Bringing the Essential Public Health Services to Life

Jarrah, Sami; Khaldun, Joneigh S.; Sellers, Katie; Rich, Naomi

doi:10.1097/phh.0000000000001298

Cited by 4 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Poverty reduction is affected by many factors, such as policies, the environment, individuals, and families. An increase in the level of public service supply will help reduce the inequality brought about by the operation of market mechanisms and will also help narrow the economic gaps among regions, industries, and social groups [ 4 ]. Basic public health services are a major institutional arrangement for deepening the reform of China’s health care system and promoting the “Healthy China” strategy.…”

Section: Introductionmentioning

confidence: 99%

The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?

Zhou

Jiang

et al. 2022

IJERPH

View full text Add to dashboard Cite

Migrants workers are important participants in and contributors to economic and social construction, but they still face the reality of being marginalized. Based on data from the China Migrants Dynamic Survey in 2018, this paper systematically investigated the impact of public health services on the multidimensional poverty of migrant workers. The research found that, first, the current mean of the multidimensional poverty deprivation value of migrant workers is 0.1806, which is one dimension of poverty that exists on average. In addition, migrant workers do not have high access to public health services. The proportions of migrant workers who have not established residents’ health files and who have not received public health education are 74.22% and 29.92%, respectively. Second, public health services can significantly alleviate the multidimensional poverty of migrant workers. After mitigating the potential endogeneity problem by the IV-2SLS method and conducting robustness tests by the PSM method, the conclusion is still robust. Further research found that the impact of public health services on the multidimensional poverty alleviation of migrant workers is heterogeneous. The improvement of public health services has the greatest effect on the multidimensional poverty alleviation of the new generation of migrant female workers in the western region. The research in this paper helps to examine and clarify the policy significance of public health services for the multidimensional poverty alleviation of migrant workers and provides empirical evidence for the use of public health services to tackle the poverty problem.

show abstract

Section: Introductionmentioning

confidence: 99%

The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?

Zhou

Jiang

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The “10 Essential Public Health Services”, updated in 2019 to include a focus on health equity, also reflect this reality, which considers the public health system to include not only public health agencies and healthcare providers, but also public safety, human services, and education, among other sectors ( 45 ). The decisions described in our analysis broadly fall into the three core domains of the essential services of public health: assessment (e.g., contact tracing, testing), policy development (e.g., implementation of executive orders, mobilizing community partnerships, educating the public to support effective policy change), and assurance (e.g., workforce maintenance, ensuring equitable access to services) ( 46 ). However, the COVID-19 pandemic has showcased that the centrality of equity in the revised essential services may still be aspirational.…”

Section: Discussionmentioning

confidence: 99%

“…Disparities in COVID-19 morbidity and mortality rates by race and socioeconomic status underscore the need for system-wide decision-making that better prioritizes equitable access to health services, ranging from healthy living conditions to clinical care ( 47 , 48 ). Additionally, the pandemic has highlighted the importance of the essential service, to “build and maintain a strong organizational infrastructure for public health,” moving forward ( 46 ). Bringing together the many sectors involved in the United States' fragmented public health system effectively and sustainably, beyond the immediate aftermath of a crisis, requires local foundational infrastructure supporting timely and comprehensive data collection ( 49 ); flexible funding mechanisms that recognize the necessity of cross-sector work in public health ( 50 ); and sufficient staffing capacity, particularly in response to the burnout of the current public health workforce ( 51 , 52 ).…”

Section: Discussionmentioning

confidence: 99%

Cross-sector decision landscape in response to COVID-19: A qualitative network mapping analysis of North Carolina decision-makers

Biddell

Johnson²,

Patel³

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

IntroductionThe COVID-19 pandemic response has demonstrated the interconnectedness of individuals, organizations, and other entities jointly contributing to the production of community health. This response has involved stakeholders from numerous sectors who have been faced with new decisions, objectives, and constraints. We examined the cross-sector organizational decision landscape that formed in response to the COVID-19 pandemic in North Carolina.MethodsWe conducted virtual semi-structured interviews with 44 organizational decision-makers representing nine sectors in North Carolina between October 2020 and January 2021 to understand the decision-making landscape within the first year of the COVID-19 pandemic. In line with a complexity/systems thinking lens, we defined the decision landscape as including decision-maker roles, key decisions, and interrelationships involved in producing community health. We used network mapping and conventional content analysis to analyze transcribed interviews, identifying relationships between stakeholders and synthesizing key themes.ResultsDecision-maker roles were characterized by underlying tensions between balancing organizational mission with employee/community health and navigating organizational vs. individual responsibility for reducing transmission. Decision-makers' roles informed their perspectives and goals, which influenced decision outcomes. Key decisions fell into several broad categories, including how to translate public health guidance into practice; when to institute, and subsequently loosen, public health restrictions; and how to address downstream social and economic impacts of public health restrictions. Lastly, given limited and changing information, as well as limited resources and expertise, the COVID-19 response required cross-sector collaboration, which was commonly coordinated by local health departments who had the most connections of all organization types in the resulting network map.ConclusionsBy documenting the local, cross-sector decision landscape that formed in response to COVID-19, we illuminate the impacts different organizations may have on information/misinformation, prevention behaviors, and, ultimately, health. Public health researchers and practitioners must understand, and work within, this complex decision landscape when responding to COVID-19 and future community health challenges.

show abstract

“…34 The decisions described in our analysis broadly fall into the three core functions: assessment (e.g., contact tracing, testing), policy development (e.g., implementation of executive orders, mobilizing community partnerships, educating the public to support effective policy change), and assurance (e.g., workforce maintenance, ensuring equitable access to services). 35 However, the COVID-19 pandemic has showcased that the centrality of equity in the revised essential services may still be aspirational. Disparities in COVID-19 morbidity and mortality rates by race and socioeconomic status underscore the need for system-wide decision-making that better prioritizes equitable access to health services, ranging from healthy living conditions to clinical care.…”

Section: Discussionmentioning

confidence: 99%

Cross-sector Decision Landscape in Response to COVID-19: A Qualitative Analysis of North Carolina Decision-Makers

Biddell

Johnson

Patel

et al. 2022

Preprint

View full text Add to dashboard Cite

Context: The COVID-19 pandemic response has demonstrated the interconnectedness of individuals, organizations, and other entities jointly contributing to the production of community health. This response has involved stakeholders from numerous sectors who have been faced with new decisions, objectives, and constraints. Objective: We aimed to examine the cross-sector organizational decision landscape that formed in response to the COVID-19 pandemic. Design: We applied a systems approach to the qualitative analysis of semi-structured interviews on the cross-sector, organizational response to the COVID-19 pandemic. We analyzed transcribed interviews using conventional content analysis to synthesize key themes. Setting: Semi-structured interviews were conducted via secure, video-conferencing platform between October 2020 and January 2021. Participants: Forty-four state and local decision-makers representing organizations from nine sectors in North Carolina participated. Main Outcome Measures: We defined the decision landscape as including decision-maker roles, key decisions, and inter-relationships involved in producing community health. Results: Decision-maker roles were characterized by underlying tensions between balancing organizational mission with employee/community health and navigating organizational versus individual responsibility for reducing transmission. Key Decisions fell into several broad categories, including how to translate public health guidance into practice; when to institute, and subsequently loosen, public health restrictions; and how to address downstream social and economic impacts of public health restrictions. Lastly, given limited and changing information, as well as limited resources and expertise, the COVID-19 response required cross-sector collaboration, which was commonly coordinated by local health departments. Conclusions: By documenting the local, cross-sector decision landscape that formed in response to COVID-19, we illuminate the impacts different organizations may have on information/misinformation, prevention behaviors, and, ultimately, health. Public health researchers and practitioners must understand, and work within, this complex decision landscape when responding to COVID-19 and future community health challenges.

show abstract

Bringing the Essential Public Health Services to Life

Cited by 4 publications

References 0 publications

The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?

The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?

Cross-sector decision landscape in response to COVID-19: A qualitative network mapping analysis of North Carolina decision-makers

Cross-sector Decision Landscape in Response to COVID-19: A Qualitative Analysis of North Carolina Decision-Makers

Contact Info

Product

Resources

About