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Rio de Janeiro, Brazil

The post-2015 development agenda highlights the incorporation of sustainability in approaches developed and/or applied to distinct fields of knowledge and action and the demonstration of the effectiveness of experiences of sustainable and healthy territories. This process results from the confrontation of different viewpoints which seek to address social production vis-à-vis their project, with the possibility of updating the hegemonic mode of production and consumption or the emergence of counter-hegemonic rationales. Health, as one of the SDGs, has the challenge of imposing an intersectorial agenda that addresses its social determinants, in a process of participative governance able to build a hierarchy of priorities based on the needs of the territory and build techno-political solutions based on the ecology of knowledge, constituting a strategic-situational and communicative management process. The consistency in formulation of the agenda and potential challenges to its implementation are analyzed, considering its intersectoriality, its strategic governance and management, and especially an assessment of its effectiveness. Moreover, it tests the evaluative tools used and their ability to analyze the consistency in the formulation of the agenda. Source


Grant
Agency: Cordis | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2009-3.2-2 | Award Amount: 3.40M | Year: 2010

ECHO, European Collaboration for Healthcare Optimization, gathers the interests for Healthcare Performance Measurement of different Academic and Research Institutions from six European countries and an International Body for Healthcare Policy Analysis. Designed as a 48 months project, it has been conceived as a pilot study based on available administrative databases. It aims at describing the actual performance of six different Healthcare Systems at hospital, healthcare area, regional and country level. To tackle performance measurement in this project, two different methodological approaches will be used: [a] a population geographical-based, responding the question: Is the access to a diagnostic or surgical procedure dependant on the place where a person lives? And, [b] a provider-specific, answering the question: Is the risk for a patient to access high quality care -and have better health outcomes- different regarding the provider in which he or she is admitted? Utilization, equity in access and allocative efficiency will be analysed as performance measures in the former approach; and, healthcare outcomes and associated costs will be measures in the latter one. ECHO has been envisaged as a five work packages project. The first two work packages are devoted to prepare the core work package (WP#3) Performance Measurement and Report; so, the WP#1 is committed with the creation of the ECHO Data Warehouse and the second one is dedicated to the Methodological foundations of the project. Work packages #4 (web-based tools development) and #5 (dissemination) are carefully thought to ease the diffusion of our findings to decision-makers; in the former, a web-based analytical tool will allow advanced users to replicate methods and analysis; in the latter, local key agents like policy decision-makers and managers, will feed the findings making them transferable to their own decision-making process.


Rozemberg L.,Escola Nacional de Saude Publica
Ciencia e Saude Coletiva | Year: 2014

This article seeks to investigate the family factors that influence the resilience potential of male and female adolescent students. It is a cross-sectional study with data derived from an epidemiological survey with the participation of 889 randomly selected adolescents in the 9th year of public and private schools in a municipality in the state of Rio de Janeiro. Social and demographic variables indicate that family violence factors such as a difficult relationship with the mother or stepmother and a lack of family supervision, the presence of depression and low use of active and supportive coping strategies for distraction are associated with a low resilience potential. Tests of association between variables and resilience were made, considering a significance level of 5%. Variables like living in a confined space and having a difficult relationship with siblings only appear harmful to the resilience potential of girls. Public policies and programs need to work with families to understand the needs of adolescents, as a way of preventing mental health problems and promoting health in this population from a gender standpoint. Source


Conservation attention to indigenous hunting with fire in the cerrado largely focuses on sustainability as construed in scientific terms rather than according to indigenous points of view. Towards the goal of reframing the debate in terms more congruent with indigenous perspectives, I address how the Xavante (A'uwẽ) view ritualized and collective hunting, including hunting with fire, as indispensable means of acquiring gifts by which to celebrate important events, express feelings of respect and gratitude towards others, promote positive social values among male youth, and maintain the group's ethnic identity. In particular, ritualized exchanges of game meat are necessary and culturally appropriate means of expressing esteem for others at some of life's most important moments. For the Xavante, the social imperative to give and receive gifts of meat during weddings and initiation ceremonies motivates efforts to maintain the collective hunting with fire tradition in a manner that ensures its long term environmental viability. © 2014 Springer Science+Business Media New York. Source


The scope of this article is to analyze the main challenges and perspectives linked to the evaluation of public policies in food and nutrition security. The conclusion reached is that considering the complexity of actions in this area, it is important to discuss the limits of traditional evaluation strategies and move forward with the creation of new theoretical and methodological alternatives. Source

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