This Week's News 27-31 July 2009
Hospitais adotam unidades móveis para diagnosticar infectados pela nova gripe
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- News from WHO and partners 2 Cured patients help in TB treatment in Tanzania
4 Hospitais adotam unidades móveis para diagnosticar infectados pela nova gripe Zero Hora, Brazil 23/07/2009 Com as emergências lotadas, os hospitais do Interior aderem a unidades móveis de saúde para evitar o contato entre pessoas suspeitas de ter contraído a nova gripe e pacientes das emergências. A exemplo do Conceição e Clínicas, o pronto-atendimento 24 horas de Cachoeira do Sul, a partir de amanhã, adota o atendimento externo. Em Passo Fundo, o Foro Trabalhista suspendeu as audiências até o fim de julho. A medida foi tomada devido ao surto de gripe que já provocou a antecipação das férias escolares e restrições a eventos públicos. Hoje à tarde, em Porto Alegre, começa a funcionar uma tenda no Hospital Mãe de Deus para atendimento das suspeitas da nova gripe. Outro conteiner será empregado no Hospital Conceição. As autoridades orientam a população a buscar atendimento e a manter a calma. O número de mortos no RS continua o mesmo: 11 vítimas. No brasil, subiu para 29 mortos. A Vigilância em Saúde mantém o fone 150 para dúvidas, enquanto a prefeitura de Porto Alegre está com edital aberto para contratação de 108 médicos com a finalidade de suprir a carência de profissionais nos postos e unidades de saúde dos bairros da Capital 5 Falta personal preparado para atender a los adictos Siglo de Durango, Mexico 27/07/2009 JUAN M. CÁRDENAS A pesar de que el consumo de drogas en la actualidad ya es un tema de salud pública, las escuelas de enfermería y medicina no contemplan en su currícula la enseñanza para tratar a personas adictas. Ángel Prado García, director general de operación de Centros de Integración Juvenil (CIJ) a nivel nacional, afirmó que es necesario que las instituciones incorporen a las Ciencias de la Salud el tema de las adicciones. DESDE LA ESCUELA Directores de centros de rehabilitación, como el de Misión Korián, han evidenciado la falta de personal capacitado para atender a los adictos, ante la nula enseñanza del tema en las escuelas de medicina y enfermería. Cuestionado al respecto, Ángel Prado coincidió con las apreciaciones y señaló que sería importante "incorporar a la currícula de las materias de Ciencias de la Salud y todas las áreas que estén relacionadas, el tema de las adicciones para que todos nuestros médicos, enfermeras y profesionistas sepan el tratamiento que deben seguir para el consumo de drogas". EL ESTIGMA Al tratarse de un problema que afecta gravemente a la sociedad, pasa a ser un problema de salud pública cuya única forma de enfrentarlo es con la participación organizada de la sociedad. Prado García explicó que aunque sea un problema de salud pública, no se ha incluido dentro de las materias de enfermería y medicina porque tradicionalmente existía un "estigma" en el tema del enfermo adicto-dependiente; "era el alcohólico, era el borracho y no se consideraba como un problema de salud, pero afortunadamente esto ha ido cambiando en la sociedad para darse cuenta que no es un problema de moral, sino de salud"
/07/2009
Para concorrer a técnico é preciso possuir nível médio. Já para analista e perito, formação superior, sendo analista em áreas ainda não foram definidas, e perito, Medicina. Os técnicos e analistas irão trabalhar na área de atendimento nas agências do instituto. A contratação será feita em regime estatutário, que garante estabilidade. Segundo a Associação Nacional dos Servidores da Previdência e da Seguridade Social (Anasps), a remuneração inicial do técnico é de R$3.163,29 e do analista, R$4.363,65. Já a Associação Nacional dos Médicos Peritos da Previdência Social, informou que o salário inciial de perito é de cerca de R$7 mil. A jornada semanal é de 40 horas. O concurso se faz necessário devido à carência de pessoal, conforme informou os dirigentes da Anasps e da Associação dos Médicos Peritos. De acordo com eles, nos dois próximos anos cerca de dez mil funcionários vão se aposentar na área de atendimento e de 700 a 1.500 no cargo de perito. Na última seleção para técnico e analista os participantes (exceto analista/Direito) responderam a 50 questões de Conhecimentos Básicos (Língua Portuguesa, Noções de Informática e Atualidades), 30 de Conhecimentos Complementares e 70 de Conhecimentos Específicos, na prova objetiva. Já para o cargo de analista com formação em Direito foram propostas 70 questões de Conhecimentos Básicos e 80 em Conhecimentos Específicos. Já os candidatos a perito responderam a questões de Conhecimentos Gerais (Língua Portuguesa, Regime Jurídico Único dos Servidores Públicos Civis da União, Código de Ética e Noções de Informática) e Conhecimentos Específicos (Medicina Geral, Legislação de Assistência Social, Legislação referente ao SUS, Medicina do Trabalho, Legislação do Trabalho e Legislação Previdenciária). Também houve avaliação de títulos. Além dessas vagas, o INSS solicitou mil vagas para convocar os aprovados na última seleção para técnico e analista. Caso o pedido seja autorizado, serão convocados 700 técnicos e 300 analistas.( Folha Dirigida) 7 Casinhas de saúde da família serão substituídas Portal Amazõnia, Brazil 28/07/2009 MANAUS - As Unidades Básicas de Saúde da Família (UBSF), conhecidas como "casinhas de saúde", poderão ser substituídas por módulos de saúde. A construção dos modelos foi anunciada hoje (28) pelo secretário de saúde do município, Francisco Deodato, durante o Workshop de Planejamento Estratégico da Secretaria Municipal de Saúde (Semsa). O projeto prevê a construção de 90 módulos de saúde da Família que, segundo o Deodato, atenderá 100% da população da capital. O início das obras de construção dos novos módulos de saúde está previsto para o início de 2010. - Os módulos foram propostos pelo Ministério da saúde (MS) para atender geograficamente toda a cidade. Nossa meta é ocupar espaços onde não há assistência. A parte inicial do projeto deverá ocorrer na Zona Norte, onde há maior carência do sistema de saúde básico", destacou o secretário Francisco Deodato. O secretário esclareceu ainda que as casinhas serão substituídas por novos módulos. A estrutura é adequada tanto para atividades preventivas como a assistência médica aos moradores da capital. - O novo modelo absorverá a estrutura das Unidades Básicas. Na nova concepção, vai haver espaço para que, no local, o usuário possa ter assistência básica em saúde, com serviços médicos, odontológicos e de enfermagem, além de laboratório, farmácia, sala de imunização e outros, salientou Deodato. Francisco Deodato afirmou que o planejamento da SEMSA será traçado para o período de 2010 a 2013 e pretende dar maior abordagem ao serviço básico de saúde na capital. Os Módulos de Saúde são estruturas de 400 metros quadrados, 12,5 vezes maiores que as atuais “casinhas” que possuem apenas 32 metros quadrados. Vazante O secretário Francisco Deodato destacou também as ações realizadas durante o período de vazante do rio Negro e igarapés da cidade. Segundo ele, as ações já alcançaram mais de 9 mil domicílios por meio da imunização e orientação às doenças que podem se proliferar com a descidas das águas. A vazante traz risco de casos relacionados a leptospirose e doenças dermatológicas, por exemplo. 8 Futuras enfermeras protestan por falta de pago La Prensa, Nicaragua 29/07/2009 Roberto Pérez Solís ediciondigital@laprensa.com.ni Estudiantes y docentes de la Escuela de Auxiliares de Enfermería Yolanda Mayorga, de los Hospitales Bertha Calderón y Antonio Lenín Fonseca llegaron esta mañana al Sistema Local de Atención Integral en Salud (Silais) de Managua, para demandar el pago de los meses de junio, julio y agosto. El pago al que se refieren los estudiantes es la beca o estipendio de 500 córdobas que el Ministerio de Salud (Minsa) les entregaba mensualmente para que se ayuden en algunos gastos de transporte o estudio. “Vengo a protestar porque el pago del teléfono ni del servicio de agua no espera”, dijo la docente Yaneth Vega. Los protestantes fueron recibidos por la doctora Maritza Cuan, directora del Silais Managua, quien les aseguró que a más tardar el próximo viernes estarían recibiendo el dinero, pues por razones involuntarias ocurrió el atraso. Back to top News from WHO and partners 2 Cured patients help in TB treatment in Tanzania WHO 07/2009
Not everyone can travel daily to a health facility, however. The closest treatment facility may be too far away. Or the person may not be well enough. The WHO Stop TB Strategy therefore encourages alternative arrangements for supporting TB patients as they take their treatment. A friend, neighbour or community leader who has been educated about the process and demonstrated commitment can take on this role with help from health services. A variety of groups in many countries are developing their own approaches to community TB care. This photo story showcases one such initiative in rural Kibaha in the United Republic of Tanzania. Members of the Upendo Disadvantaged Group – all of whom have been cured of TB - support and care for TB patients in their community. Read the photo story 3 Public-private partnerships strengthen health systems and AIDS response UNAIDS 27/07/2009 “Phones for Health” is a partnership between a healthcare software provider Voxiva, a phone producer Motorola, a telecom company MTN, the GSMA Development Fund, PEPFAR, CDC Foundation, Accenture Development Partnerships and several governments. The integration of mobile technology and health applications enables health workers on the road to input and transfer health data to a central database where the data can be analysed. In addition, they can order medicines, send alerts, download guidelines, or access training materials. This is one of several public-private initiatives showcased in a new UNAIDS report that looks at the contribution of AIDS-related public-private partnerships* to the six building blocks of health systems: service delivery; human resources; information; medicines and technologies; financing; and leadership. HIV-related Public-Private Partnerships and Health Systems strengthening, highlights how the AIDS response has been a strong catalyst in the establishment of public-private partnerships for health, particularly in Africa. Many of these partnerships initially focused on HIV but they later expanded to cover wider health issues. “This publication is innovative as it approaches public-private partnerships via a very specific angle: their applicability to strengthen the public sector,” said UNAIDS Private Sector Partnerships Chief, Regina Castillo. “We hope the report will provide some guidance on critical steps private and public actors need to take to maximize the potential of public-private partnerships for the benefit of public health,” Ms Castillo added. UNAIDS has noted in its Outcome Framework 2009-2011 that substantial progress on a number of the Millennium Development Goals can be achieved by taking the AIDS response out of isolation and integrating it with efforts to achieve broader human development including the goal of health. Research and interviews with representatives of private and public organization stakeholders as well as development partners were carried out. Twelve public-private partnerships with a strong collaborative relations with government institutions in the country of implementation were identified to present insider perspectives on catalysts and hurdles which may be encountered in developing collaborations. Good practices have been identified taken into consideration their sustainability, their integration in the national AIDS control plan, their measurable results, etc. Some of the partnerships presented in the publication include North Star Foundation, BD’s Wellness Centres relieving the pressure on nurses in sub-Saharan Africa, DataDyne and Vodaphone Foundation developing health surveys with EpiSurveyor, Abbott Fund’s laboratory support from national to regional level in Tanzania, Mars supporting the National Health Insurance Scheme of Ghana, Fondation Sogebank managing Global Fund grants as Principal Recipient in Haiti, etc. The topic of public-private partnerships was the focus of a breakout session of the Thematic Segment of the 23rd UNAIDS Programme Coordinating Board Meeting in Geneva on 15 December 2008. UNAIDS governing board then commissioned the Secretariat to compile “best practices and lessons learnt to support and facilitate public-private partnerships with respect to their applicability for strengthening the public sector in low and middle income countries”. “HIV-related Public-Private Partnerships and Health Systems Strengthening” is the result from this process. To receive printed copies of the report, please contact Marie Engel, email engelm@unaids.org * A Public-Private Partnership is defined as an “institutional relationship between the state and the private profit and/or the private non-profit sector, where the different public and private actors jointly participate in defining the objectives, methods and implementation of an agreement of cooperation”. 4 MCC and Global Health Initiatives: Paving the Road to Healthy Lives Global Health Council 23/07/2009 Wed., July 29, 2009; 10-11:30 am Doors open at 9:30 am; MCC Headquarters 875 15th St. NW; Washington, D.C. 20005
Dr. Joseph Dwyer, Director, Leadership, Management and Sustainability Program, Management Sciences for Health Carol Hessler, Managing Director, Infrastructure, Environment and Social Assessment, Millennium Challenge Corporation Michele Sumilas, Professional Staff Member, House Committee on Appropriations, State, Foreign Operations and Related Programs Subcommittee Shellie Bressler, Senior Professional Staff Member, Senate Foreign Relations Committee Space is limited. Please RSVP by Tuesday, July 28, 2009 to: http://www.mcc.gov/rsvp/july29 8 Merlin responds to deadly diarrhoea outbreak in Nepal Merlin, UK 28/07/2009 Merlin has responded to a deadly outbreak of diarrhoea in Nepal, which has so far claimed 220 lives. In the Uwa area of Rolpa district, 88 cases were reported in just two days. Together with the district health office, we quickly mobilised our teams to help contain the outbreak. Within five days our teams had identified and treated 151 moderate and severe cases. Using radio and community health workers to spread the message The lack of hygiene and sanitation is one of the key causes of the outbreak. To tackle this, working alongside our local partner Rural Reconstruction Nepal (RRN), we have sent 10 community health workers into affected areas to promote hygiene and sanitation, backing this up with broadcasts of health promotion messages on four local radio stations. We are also working with local communities to form a volunteer health committee in Uwa, consisting of 13 community members and nine dedicated female community health volunteers. These teams have been trained by Merlin to go from door to door, raising awareness to prevent the spread of disease and referring cases to clinics as appropriate. Our teams are also providing oral rehydration salts and chlorine solution to affected families to prevent cholera in the area. Maxime Piasecki, Merlin’s Country Director in Nepal, said: “We responded rapidly, and there is no doubt that this saved lives. Although the outbreak has now been contained in Rolpa district, our teams remain on standby and are closely monitoring the situation.” 9 World Bank Report Highlights Need for Continued Reform Efforts in China’s Rural Health Sector World Bank 23/07/2009 Li Li, 86-10-5861 7850 Lli2@worldbank.org Beijing, July 23, 2009 – A new report by the World Bank presented in Beijing today commends the government’s health reform efforts to date, concurs that its planned further reforms are necessary, and offers ideas for concretizing the broad ideas set out in the recently-issued government’s masterplan. The report also uses the experiences of the OECD countries to gaze into China’s future: it asks not only what China’s health system might look like but also how the country might get there from where it is today. The report, Reforming China’s Rural Health System, begins by setting the context for the recent and planned reforms by examining the symptoms and causes of China’s health challenges at the start of the new Millennium. In the 1980s and 1990s improvements in health outcomes were outpaced by China’s economic growth. Inequalities emerged. Health care costs rose rapidly, and made health care unaffordable for some. The causes included: the decline of the old commune-based rural health insurance system; the relatively slow growth of government health expenditure; the shift from government finance of health facilities to patients paying out-of-pocket; relative prices that resulted in health providers earning higher margins on drugs and tests; and the high degree of fiscal decentralization, with fiscal transfers reducing but not eliminating geographic inequalities in fiscal capacity. Reforming China’s Rural Health System next looks at the health reforms of the 2000’s. It concurs with the government that the reforms were a major step in the right direction. The report goes on to set out ways to address the remaining challenges in the context of the government’s ongoing reform efforts. It looks at options for raising further revenues for the new cooperative medical insurance scheme (NRCMS) and the targeting of NRCMS subsidies, exploring possible mechanisms for a tighter link between household and local government contributions on the one hand and income levels on the other. The report explores options for a benefit package that covers outpatient and preventive care, and has smaller deductibles. It discusses how NRCMS might evolve from being a passive bill-payer into a “purchaser” of services, including primary care. Reforming China’s Rural Health System also sets out ideas for reform, at a time when the government has called for sweeping reforms for the years 2009-2011. For example it looks at medium-term reform in service delivery and public health. It discusses options for revising prices and shifting ultimately from fee-for-service to prospective payments. It also discusses the interrelated issues of health facility autonomy and governance. It calls for a balancing of government regional planning with more autonomy and accountability at the facility level under a revised incentive framework. In public health, Reforming China’s Rural Health System reaffirms the importance of public finance, and the need for generous central government transfers that limit geographic differences in public health capacities. The report discusses ways of clarifying responsibilities in public health at different levels of government, and across agencies including NRCMS. “This volume will be immensely useful, not only for informing the ongoing national health reform in China, but also for many other countries around the world struggling with similar issues.” said Emanuel Jimenez, Director of Human Development for the World Bank’s East Asia and Pacific region. “Reforming China’s Rural Health System not only breaks new ground analytically but provides an evidence-base for Chinese policymakers in assessing and implementing reforms”, said Jack Langenbrunner, Human Development Coordinator of the World Bank’s China program. Mr. Langenbrunner continued: “The report comes at an opportune time in the Government-Bank partnership to fund grants to ‘flagship counties’ in eight provinces to design and implement a series of reforms in financing, delivery, and public health. The report is a tutorial for the student just starting, or a useful guide for the seasoned policymaker leading the effort at any level… The student of health care policy will better understand the missteps of the ‘market reforms’ of the 1980s and 1990s, but will be heartened by the strides to reestablish a system in this decade which may lead to improved efficiency, better outcomes and financial protection.” The final part of the report looks to the longer-term reform agenda. The reader can align the authors thinking with China’s health care reform strategy through 2020. It looks at some of the challenges created by fragmentation across insurance schemes and the reliance on individual contributions. Possible problems based on the experience of OECD countries include inefficiencies in the delivery of care, adverse selection through selective enrollment, underreporting of earnings, and informal work arrangements to avoid mandatory contributions. The report discussed options for narrowing gaps between schemes, for joint management, and for the eventual merger under a single health finance agency, either at the provincial level or national level. Finally, Reforming China’s Rural Health System examines different options for a unified financing model, including a tax-financed minimum benefit package (whose generosity might vary geographically), with voluntary contributions to expand benefits above the minimum Yüklə 491,21 Kb. Dostları ilə paylaş:
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