The public and public health organizations: Issues for community engagement in public health

Scutchfield, F. Douglas; Hall, Laura Lee; Ireson, Carol L.

doi:10.1016/j.healthpol.2005.07.021

Cited by 25 publications

(23 citation statements)

References 19 publications

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“…In the present study, the influencing factors on psychology and society are accounted for during the circular assessment and intervention. For instance, in the assessment of the migrants at the migration source, we observed that “subjunctive community” (composed by migrants’ social network) [35] and the “key person” play a very important role in the ideas of the group.The researchers purposely arranged for the “key person” to communicate with the HIV-positive migrant, and encouraged them to exploit the “subjunctive community” in peer education. Simultaneously, in rural migration destinations, education is promoted by social and family support.The information exchange and emotional communication among family members has an important effect on individual perceptions, beliefs, and behaviors [36].…”

Section: Discussionmentioning

confidence: 99%

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

Wang

et al. 2014

IJERPH

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Background: With the influx of rural migrants into urban areas, the spread of HIV has increased significantly in Shaanxi Province (China). Migrant workers are at high risk of HIV infection due to social conditions and hardships (isolation, separation, marginalization, barriers to services, etc.). Objective: We explored the efficacy of a HIV/AIDS prevention and control program for rural migrants in Shaanxi Province, administered at both rural and urban sites. Methods: Guidance concerning HIV/AIDS prevention was given to the experimental group (266 migrants) for 1 year by the center of disease control, community health agencies and family planning department. The intervention was conducted according to the HIV/AIDS Prevention Management Manual for Rural Migrants. A control group of migrants only received general population intervention. The impact of the intervention was evaluated by administering HIV/AIDS knowledge, attitudes and sexual behavior (KAB) questionnaires after 6 and 12 months. Results: In the experimental group; 6 months of intervention achieved improvements in HIV/AIDS related knowledge. After 12 months; HIV/AIDS-related knowledge reached near maximal scores. Attitude and most behaviors scores were significantly improved. Moreover; the experimental group showed significant differences in HIV-AIDS knowledge; attitude and most behavior compared with the control group. Conclusions: The systematic long-term cross-site HIV/AIDS prevention in both rural and urban areas is a highly effective method to improve HIV/AIDS KAB among rural migrants.

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Section: Discussionmentioning

confidence: 99%

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

Wang

et al. 2014

IJERPH

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“…The recognised virtues of participation in healthcare systems highlighted by literature on the subject include the following: a) the capacity to strengthen the voice of health service users as a strategy for overcoming the democratic deficit that characterizes heath systems after the managerial reforms of the 1990s (Cooper et al, 1995); b) users' experiences and their knowledge, as a means of improving the quality of healthcare decisions (Charles and DeMaio, 1993;Bovemkamp et al, 2009;Lehoux et al, 2009); c) citizen participation as a means of increasing the legitimacy and accountability of healthcare systems (Tritter and McCallum, 2006); d) the fact that citizen participation brings community needs and health service responses closer together (Franskish et al, 2002); e) the fact that the public healthcare system is more effective when decisions reflect the users perspective (Scuthfield et al, 2006;Matos, 2011).…”

Section: Civil Society's Involvement In Healthcare Systems: Potentialmentioning

confidence: 99%

Citizen participation and discontent in three Southern European health systems

Serapioni

Matos

2014

Social Science & Medicine

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a b s t r a c tParticipation has featured in political agendas in recent decades and the domain of healthcare has not been indifferent to its appeal. Although emerging later than in other European regions, the involvement of civil society in healthcare decision-making procedures has proved one of the biggest challenges facing Southern European health systems. The health systems of the countries considered in this analysis e Italy, Portugal and Spain e underwent reforms that brought citizen participation to the forefront of the health system. Through national laws or health plans, each of these countries has recognised the need to promote participation in order to 'give a voice' to citizens in the health sector. Accordingly, a range of significant activities have been implemented in the region, although they have been developed unequally within national territories, at different paces and involving the mobilisation of different actors. This article focuses on the most relevant experiences of citizen participation designed and implemented in the three selected countries, describing their key features and potential, as well as the main critical issues and contradictions that have emerged over time. Particular emphasis is given to the impact of the current financial crisis on Southern European national health systems, especially in terms of participatory methods, the way in which citizen participation is progressing and civil society's reaction to these important changes.

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“…Pressure groups abound and voices need to be heard and opinion considered if sustainable decisions can be made but constraints of budgets and resources influence official agencies and political slants may override all inclusion principles [105], with the public health professional often negotiator for all parties.…”

Section: Putting It All Together: Preventing Adverse Health Outcomesmentioning

confidence: 99%

“…Geosciences 2018, 8,24 14 of 20 resources influence official agencies and political slants may override all inclusion principles [105], with the public health professional often negotiator for all parties. The specifics of the interlinking of the knowledge from the scientific investigation with all the different concerns and interactions can be achieved through a small multi-agency team which can identify and evaluate the different aspects of the technical risk assessment, the context and the stakeholder interests ( Figure 5).…”

Section: Putting It All Together: Preventing Adverse Health Outcomesmentioning

confidence: 99%

Environment and Human Health: The Challenge of Uncertainty in Risk Assessment

Stewart

Hursthouse

2018

Geosciences

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High quality and accurate environmental investigations and analysis are essential to any assessment of contamination and to the decision-making process thereafter. Remediation decisions may be focused by health outcomes, whether already present or a predicted risk. The variability inherent in environmental media and analysis can be quantified statistically; uncertainty in models can be reduced by additional research; deep uncertainty exists when environmental or biomedical processes are not understood, or agreed upon, or remain uncharacterized. Deep uncertainty is common where health and environment interact. Determinants of health operate from the individual's genes to the international level; often several levels act synergistically. We show this in detail for lead (Pb). Pathways, exposure, dose and response also vary, modifying certainty. Multi-disciplinary approaches, built on high-quality environmental investigations, enable the management of complex and uncertain situations. High quality, accurate environmental investigations into pollution issues remain the cornerstone of understanding attributable health outcomes and developing appropriate responses and remediation. However, they are not sufficient on their own, needing careful integration with the wider contexts and stakeholder agendas, without which any response to the environmental assessment may very well founder. Such approaches may benefit more people than any other strategy.

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The public and public health organizations: Issues for community engagement in public health

Cited by 25 publications

References 19 publications

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

Citizen participation and discontent in three Southern European health systems

Environment and Human Health: The Challenge of Uncertainty in Risk Assessment

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