viernes, 29 de enero de 2010

[EQ] Health Disparities Calculator - Health Data Tools and Statistics

de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
fecha: 29 de enero de 2010 14:34
asunto: [EQ] Health Disparities Calculator - Health Data Tools and Statistics



Health Disparities Calculator (HD*Calc)
Latest Release: Version 1.1.0 - January 13, 2010
Surveillance Epidemiology and End Results (SEER)Statistical software designed to generate multiple summary measures to evaluate and monitor health disparities (HD).

Available online at: http://seer.cancer.gov/hdcalc/index.html


“…..This application extends the work published in the National Cancer Institute Surveillance Monograph Series entitled
Methods for Measuring Cancer Disparities, which evaluates measures of health disparities included in HD*Calc. The monograph discusses major issues that may affect the choice of summary measures of disparity and systematically reviews methods used in health disparities research.
Methods for Measuring Cancer Disparities is recommended for those unfamiliar with the measures available in HD*Calc or interested in a
comparative summary of available measures of health disparities (PDF).
A second monograph:
Selected Comparisons of Measures of Health Disparities: A Review Using Databases Relevant to Healthy People 2010 Cancer-Related Objectives,
uses case studies to analyze the performance and appropriateness of various measures of health disparities.,……’

[EQ] Meeting the Demand for Results and Accountability: A Call for Action on Health Data from Eight Global Health Agencies

de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org>
fecha: 29 de enero de 2010 18:16
asunto: [EQ] Meeting the Demand for Results and Accountability: A Call for Action on Health Data from Eight Global Health Agencies


Meeting the Demand for Results and Accountability:
A Call for Action on Health Data from Eight Global Health Agencies

Margaret Chan1*, Michel Kazatchkine2, Julian Lob-Levyt3, Thoraya Obaid4, Julian Schweizer5, Michel Sidibe6, Ann Veneman7, Tadataka Yamada8

1 World Health Organization, Geneva, Switzerland,
2 Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland,
3 Global Alliance for Vaccines and Immunisation (GAVI), Geneva, Switzerland,
4 United Nations Population Fund (UNFPA), New York, New York, USA,
5 Human Development Network, World Bank, Washington, D.C., USA,
6 Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland,
7 United Nations Children’s Fund (UNICEF), New York, New York, USA,
8 Global Health Program, Bill & Melinda Gates Foundation, Seattle, Washington, USA
PLoS Med 7(1): e1000223. doi:10.1371/journal.pmed.1000223 Published January 26, 2010


Available online at:

http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000223

“……Recent substantial increases in international attention to health have been accompanied by demands for statistics that accurately track health progress and performance, evaluate the impact of health programs and policies, and increase accountability at country and global levels.
The use of results-based financing mechanisms by major global donors has created further demand for timely and reliable data for decision-making. In addition, there is increasing country demand for data in the context of health sector strategic plans, including in countries that have established International Health Partnership (IHP+) compacts [1].

In spite of recognized efforts by programs and countries, the ability to respond to this demand is constrained by limited data availability, quality, and use. Many developing countries have limitations that hamper the production of data of sufficient quality and timeliness to permit regular tracking of progress made in scaling up and strengthening health systems. Data gaps span across the range of input, output, outcome, and impact indicators.

New ways of working and a more systematic approach by all partners are needed to better monitor and evaluate progress and performance….”

[EQ] The Global Health System: Lessons for a Stronger Institutional Framework

de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
fecha: 29 de enero de 2010 18:42
asunto: [EQ] The Global Health System: Lessons for a Stronger Institutional Framework


The Global Health System: Lessons for a Stronger Institutional Framework

Suerie Moon1*, Nicole A. Szleza´k1, Catherine M. Michaud2, Dean T. Jamison3, Gerald T. Keusch4, William C. Clark1, Barry R. Bloom5

1 Sustainability Science Program, John F. Kennedy School of Government, Harvard University, Cambridge, Massachusetts, USA,
2 Harvard Initiative for Global Health, Harvard University, Cambridge, Massachusetts, USA,
3 Department of Global Health, University of Washington, Seattle, Washington, USA,
4 Global Health Initiative, Boston University, Boston, Massachusetts, USA
5 Harvard School of Public Health, Boston, Massachusetts, USA


PLoS Med 7(1): e1000193. doi:10.1371/journal.pmed.1000193 - Published January 26, 2010
Academic Editor: Gill Walt, London School of Hygiene and Tropical Medicine, United Kingdom
Available online at: http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000193


“…….The global health system is in a period of rapid transition, with an upsurge of funds and greater political recognition, a broader range of health challenges, many new actors, and the rules, norms and expectations that govern them in flux. The introductory article of this series (Szleza´k et al. [1]) laid out some of the many challenges facing the global health system.


This system is defined as the constellation of actors (individuals and/or organizations) ‘‘whose primary purpose is to promote, restore or maintain health [2]’’ and ‘‘the persistent and connected sets of rules (formal or informal), that prescribe behavioral roles, constrain activity, and shape expectation [3]’’ among these actors.


The second article (Frenk [4]) defined the key attributes of national health systems as a core component of the global system. The third article (Keusch et al. [5]) analyzed the institutional evolution of one of the system’s most important functions—the integration of research, development, and delivery…..”


The Global Health System: Actors, Norms, and Expectations in Transition
Szleza´k NA, Bloom BR, Jamison DT, Keusch GT, Michaud CM, et al. (2010)
PLoS Med 7: e1000183. doi:10.1371/journal.pmed.1000183.


The Global Health System: Strengthening National Health Systems as the Next Step for Global Progress.
Frenk J (2010)
PLoS Med 7(1): e1000089. doi:10.1371/journal.pmed.1000089.


The Global Health System: Linking Knowledge with Action—Learning from Malaria.
Keusch GT, Kilama WL, Moon S, Szlezak NA, Michaud CM (2010)
PLoS Med 7(1): e1000193. doi:10.1371/ journal.pmed.1000193.



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sábado, 23 de enero de 2010

[EQ] FROM SOCIAL SAFETY NET TO SOCIAL POLICY?

de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 22 de enero de 2010 17:34
asunto: [EQ] From Social Safety Net to Social Policy?


From Social Safety Net to Social Policy?
The role of conditional cash transfers in welfare state development in Latin America


Francesca Bastagli
Centre for Analysis of Social Exclusion (CASE), London School of Economics and Political Science
Working Paper number 60 December, 2009 -International Policy Centre for Inclusive Growth (IPC - IG)
Poverty Practice, Bureau for Development Policy, UNDP


Available online PDF [35p.] at: http://www.ipc-undp.org/pub/IPCWorkingPaper60.pdf



“…….During the 1990s, conditional cash transfers (CCTs) were adopted by countries across Latin America as central elements of their poverty reduction strategies. Alongside other developments in the area of social assistance, conditional cash transfers CCTs represent an opportunity for countries to develop an integrated and inclusive set of social policies.

At the same time, particular conditional cash transfers CCT features risk promoting the further residualisation and fragmentation of safety nets. Drawing on the experience of six countries in Latin America, [Colombia – Chile - Honduras – Nicaragua - Brazil – Mexico] - this paper identifies the variations and recent trends in conditional cash transfers CCT design and implementation.

Based on this review, it considers the contribution of conditional cash transfers CCTs to the potential transition from a largely absent or minimal safety net to a coordinated system of social policies…”




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[EQ] THE GLOBAL HEALTH SYSTEM: LINKING KNOWLEDGE WITH ACTION-LEARNING FROM MALARIA

de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 22 de enero de 2010 17:57
asunto: [EQ] The Global Health System: Linking Knowledge with Action-Learning from Malaria



The Global Health System: Linking Knowledge with Action—Learning from Malaria


Gerald T. Keusch1*, Wen L. Kilama2, Suerie Moon3, Nicole A. Szlezák3, Catherine M. Michaud4

1 Department of International Health, Boston University School of Public Health, Boston, Massachusetts, United States of America,
2 African Malaria Network Trust, Dar es Salaam, Tanzania,
3 Sustainability Science Program, John F. Kennedy School of Government, Harvard University, Cambridge, Massachusetts, United States of America,
4 Harvard Initiative for Global Health, Harvard University, Cambridge, Massachusetts, United States of America
PLoS Med 7(1): e1000179. doi:10.1371/journal.pmed.1000179

Available online at:
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000179



“…….Conducting basic research, translating it into the development of new health tools, and delivering products to patients in need of them are core functions of an effective global health system [1]. Yet performing these functions is a particular challenge for diseases that primarily affect the poor in low-income countries, partly because efforts to understand diseases and develop tools to combat them are often detached from efforts to deliver interventions.

For malaria, the global health system has evolved over the past century to integrate better the research, development, and delivery (R&D&D) of new products to treat and control the disease. This article traces that evolution and extracts lessons applicable to the many new challenges currently facing the global health system…..”




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[EQ] WHO OWNS HEALTH INEQUALITIES?

de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 22 de enero de 2010 18:14
asunto: [EQ] Who owns health inequalities?



Who owns health inequalities?



Constance A Nathanson, Mailman School of Public Health, Columbia University, New York USAThe Lancet, Volume 375, Issue 9711, 23 January 2010


Website: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60119-5/fulltext



“…..Health inequalities are old news—very old news. John Graunt's analysis of the English Bills of Mortality, statistically documenting the fact of inequality in death, was published in the mid-17th century. Beginning early in the 19th century, death rates by occupation compiled by the Registrar General's Office in London left no doubt that those in the bottom ranks died at substantially higher rates than those at the top. At much the same time, French scholars concluded that the condition most closely associated with an early death was poverty, basing their findings on a series of remarkable studies published in the first public health journal, Annales d'hygiène publique.

The facts of inequality in disease and death were well known before the beginning of the 20th century. Their perennial rediscovery in the years since has little to do with lack of knowledge and much to do with heated (and value-laden) disagreement among scholars, bureaucrats, and politicians about why inequalities exist, what should be done about them, and who should do it…..”


“…..Are health “inequalities” a problem of the poor (and thus soluble by changing poor people's circumstances or behaviour) or are they an effect of rigid patterns of social stratification (requiring that resources be redistributed)? Are they “voluntary”—the result of bad choices (“booze and fags”)—or “involuntary”—the consequence of oppressive social structures? Should inequalities be framed as “disparities”—mere differences that may or may not be the result of human action—or as unacceptable “inequities”?

And finally, who “owns” health inequalities? Are they—as in the 19th century—a public health problem or are they a medical care problem? Are they a private problem or a public problem? These are not logical or empirical questions. They are political questions. How they are answered will depend on the policy preferences of those in power, or who aspire to power. I illustrate these points with the examples of the UK and the USA, countries at the extremes of public policy in this domain…..”



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