this article, we argue on the need for inclusive responses to public health emergencies in Africa using COVID-19 as a case example. Africa's response to public health emergencies needs to recognize that for every marginalized/vulnerable group, it is important to strategize to address their particular needs in such a way to surmount any barrier to the right to health. For Africa's public health response to be more inclusive, we therefore need to be more strategic and proactive in reaching out to specific groups and to identify and address their needs. Strengthening the healthcare systems of African countries through increased political will, increased funding to health care, collaboration and cooperation among stakeholders, and effective leadership remains essential in ensuring inclusive responses to health emergencies.


Assuntos
COVID-19/epidemiologia , Atenção à Saúde/normas , Instalações de Saúde , Saúde Pública/normas , África/epidemiologia , COVID-19/prevenção & controle , Atenção à Saúde/legislação & jurisprudência , Atenção à Saúde/métodos , Feminino , Instalações de Saúde/legislação & jurisprudência , Instalações de Saúde/normas , Acessibilidade aos Serviços de Saúde/legislação & jurisprudência , Acessibilidade aos Serviços de Saúde/normas , Humanos , Saúde Pública/legislação & jurisprudência , Saúde Pública/métodos , Determinantes Sociais da Saúde/legislação & jurisprudência , Determinantes Sociais da Saúde/normas
15.
Sex Reprod Healthc ; 24: 100497, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32036281

RESUMO

OBJECTIVE: Although abortion has been legal in India since 1971, but very little research has been done so far on the issue of the quality of abortion services. To fill this gap, this paper examines whether the quality of abortion services provided in the country is in line with the WHO's recommendations. STUDY DESIGN: We analyse a cross-sectional health facilities survey conducted in six Indian states, representing different sociocultural and geographical regions, as part of a study done in 2015. MAIN OUTCOME MEASURES: Percentage of facilities offering different abortion methods, type of anaesthesia given, audio-visual privacy level, compliance with the law by obtaining woman's consent only, imposing the requirement of adopting a contraceptive method as a precondition to receive abortion. RESULTS: Except for the state of Madhya Pradesh, fewer than half of the facilities in the other states offer safe abortion services. Fewer than half of the facilities offer the WHO recommended manual vacuum aspiration method. Only 6-26% facilities across the states seek the woman's consent alone for providing abortion. About 8-26% facilities across the states also require that women adopt some method of contraception before receiving abortion. CONCLUSION: To provide comprehensive quality abortion care, India needs to expand the provider base by including doctors from the Ayurveda, Unani, Siddha, and Homeopathy streams as also nurses and auxiliary midwives after providing them necessary skills. Medical and nursing colleges and training institutions should expand their curriculum by offering an in-service short-term training on vacuum aspiration (VA) and medical methods of abortion.


Assuntos
Aborto Induzido/métodos , Aborto Induzido/normas , Instalações de Saúde/estatística & dados numéricos , Instalações de Saúde/normas , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Acessibilidade aos Serviços de Saúde/normas , Qualidade da Assistência à Saúde , Aborto Induzido/legislação & jurisprudência , Estudos Transversais , Feminino , Instalações de Saúde/legislação & jurisprudência , Acessibilidade aos Serviços de Saúde/legislação & jurisprudência , Humanos , Índia , Gravidez
16.
J Healthc Qual Res ; 34(5): 258-265, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31713522

RESUMO

INTRODUCTION: Patient Safety Culture is based on learning from incidents, developing preventive strategies to reduce the likelihood to happen and recognizing and accompanying those who have suffered unnecessary and involuntary harm derived from the health care received. To go ahead on patient safety culture entails facilitating the implementation of these behaviors and attitudes in healthcare professionals. Objective was to describe the regulations of some autonomous communities and national proposals for regulations changes. MATERIAL AND METHODS: Search of normative changes made in the autonomous communities of Catalonia, Navarra and the Basque Country. Proposals for legislative changes at national level were agreed. RESULTS: Activities and normative changes made in the autonomous communities of Catalonia, Navarre and the Basque Country are described and proposals for normative changes at the national level at short-term and long-term changes are made. In such a way that it is easier to advance in creating culture of patient safety in the whole National Health System CONCLUSION: Currently there is no global regulation that facilitates to advance in patient safety culture. Changes at the national legislation level are essential. It is at the Inter-territorial Council where the proposed legislative amendment should be defined, promoted by the representatives of the health systems of the autonomous communities.


Assuntos
Instalações de Saúde/legislação & jurisprudência , Segurança do Paciente/legislação & jurisprudência , Gestão de Riscos/legislação & jurisprudência , Gestão da Segurança/legislação & jurisprudência , Instalações de Saúde/tendências , Humanos , Programas Nacionais de Saúde/legislação & jurisprudência , Programas Nacionais de Saúde/tendências , Cultura Organizacional , Gestão de Riscos/organização & administração , Gestão de Riscos/tendências , Gestão da Segurança/organização & administração , Gestão da Segurança/tendências , Espanha
17.
Regen Med ; 14(8): 735-740, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31456478

RESUMO

Aim: The industry of unproven stem cell clinics has rapidly mushroomed throughout the USA, posing risks to patients and the research field. In this study, the aim was to better define how this industry changes. Methods: I analyzed a large cohort of US stem cell clinic firms and their distinct clinic locations as defined in 2015-2016 for their status now in 2019. Results: About a quarter of the firms no longer marketed stem cells. Some lacked active websites, while others dropped stem cell services. Even so, the total number of clinics in this group increased because some firms greatly expanded their clinic numbers. Conclusion: Overall, the unproven clinic industry is a moving target requiring ongoing study and regulatory oversight.


Assuntos
Instalações de Saúde/tendências , Transplante de Células-Tronco/tendências , Células-Tronco , Instalações de Saúde/legislação & jurisprudência , Instalações de Saúde/normas , Humanos , Transplante de Células-Tronco/legislação & jurisprudência , Transplante de Células-Tronco/normas , Estados Unidos , United States Food and Drug Administration
18.
J Visc Surg ; 156 Suppl 1: S15-S20, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31196806

RESUMO

The presence of an anesthesiologist and certified registered nurse anesthesiologist in the operating room remains a topic of discussion in many facilities. This article provides an overview on the legislation and recommendations on this topic and recounts some of the related jurisprudence. The opinions of various actors, surgeons, anesthesiologists, anesthesiology-intensive care physicians, certified registered nurse anesthesiologists, care-facility directors and insurance companies are included. Based on these elements, we attempt to answer the question of presence of competence in anesthesiology in the operating room.


Assuntos
Anestesiologistas/legislação & jurisprudência , Responsabilidade Legal , Enfermeiros Anestesistas/legislação & jurisprudência , Salas Cirúrgicas , Cirurgiões/legislação & jurisprudência , Instalações de Saúde/legislação & jurisprudência , Humanos , Autonomia Profissional
19.
Int J Hyg Environ Health ; 222(4): 705-716, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31101502

RESUMO

Establishing and maintaining safe and sufficient environmental health (EH) conditions in health care facilities (HCFs) is important to prevent and control infections. In 2018, the Government of Malawi finalized an environmental health policy that defines specific targets and programs for EH in healthcare settings. This and other related policies have been used since 2010 as a guide for EH practice in HCFs, but the implementation of these policies has been incomplete to-date. This study qualitatively examines the successes and shortcomings of implementing these policies in Malawi's public HCFs. Thematic analysis of interviews with 53 respondents from all levels of government was used to identify the successes of the policies and the barriers to effective implementation using Contextual Interaction Theory. The greatest identified strength lies in the design of the EH department and its ability to connect individual HCFs and EH actors directly to the policy-making level of government. Identified barriers to implementation include: insufficient financial support; lack of human resources; incomplete reporting; poor stakeholder coordination; and insufficient training of EH actors. We recommend refresher trainings for all EH actors, the establishment of a directorate level EH position, and strengthened coordination to improve the collection, analysis, and reporting of monitoring data to enable EH actors to advocate for the additional funding needed to develop programs for EH personnel and to apply effective EH interventions.


Assuntos
Saúde Ambiental/legislação & jurisprudência , Instalações de Saúde/legislação & jurisprudência , Política de Saúde , Coleta de Dados , Governo Federal , Feminino , Humanos , Malaui , Masculino
20.
JNMA J Nepal Med Assoc ; 57(215): 64-66, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31080250

RESUMO

Globally, millions of surgeries are performed each year to compliment and manage a diverse set of medical conditions. Adverse surgical outcomes constitute a major proportion of avoidable death and disabilities in the hospital, especially in low-income countries like Nepal. A comprehensive study on the standards of surgical procedures and its institutional regulations is missing. We discuss here the importance of surgical regulation based on it's financial as well as healthcare implications in the Nepalese healthcare system. Keywords: health care facilities; safety; surgery; surgical procedures; WHO.


Assuntos
Atenção à Saúde/normas , Instalações de Saúde/normas , Procedimentos Cirúrgicos Operatórios/normas , Atenção à Saúde/economia , Atenção à Saúde/legislação & jurisprudência , Instalações de Saúde/economia , Instalações de Saúde/legislação & jurisprudência , Humanos , Nepal , Procedimentos Cirúrgicos Operatórios/economia , Procedimentos Cirúrgicos Operatórios/legislação & jurisprudência
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