THE CONVERSION OF THE ATLANTIC FOREST IN ANTHROPOGENIC LANDSCAPES: LESSONS FOR THE CONSERVATION OF BIOLOGICAL DIVERSITY OF TROPICAL FORESTS

The Brazilian Atlantic forest has been an excellent laboratory for investigations regarding tropical forest ecology and the fragility of tropical ecosystems in face of human disturbances. In this article, we present a synthesis about the spatial distribution of Atlantic forest biodiversity and forest response to human disturbances, as well as the ongoing conservation efforts based on a review of several investigations in this biota. In general, studies have documented an uneven distribution of biodiversity throughout the Atlantic forest region, revealing alarming rates of habitat loss at low altitudes, while protected areas concentrate at higher altitudes. It has been suggested that the remaining forest habitat is moving towards an early-successional systems across human-modified landscapes. Such regressive forest succession increases the threats for several animals and plant groups. Based on these findings, we propose seven guidelines in order to enhance the provision of ecosystem services and the conservation value of human-modified landscapes, reducing the species extinction risk in the Atlantic forest and in other irreplaceable tropical biotas.

The role of evaluation in decision-making in the management of health services

The management of health services is a complex administrative practice due to the breadth of the field of health and the need to reconcile individual, corporate and collective interests that are not always convergent. In this context, the evaluation needs to have specific characteristics in order to fulfill its role. The scope of this study was to establish the characteristics that the evaluation for the management of health services should have to contribute to decision-making. Usefulness, opportunity, feasibility, reliability, objectivity and directionality represent the set of principles upon which the evaluation should be based. Evaluations should lead to decisions that guarantee not only their efficiency and effectiveness but also their implementation. The evaluation process should ensure that decisions involve all stakeholders in order to render the implementation of decisions feasible, and take into account the health needs of the population and the goals set for the services. The scope of this article is to elicit a debate among different stakeholders in the evaluation in the hope that it can contribute to the reflection on the real usefulness of evaluations in which the political component in management has been increasingly prevalent.