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At least 127 records · Page 7Linked to original sources
PubMed1997

Implementation of the WHO Global Strategy for Occupational Health for All. Plan of action: covering the specific period 1996-2001. Part I.

The WHO Executive Board, at its Ninety-Seventh Session, in January 1996, recognized the vital role of occupational health in sustainable development and public health as a whole, endorsed the WHO Global Strategy for Occupational Health for All (Resolution EB97.R6). In May 1996, the World Health Assembly discussed occupational health and adopted a resolution on the WHO Global Strategy for Occupational Health for All (WHA49.12), requesting the Director-General to promote the implementation of the Global Strategy for Occupational Health for All within the framework of the Ninth General Programme of Work. Member States were urged to devise national programmes on occupational health for all, based on the global strategy, with special attention to pull occupational health services for the working population, including migrant workers, workers in small enterprises, in the informal sector, and for other occupational groups at high risk and with special needs, including children at work. Therefore, the draft Plan of Action for the Implementation of the WHO Global Strategy for Occupational Health for All has been prepared. The description of all 10 objectives of the global strategy, at both the international and national levels, are merged with appropriate activities of WHO and other contributing organizations. The Global Network of the WHO Collaborating Centres in Occupational Health is given a special role in the implementation of the global strategy.

Computer Communication Networks↗
PubMed1997

[Who uses alternative medicine and what are the motivations?].

In an increasing degree, unconventional healing methods are used within the orthodox medical system by physicians and in clinics. An even greater variety of methods and settings can be found in the health courses of popular high schools and in private practices of non-medical practitioners. The great interest of medical students in unconventional methods, the prevalence of chronic diseases, and widespread psychospiritual beliefs in the population indicate a growing need for psychosocially based healing approaches and new settings such as weekend-workshops or year long groups. In this article, the sociodemographic data of the users of unconventional methods, their motivations, and their pathways into the informal sector are elaborated by analyzing data from literature and of our own survey among 1135 users of 5 different types of health-related seminars (aerobic, yoga, body-therapies, psychological seminars, spiritual healing).

Complementary Therapies↗
PubMed1997

Education, occupation and health status of people of age five years or more living in a high density urban area in Zimbabwe.

OBJECTIVE: To find out the education, occupation and health status of people aged five years or more living in a high density urban area in Zimbabwe. DESIGN: Cross sectional. SETTING: Households in Chitungwiza. SUBJECTS: Persons of age five years or more available in a household at the time of the survey. In 1990 and 1993, 822 and 1,023 people were surveyed, respectively. MAIN OUTCOME MEASURES: Educational level, employment, rate of smoking, nutritional status, blood pressure level, and rate of disability. RESULTS: After the age of 24 years, more males than females were observed in both periods. A much higher proportion (x2 = 20.34, df = 1, p < 0.001) of women were in informal employment in 1993 (28.6%) than in 1990 (12.9%). Meanwhile, about an equal proportion of men were in the informal sector in both periods (12.0% and 10.4% in 1990 and 1993, respectively). For females of age 15 years or more, fewer (40.8%) had attained secondary education than males (76.4%) in 1990 (x2 = 50.2, df = 1, p < 0.001). Overall, 208 (36.1%) men and eight (1.3%) women of age 15 years or more smoked. Raised blood pressure for both sexes increased significantly with age (x2 for linear trend = 20.21 for men and 65.81 for women, df = 1, p < 0.001 for both sexes). More women of age 45 years or more had raised blood pressure than men (x2 = 4.67, df = 1, p = 0.031). Many more women (8.0%) than men (0.7%) had a Ponderal Index of greater than 27 (x2 = 19.33, df = 1, p < 0.001). A total of 12 (1.5%) persons were disabled. CONCLUSION: Raised blood pressure and obesity mainly affected women and interventions to improve their health is recommended.

Adolescent↗
PubMed2005

Harmonizing health information systems with information systems in other social and economic sectors.

Efforts to strengthen health information systems in low- and middle-income countries should include forging links with systems in other social and economic sectors. Governments are seeking comprehensive socioeconomic data on the basis of which to implement strategies for poverty reduction and to monitor achievement of the Millennium Development Goals. The health sector is looking to take action on the social factors that determine health outcomes. But there are duplications and inconsistencies between sectors in the collection, reporting, storage and analysis of socioeconomic data. National offices of statistics give higher priority to collection and analysis of economic than to social statistics. The Report of the Commission for Africa has estimated that an additional US$ 60 million a year is needed to improve systems to collect and analyse statistics in Africa. Some donors recognize that such systems have been weakened by numerous international demands for indicators, and have pledged support for national initiatives to strengthen statistical systems, as well as sectoral information systems such as those in health and education. Many governments are working to coordinate information systems to monitor and evaluate poverty reduction strategies. There is therefore an opportunity for the health sector to collaborate with other sectors to lever international resources to rationalize definition and measurement of indicators common to several sectors; streamline the content, frequency and timing of household surveys; and harmonize national and subnational databases that store socioeconomic data. Without long-term commitment to improve training and build career structures for statisticians and information technicians working in the health and other sectors, improvements in information and statistical systems cannot be sustained.

Africa↗
PubMed1998

Differential access to care for children with ADHD in special education programs.

Access to treatment for children with attention-deficit hyperactivity disorder (ADHD) was examined in the general health, specialty mental health, and informal care sectors. Special education students in a Florida school district were screened for ADHD, and high-risk children and their parents completed diagnostic and services assessment interviews. Female gender, minority status, and rural residence lowered the probability of ADHD service use in the general health sector. Use of services in the mental health and informal sectors was predicted by a child's need for services. Further study is needed to identify barriers to service use at the parental or gatekeeper level for this common disorder among children.

Attention Deficit Disorder with Hyperactivity↗
PubMed2002

The 'cube' meta-model for the information system of large health sector organizations--a (platform neutral) mapping tool to integrate information system development with changing business functions and organizational development.

To develop information systems (IS) in the changing environment of the health sector, a simple but throughout model, avoiding the techno-jargon of informatics, might be useful for the top management. A platform neutral, extensible, transparent conceptual model should be established. Limitations of current methods lead to a simple, but comprehensive mapping, in the form of a three-dimensional cube. The three 'orthogonal' views are (a) organization functionality, (b) organizational structures and (c) information technology. Each of the cube-sides is described according to its nature. This approach enables to define any kind of an IS component as a certain point/layer/domain of the cube and enables also the management to label all IS components independently form any supplier(s) and/or any specific platform. The model handles changes in organization structure, business functionality and the serving info-system independently form each other. Practical application extends to (a) planning complex, new ISs, (b) guiding development of multi-vendor, multi-site ISs, (c) supporting large-scale public procurement procedures and the contracting, implementation phase by establishing a platform neutral reference, (d) keeping an exhaustive inventory of an existing large-scale system, that handles non-tangible aspects of the IS.

Health Care Sector↗
PubMed1990

Migration in a small semiperiphery: the movement of Puerto Ricans and Dominicans.

"This article argues that the semiperipheral development of Puerto Rico since around 1975 has led to the creation of a relative labor surplus in the formal sectors of the economy while at the same time increasing the demand for cheap labor in the informal service sector. Thus, Puerto Ricans leave their country in search of good jobs in the United States while Dominicans migrate to Puerto Rico and find work in the informal sector. The return migration of Puerto Ricans has also been significant, but is due to their strong national culture, rather than economic reasons. The article concludes that migration to and from Puerto Rico is of a semiperipheral type because it combines characteristics of migration previously described as 'migration from the periphery to the center' and 'migration within the periphery.' A precise definition of the semiperipheral characteristics of Puerto Rico is given."

Americas↗
PubMed2002

Information systems for health sector monitoring in Papua New Guinea.

This paper describes (i). how a national health information System was designed, tested and implemented in Papua New Guinea, (ii). how the system was integrated with other management information systems, and (iii). how information has been used to support decision-making. It concludes that central coordination of systems design is essential to make sure that information systems are aligned with government priorities and can deliver the information required by managers. While there is often scope for improving the performance of existing information systems, too much emphasis can be placed on revising data collection procedures and creating the perfect information system. Data analysis, even from imperfect systems, can stimulate greater interest in information, which can improve the quality and completeness of reporting and encourage a more methodical approach to planning and monitoring services. Our experience suggests that senior decision-makers and political leaders can play an important role in creating a culture of information use. By demanding health information, using it to formulate policy, and disseminating it through the channels open to them, they can exert greater influence in negotiations with donors and other government departments, encourage a more rational approach to decision-making that will improve the operation of health services, and stimulate greater use of information at lower levels of the health system. The ability of information systems to deliver these benefits is critical to their sustainability.

Decision Support Systems, Management↗
PubMed1977

The role of the pharmacist in drug information for the agricultural sector.

Discussion with veterinarians practicing in southeastern Wyoming suggests that increased pharmaceutical services are needed for the agricultural sector. Such services should include more control of veterinary drugs, informational services, and a forum in which to report untoward responses to drugs. Certain educational and organizational requirements for implementing these services are discussed. Recommendations are advanced that: 1)Some veterinary drugs should be subject to sale by prescription only and be more closely controlled by the pharmacist, 2)A specially in veterinary pharmacy should be established, 3)This specialty should be included as an option on state board examinations and required as a qualification for dispensing animal health drugs, 4)Veterinarians should be appointed to state boards of pharmacy, and 5)Programs in continuing education should be developed to facilitate the entry of existing pharmacists into veterinary pharmacy.

Agriculture↗
PubMed1999

A framework for strategic information systems implementation in the United Kingdom health sector.

The implementation of information technologies in the United Kingdom health sector is a relatively recent phenomenon. Many of the developments have followed the patterns in the United States. One such example is that of Case Mix, introduced strategically as part of the Resource Management Initiative and aimed at the facilitation of both clinical and financial audit. Moreover, Case Mix was implemented alongside significant changes in hospital structure and culture, requiring clinicians to get involved in management tasks and decision making within the structure of the hospital, supported by a new information infrastructure. The success of such systems has varied significantly. A number of lessons can be learned from the way that the implementation was approached. This article stems from a research project focusing longitudinally on the implementation of Case Mix in four UK hospitals. It draws a number of findings from the cases, and importantly, explicates a framework for strategic information systems implementation, as generated from the cases and supported by the extant literature. Such a framework has implications for both theory and practice, and assists in the understanding of what is often a dynamic and poorly understood situation.

Capital Financing↗
PubMed2001

Dendritic arborizations of the rat substantia nigra pars reticulata neurons: spatial organization and relation to the lamellar compartmentation of striato-nigral projections.

The cerebral cortex provides a major source of inputs to the basal ganglia. As has been well documented, the topography of corticostriatal projections subdivides the striatum into a mosaic of functionally distinct sectors. How information flow from these striatal sectors remains segregated or not within basal ganglia output nuclei has to be established. Electrophysiologically identified neurons of the rat substantia nigra pars reticulata were labeled by juxtacellular injection of Neurobiotin, and the spatial organization of their dendritic arborizations was analyzed in relation to the projection fields of individual striatal sectors. Thirty-nine nigral neurons located in the projection territory of the distinct striatal sensorimotor sectors were reconstructed. The data show that the dendritic arborizations of nigral neurons conform to the geometry of striato-nigral projections. Like striatal projections, the arborizations formed a series of curved laminas enveloping a dorsolaterally located core. Although dendritic fields of the neurons lying in the laminae were flat, those located in the core were spherical or cylindrical, thereby conforming to the shape of the striatal projection fields. This remarkable alignment between the dendritic arborizations of nigral neurons and the projection fields from individual striatal districts supports the concept of a parallel architecture of the striato-nigral circuits. However, pars reticulata neurons usually extend part of their dendrites within adjacent striatal projection fields, thereby ensuring a continuum between channels. The extension of the dendritic arborizations within the striatal projection fields suggests that nigral neurons integrate the information that is relevant for the completion of the specific motor behavior they control.

Action Potentials↗
PubMed2004

Out-of-pocket and informal payments in health sector: evidence from Georgia.

This study presents an in-depth investigation of out-of-pocket payments for health services, formal and informal, in the Republic of Georgia. The main purpose of the study is to: (a) analyze the process of collection and distribution of out-of-pocket or direct payments and particularly of the informal component; (b) explain why they seem to be so prevalent; (c) investigate their consequences, especially on access and quality of health care services. The findings of this study are derived from in-depth interviews and focus group discussions with users as well as providers. The study found that in general paying for health services in Georgia has become a really common and mostly accepted practice, and that a significant share of these payments are completely unrecorded. The extent of direct payments for health services are producing severe consequences on both equity and efficiency, making services unaffordable for most people, and leading to under funding of essential inputs. The policy implications of the study findings are challenging. First, the study clearly points out the deep-rooted and multidimensional reasons why out-of-pocket payments are pervasive, and why an important share of them is collected informally. Second, the study highlights that there is no simple solution. In particular, some of the solutions frequently proposed in the international debate, such as simply formalizing user charges, in the Georgian context appear impractical.

Financing, Personal↗
PubMed2006

Information technology infusion model for health sector in a developing country: Nigeria as a case.

To date, information technology (IT) has not been widely adopted in the health sector in the developing countries. Information Technology may bring an improvement on health care delivery systems. It is one of the prime movers of globalization. Information technology infusion is the degree to which a different information technology tools are integrated into organizational activities. This study aimed to know the degree and the extent of incorporation of Information Technology in the Nigerian health sector and derive an IT infusion models for popular IT indicators that are in use in Nigeria (Personal computers, Mobile phones, and the Internet) and subsequently investigates their impacts on the health care delivery system in Nigerian teaching hospitals. In this study, data were collected through the use of questionnaires. Also, oral interviews were conducted and subsequently, the data gathered were analyzed. The results of the analysis revealed that out of the three IT indicators considered, mobile phones are spreading fastest. It also revealed that computers and mobile phones are in use in all the teaching hospitals. Finally in this research, IT infusion models were developed for health sector in Nigeria from the data gathered through the questionnaire and oral interview.

Cell Phone↗
PubMed1985

Transferring a national information system from the public sector to the private sector--how the Administration on Aging did it.

The Administration on Aging (AoA) sponsored a national information system known as the SCAN system. The SCAN bibliographic database went on-line in March 1982. Congress, however, had repealed the authority for the clearinghouse, so the Government let all of the services of SCAN expire by September 1982. The Government then tried to keep the SCAN information accessible by offering it to the private sector. The Government solicited applicants through both the Federal Register and the Commerce Business Daily. As a result, the American Association of Retired Persons (AARP) and AoA signed an agreement calling for AARP to make such of the SCAN information accessible on-line and to update it.

Aged↗