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At least 55 records · Page 3Linked to original sources
PubMed1986

[Scientific and technical cooperation between developing countries. Formation of middle-level auxiliary and technical health personnel].

Technical cooperation between developing countries is not easy in the absence of direct communication between them and of the requisite infrastructure. However, technical cooperation at this level is an important form of assistance to countries. The subject of the article is the technical assistance provided by Cuba to Nicaragua, with the collaboration of the Pan American Health Organization, to enable the Nicaraguan institutions to establish short-term health programs. The success of the cooperation was made possible by an effective concentration of resources in a limited field. After a brief preparatory stage in which the operational methodology was laid down and its phases were scheduled, functions were apportioned. The Ministry of Public Health of Cuba provided the directors and professionals for middle-level instruction in Nicaragua and collaborated in the study plans, the training of technicians and teaching staff, and the preparation of textbooks and manuals, while the Ministry of Health of Nicaragua provided food and lodging for the teaching staff and PAHO sponsored the meetings and workshops, provided education materials and prepared textbooks and manuals. The basic aim of the agreement was to facilitate the imparting of health knowledge to the least developed population areas. To accomplish this purpose, many activities were programmed that were almost completely carried out during that period.

Cuba↗
PubMed1986

[A health system. Analysis and proposals].

The author examines the health system of Brazil and points out the aspects that need to be changed for attainment of the World Health Organization's goal of health for all by the year 2000. To solve these problems the author proposes, i.a., full integration of the resources and coordination of the activities of the Ministry of Health and the National Social Security Institute of Medical Care with a view to active preventive coverage for educating the population, controlling the vectors of disease, improving the environment, vaccinating, monitoring expectant mothers and infant growth, etc. In addition, he advocates determining the proportion of the contribution to social security to be set aside for health purposes at a specific percentage and removing the cap on that part of the contribution so that the costs of medical care will be more equitably distributed.

Brazil↗
PubMedDate not supplied

A 20-year study of the Leprosy Control Programme at the Hemerijckx Leprosy Centre in Polambakkam in South India.

The Hemerijckx leprosy centre at Polambakkam in South India covers a rural population of about 800,000 and has treated over 40,000 cases of leprosy during the period 1955-75. Based on a stratified random sample of 25% of the case records, information was obtained about the profile of newly-detected cases in various cohorts (1955-57, 1958-60, 1961-64, 1965-69, 1970-75), regularity in drug collection and response to treatment. In newly-detected cases, the ratio of males to females was stable (3:2), but the proportion of adults aged 45 years or more increased from 15% in 1958-60 to 20% in 1970-75 and the lepromatous rate decreased from 9% to 6%; the proportion deformed at the time of diagnosis ranged from 11% to 15%. Regularity in drug collection was unsatisfactory even in the first year of treatment, with less than half the patients making 6 (or more) of the 12 monthly drug collections. The clinical status at 4-6 years was known for 70-75% of the patients who started treatment and of those approximately 60% had inactive or arrested disease. Data from population surveys was sparse; about 60% of the expected numbers were initiated and less than 30% of these had a coverage of 75% or more. The limited evidence, however, showed a decline in the prevalence of about 2 per thousand per annum. Field studies to evolve strategies for better motivation of patients, introduction of short-course regimens, and continuous monitoring of the programme are urgently needed.

Adolescent↗
PubMed1978

Participating in health planning.

The implementation of the Health Planning and Resources Development Act of 1974 (P.L. 93-641) brought about the realization that occupational therapists can and should participate in a formalized manner in the health planning process. Successful attempts by District V of the Iowa Occupational Therapy Association, and by the Iowa Occupational Therapy Association, to seat an occupational therapist on the governing board of the Illowa Health Systems Agency and on the Iowa State Health Coordinating Council yielded a greater understanding of the law and of the activities of health systems agencies. This article describes the process of selecting representatives for health systems agencies governing boards as it pertains to allied health professionals.

Governing Board↗
PubMed1976

Implementing formative health planning under PL 93-641.

The National Health Planning and Resources Development Act of 1974 (PL 93-641) melds the Hill-Burton program, Regional Medical Program and Comprehensive Health Planning into a new network for health planning and resources development. Health-systems agencies will possess broader powers than predecessor agencies, particularly in the areas of regulation, control of federal funds, resources development and implementation. PL 93-641 thus offers the possibility of transforming the basic concept of health planning from reactive to "proactive." Successful legislative implementaion will require each health-systems agency to build local legitimacy, ensure constructive consumer/provider dialogue, and respond to state and national managerial requirements. Many questions about planning implementation, the role of subarea councils, agency co-ordination and local governance remain unresolved. The new health-planning network has the potential to assume the function of active system transformation, but will be critically dependent on adequate program budgeting to fulfill this promise. (N Engl J Med 295:698-703, 1976).

Delivery of Health Care↗
PubMed1989

Measuring and tracking education program implementation: the Minnesota Heart Health Program experience.

In an overall framework uniting program planning and evaluation, process evaluation can assist community-based health promotion programs in establishing participation objectives, monitoring their achievement and the quality of interventions used, and translating these into useful information for managing and developing programs. This research reports on efforts by the Minnesota Heart Health Program to develop a system that permitted tracking educational program contacts, its implementation, and its use to make management decisions about program activities. The system was developed as part of a planning and evaluation framework with specific criteria for developing and tracking educational programs drawn from the social-learning literature. Overall, the system helped to make participation objectives more concrete, aided decision making about allocation of personnel and material resources, and encouraged the development of innovative programs.

Cardiovascular Diseases↗