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PubMed2005

Skin diseases highlighting essential global public health priorities.

Which are the essential global public health activities that should be carried out in order to attain the largest impact on poverty reduction and health improvement in the world? Since its foundation in 2001 the Human Mobile Population Committee (HMPC) has continued to devote its efforts to finding answers to this question, with a particular focus on the skin diseases of the Human Mobile Population (HMP) and other groups of disadvantaged people. In this article we present the model of socio-sanitary activity in the field of Migration, Poverty and Health of the Department of Preventive Medicine of Migration, Tourism and Tropical Dermatology (Dept.) at San Gallicano Institute--Research Institute for Hospitalization and Treatment (IRCCS)--in Rome (Italy). The activities of this dermatological centre are in the spirit of the HMPC's aims and we are of the opinion that this model is not only ethically valid, but also practically and economically convenient, and that there is evidence that our experience is worth repeating, in as many situations as possible, in the interest of public health.

Academies and Institutes↗
PubMed1983

Priority health problems of children in an urban community.

A survey was conducted in an urban Indian community to investigate the prevalence and epidemiology of health problems in children from birth up to 8 years of age. The prevalences of priority health problems in this age group were as follows: dental caries (90%), undernutrition (68,8%), failure to obtain measles immunization (57,2%) and skin infestations (14,9%). The significant epidemiological parameters investigated included family size, per capita family income, immunization and nutritional status. The influence of these factors upon health problems is considered. The availability and utilization of comprehensive health services were investigated. Problems associated with health screening as a method of determining health problems are discussed.

Child↗
PubMed1997

Setting health priorities: community boards accurately reflect the preferences of the community's residents.

Setting priorities remains an important part of healthcare planning and program management. Local community input is often sought in government or publicly sponsored programs. Community policy/advisory boards are a common vehicle to represent the community's interests in program decisions and direction. Questions remain whether community boards accurately represent their communities' views. As part of a planning effort within Chicago and Cook County, Illinois, local District Health Councils (DHCs) have been created to provide assistance and leadership in systemization and improvement of the healthcare in communities with the poorest health status in the region. We sought to discover how closely the perceptions of health priorities of DHC members agreed with those of community members. A structured five-point Likert scale questionnaire of 22 of the most common diseases and conditions known to impact health were used for a random digit dialing telephone interview with a sample of 286 households from three under-served communities. The same interview was repeated with all DHC members (n = 80) representing those communities. Sociodemographic profiles and health-related behaviors were also collected. The results of this interview indicate a close and substantial agreement in priorities between community members and DHC members. Psychosocial conditions such as violence and substance abuse were ranked as the highest priorities by both groups. In contrast, sociodemographics and healthcare behavior differed significantly between DHC members and community's residents. This study demonstrates that these community policy/advisory boards can closely reflect the views of the communities they represent. Attention to their differences in sociodemographics and healthcare experiences with the community may strengthen their role even more.

Adult↗
PubMedDate not supplied

[Program for selective dissemination of information in support of priority health problems. II].

México's National Health Information and Documentation Center (CENIDS), planned and designed a Selective Dissemination of Information Program in support of Priority Health Problems (DSI-APS). After one year of the implementation phase of this Program, an evaluation survey was conducted in order to measure its impact. Two questionnaires were sent to the institutional managers (C-I) and to the end-users (C-II). A total of 54 questionnaires (CI and CII) were sent via air mail to both the Health and the Education Sectors. Fifty (92.59%) responses were obtained from CI and 242 from CII. (CII could be reproduced as many times as needed). The results indicated the topics of more demand by the institutions and by the users. Eighty one per cent of the end-users scored over eight (scale 1-10) their degree of satisfaction when using the topics. Seventy two per cent of the institutions reported being unable to pay for this service; however, 93% of the end-users state that the Program should continue. It was detected that the topics represent an important support to "research" and "delivery of health care" activities. Finally, it was recommended to carry out specific studies so as to reformulate search strategies; satisfy selective needs, considering the impact obtained; and optimize existent resources.

Humans↗
PubMed1967

Health priorities.

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Attitude of Health Personnel↗