782 resultados para NUTRITION PROGRAMS AND POLICIES


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The Pilot Club International was a service oriented club for women, however men are now allowed to join. The South Carolina District was founded in the 1930s for “the promotion of social welfare through the performance of civil and beneficial service of the character generally accomplished by civic organizations, rendering aid and assistance to local Pilot Clubs and implementing at the district level the programs and policies of Pilot Club International.” The Pilot Club International South Carolina District Records consist of a certificate of incorporation, minutes, annual reports, correspondence, resolutions and lists of standing rules.

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When 1 in 6 people in the country is living in a food insecure household, that is an outrage. A country as wealthy as ours– wealthy enough to end hunger even in hard times like those we have been experiencing– should not countenance the moral blight of hunger. Those of us who work to reduce and eventually end hunger in this country cannot succeed, however, by making moral arguments alone. What is needed in addition to move voters, policymakers and institutions to act is a strong evidence base that establishes the causes of hunger, the consequences of hunger for individuals involved, the breadth of the population affected, and the practical strategies to address hunger. The articles in this journal illuminate many of these topics while exploring the impacts of federal nutrition programs and deepening the case that economic and nutrition supports for families reduce food insecurity and mediate the impacts of poverty and food insecurity, particularly for children.

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The main objective of this study was to attempt to develop some indicators for measuring the food safety status of a country. A conceptual model was put forth by the investigator. The assumption was that food safety status was multifactorily influenced by medico-health levels, food-nutrition programs, and consumer protection activities. However, all these in turn depended upon socio-economic status of the country.^ Twenty-six indicators were reviewed and examined. Seventeen were first screened and three were finally selected, by the stepwise multiple regression analysis, to reflect the food safety status. Sixty-one countries/areas were included in this study.^ The three indicators were life expectancy at birth with multiple correlation coefficient (R2 = 34.62%), adult literacy rate (R2 = 29.66%), and child mortality rate for ages 1-4 (R2 = 9.99%). They showed a cumulative R2 of 57.79%. ^

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The Institute of Medicine (IOM) report on the future of health care states that the focus on health needs to shift to the management and prevention of chronic illnesses and that academic health centers (AHCs) should play an active role in this process through community partnerships (IOM, 2002). Grant funding from the National Institutes of Health and the creation of the Centers for Disease Control and Prevention (CDC) Prevention Research Centers (PRC) across the county represent a transition toward more proactively seeking out community partnerships to better design and disseminate health promotion programs (Green, 2001). ^ The focus of the PRCs is to conduct rigorous, community-based, prevention research, to seek outcomes applicable to public health programs and policies. The PRCs work is to create and foster partnerships among public health and community organizations, to address health promotion and disease prevention issues (CDC, 2003). ^ The W.K. Kellogg Foundation defines CBPR as "a collaborative approach to research that equitably involves all partners in the research process and recognizes the unique strengths that each brings. CBPR begins with a research topic of importance to the community with the aim of combining knowledge and action for social change to improve community health." ^ In 1995, CDC asked the IOM to review the PRC program to examine the extent to which the program is providing the public health community with strategies to address public health problems in disease prevention and health promotion (IOM, 1997). No comprehensive evaluation n of the individual PRCs had ever been done (IOM, 1997). ^ The CDC was interested in understanding how it could better support the PRC program through improved management and oversight to influence the program's success. The CDC only represents one of the entities that influence the success of a PRC. Another key entity to consider is the support of and influence of the Schools of Public Health in which the PRCs reside. Using evaluation criteria similar to those that were developed by the IOM, this study examined how aspects of structural capacity of the Schools of Public Health in which the PRCs reside are perceived to influence PRC community-based research activities. ^

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La habitabilidad precaria (HaP) constituye hoy el primer problema mundial del urbanismo, la ordenación del territorio y varias otras disciplinas, como la arquitectura y varias ingenierías que, en conjunto, estructuran e impulsan el sector de la construcción mundial que se centra en atender el alojamiento humano en su diversidad de funciones. En la Conferencia Habitat II, celebrada en 1996 en Estambul, ante el desmesurado crecimiento cuantitativo de la HaP mundial, se planteó la prioridad de prevenir el problema de los nuevos asentamientos precarios: “paliar los problemas relacionados con los asentamientos humanos espontáneos mediante programas y políticas que se anticipen a los asentamientos no planeados”1, sin embargo, tras casi veinte años, aún no existe una herramienta sustantiva y específica que facilite a los políticos responsables de gestionar el desarrollo urbano en ciudades con bajos recursos de países en desarrollo, tomar decisiones que transformen de la forma más eficiente posible el fenómeno de la proliferación de asentamientos informales en una oportunidad de progreso y prosperidad para sus ciudades. La presente tesis parte de la convicción, que trata de fundamentar objetivamente a lo largo del desarrollo de su documentación, de que dicha herramienta fundamental ha de buscarse, a partir de la teoría Habitabilidad Básica, como un soporte esencial con el que reconducir los futuros procesos de ocupación espontánea periurbana. El propósito de la investigación se concreta en caracterizar, y conocer la óptima aplicabilidad, de un instrumento operativo elemental que ayude en la toma de decisiones estratégicas de las autoridades responsables sobre la mejor ubicación de los asentamientos que, hasta la existencia y aplicabilidad de este instrumento, se consideran espontáneos. Asentamientos espontáneos éstos que, en condiciones normales quedarían sujetos durante años a la precariedad mientras que por medio de tal instrumento abandonarían su génesis espontánea para acceder a través de planificación elemental a condiciones de Habitabilidad Básica. La materialización concreta de esta herramienta sería un plano sintético de directrices de ordenación territorial y urbana denominado Plano de Elección del Sitio (PES). Diseñado como un Modelo Teórico Elemental, su aplicación estaría preferentemente orientada a ciudades pequeñas de países en desarrollo que presenten escaso nivel institucional, limitada capacidad económica y técnica, así como ausencia o ineficacia en su planeamiento. A través de un proceso de investigación basado en: la mencionada teoría de la Habitabilidad Básica, la literatura científica de la materia y las experiencias de casos recientes de planificación urbana mediante la aplicación de sistemas de información del suelo, se propone una caracterización y aplicabilidad preliminar de la herramienta. Tras analizar pormenorizadamente sus fortalezas y debilidades y contando con la participación de un grupo de expertos independientes, el trabajo concluye con una nueva caracterización de la herramienta y la reformulación de la hipótesis inicial. ABSTRACT Nowadays, the precarious habitability (PHa) is the main problem of urbanism around the world, land-use planning and several other disciplines such as architecture and different engineering studies that, as a whole, structure and boost the global construction sector which focuses on meeting the Human accommodation in its functional diversity. In the Habitat II Conference in Istanbul in 1996, in light of the excessive quantitative growth of the global PHa, the priority of preventing the problem of new squatter settlements was raised: "to alleviate the problems related to spontaneous human settlements through programs and policies that anticipate unplanned settlements"2, however, after nearly twenty years, there is still no substantive and specific tool to facilitate policy makers to manage urban development for towns with low-income in developing countries, taking decisions that transform as efficiently as possible the phenomenon of the proliferation of informal settlements into an opportunity for progress and prosperity for their cities. This thesis is based on the conviction, which tries to objectively substantiate along the development of its documentation, that this fundamental tool has to be sought from the Basic Habitability theory as an essential support to redirect the future processes of peri-urban spontaneous occupation. The purpose of the research is carried out to characterize, and know the optimum applicability of a basic operational tool to assist in the strategic decisions making of the responsible authorities on the best location of settlements that, until the existence and applicability of this instrument, are considered spontaneous. Spontaneous settlements which, under normal conditions would be subject to the precariousness for years while under that instrument they would abandon their spontaneous genesis for accessing by elemental planning to the Basic Habitability. The concretionary materialization of this tool would be a synthetic guidelines plan of territorial and urban planning called Site Election Plan (SEP). Designed as a Elementary Theoretical Model, its application would preferably be oriented for small towns in developing countries that represent a low institutional, economic and technical limited capacity, as well as the absence or ineffectiveness in their planning. Throughout a research process based on: the aforementioned theory of Basic Habitability, the scientific literature of the subject and the experiences of recent cases of urban planning through the application of soil information systems, characterization and preliminary applicability of the tool is proposed. After attentively analyzing their strengths and weaknesses and with the participation of a group of independent experts, the paper concludes with a new characterization of the tool and the reformulation of the initial hypothesis.

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Thesis (Ph.D.)--University of Washington, 2016-06

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The neonatal period, which includes the first 27 da ys postpartum, is a vulnerability phase in child health, making it necessary for a greater mon itoring by health professional through actions that add value to the binomial mother/child and comprehensive care to the newborn. To this end, this study aimed to evaluate the care actions the neonato from the strategies recommended by the Ministry of Health. This is a cr oss-sectional study carried out from the database of the national survey of population base entitled "Call Neonatal: evaluation of prenatal care and to children younger than one year old in the North and Northeast regions". It used as the sample unit the mothers and children yo unger than 1-year-old, costal residents of Rio Grande do Norte, Natal, Brazil, who attended th e vaccination campaign on June 12, 2010 in nine municipality’s priority for the Pact to Red uce Infant and Neonatal Mortality. To compose the study variables were selected issues/ac tions regarding the neonatal period and socio-demographic factors, followed by a descriptiv e and inferential analysis. A sample of 837 mother/child pairs was obtained, being 57.6% in capital and 42.4% in the whole from the interiors, which was weighted to represent the muni cipalities of the State. It was predominated by mothers aged between 20-29 years, complete high school, not entitled to income transfer program and male children (51.2%). The frequency of the actions of the hospital ranged from 35% to 96% and those performed at the Basic Health Unit (BHU) from 57% to 91.2%. Most actions had an association with hospitals and publi c nature of the state capital (p<0.05). The results for most of the actions are recommended in the care programs and policies for children, and reveal the regional inequities in hea lth and the need for the involvement of services and professionals in search of comprehensi ve care for enabling better care through humanized practices during this increased vulnerabi lity period.

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Expone los factores críticos que afectan las capacidades competitivas de las Mipymes y se indican los retos y dificultades. Explica las políticas de apoyo institucional que el Estado costarricense ha implementado y analiza los factores institucionales que han incidido en la neutralidad de la política pública de apoyo a las Mipymes. Sugiere recomendaciones para diseñar una política pública que fortalezca las capacidades competitivas de la Mipymes eficientemente. Abstract This paper analyses the relation between the competitiveness of small and medium size enterprises (SMEs) and the public policies framework. Specially, it explains the main policies that have been giving technical and financial support to SMEs in Costa Rica. Thus, institutions such as ministries have designed projects, programs and policies to solve internal and external requirements in term of technology, training, marketing, local infrastructure, credits, research and development, among others. However, small producers and manufactures criticize the labor and the efficiency of these institutions because they do not receive the all support that they need. Therefore, this paper suggests some recommendations to define a better policy framework to improve the competitiveness of SMEs in Costa Rica.

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Resumen El objetivo de este artículo es analizar la reforma económica implementada en Costa Rica en los últimos veinticinco años como resultado de la aplicación de los programas y políticas de ajuste estructural. Para tal efecto se analiza el debate que acompañó el proceso de aprobación e implementación de los mencionados programas, el discurso de los mismos, su desempeño y algunos de sus principales efectos sociales. Esta reforma económica representó un cambio importante en el estilo de desarrollo y en las funciones del estado social vigentes desde la década de los 1950s. De ahí que resulte de gran interés analizar cuál fue el nuevo enfoque de desarrollo que se implementó a partir de la década de los años ochenta y los resultados del mismo en materia de crecimiento económico y equidad social. Esta publicación pretende servir de insumo para promover la tarea académica de repensar la política de desarrollo que la sociedad costarricense debe definir dentro del nuevo contexto de la globalización.   Abstract The objective of this article is to analyze the economic reform implemented in Costa Rica in the last twenty-five years as result of the application of the structural adjustment programs and policies. For such effect we analyze the debate that accompanied the process of approval and implementation of the mentioned programs, the speech of such, its performance and some of its main social effects. This economic reform represented an important change in the style of development and in the current functions of the social state from the decade of 1950s. Hence it results of big interest to analyze which was the new approach of development that was implemented from the decade of the eighties and the results of the same one on the subject of economic growth and social equity.This publication tries to serve as input to promote the academic task of rethinking the politics of development that the Costa Rican society must define inside the new context of the globalization.

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Dissertação (mestrado)—Universidade de Brasília, Instituto de Ciências Humanas, Departamento de Serviço Social, Programa de Pós-Graduação em Política Social, 2016.

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Recent evidence on malnutrition and poverty raise important questions on the role of food assistance policies and programs. In this review article, we examine evidence on the economic and nutritional impacts of international food assistance programs (FAPs) and policies. The returns on investments in FAPs are, on average, high but depend considerably on the targeting and cost structures as well as on food quality and role of complementary activities. We disaggregate findings into four classes of recipients. Returns to FAPs are highest for children under two. But, FAPs oriented towards early childhood interventions are less well funded than are interventions aimed at school-age children or at the broader, largely adult population even though available evidence indicates that these latter classes of interventions offer considerably lower average returns in economic, health, and nutrition terms. Nonetheless, FAP effectiveness in achieving any of several objectives varies with a range of key factors, including targeting, additionality, seasonality, timeliness, incentive effects, social acceptability and political economy considerations. (C) 2013 Elsevier Ltd. All rights reserved.

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OBJECTIVE: To review the effectiveness of school food and nutrition policies world wide in improving the school food environment, student's dietary intake, and decreasing overweight and obesity. METHODS: Systematic review of published and unpublished literature up to November 2007 of three categories of nutrition policy; nutrition guidelines, regulation of food and/or beverage availability, and price interventions applied in preschools, primary and secondary schools. RESULTS: 18 studies met the inclusion criteria. Most evidence of effectiveness was found for the impact of both nutrition guidelines and price interventions on intake and availability of food and drinks, with less conclusive research on product regulation. Despite the introduction of school food policies worldwide few large scale or national policies have been evaluated, and all included studies were from the USA and Europe. CONCLUSION: Some current school policies have been effective in improving the food environment and dietary intake in schools, but there is little evaluation of their impact on BMI. As schools have been proposed worldwide as a major setting for tackling childhood obesity it is essential that future policy evaluations measure the long term effectiveness of a range of school food policies in tackling both dietary intake and overweight and obesity.

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Este trabajo aborda la metodología seguida para llevar a cabo el proyecto de investigación PRONAF (Clinical Trials Gov.: number NCT01116856.) Background: At present, scientific consensus exists on the multifactorial etiopatogenia of obesity. Both professionals and researchers agree that treatment must also have a multifactorial approach, including diet, physical activity, pharmacology and/or surgical treatment. These two last ones should be reserved for those cases of morbid obesities or in case of failure of the previous ones. The aim of the PRONAF study is to determine what type of exercise combined with caloric restriction is the most appropriate to be included in overweigth and obesity intervention programs, and the aim of this paper is to describe the design and the evaluation methods used to carry out the PRONAF study. Methods/design: One-hundred nineteen overweight (46 males) and 120 obese (61 males) subjects aged 18–50 years were randomly assigned to a strength training group, an endurance training group, a combined strength + endurance training group or a diet and physical activity recommendations group. The intervention period was 22 weeks (in all cases 3 times/wk of training for 22 weeks and 2 weeks for pre and post evaluation). All subjects followed a hypocaloric diet (25-30% less energy intake than the daily energy expenditure estimated by accelerometry). 29–34% of the total energy intake came from fat, 14–20% from protein, and 50–55% from carbohydrates. The mayor outcome variables assesed were, biochemical and inflamatory markers, body composition, energy balance, physical fitness, nutritional habits, genetic profile and quality of life. 180 (75.3%) subjects finished the study, with a dropout rate of 24.7%. Dropout reasons included: personal reasons 17 (28.8%), low adherence to exercise 3 (5.1%), low adherence to diet 6 (10.2%), job change 6 (10.2%), and lost interest 27 (45.8%). Discussion: Feasibility of the study has been proven, with a low dropout rate which corresponds to the estimated sample size. Transfer of knowledge is foreseen as a spin-off, in order that overweight and obese subjects can benefit from the results. The aim is to transfer it to sports centres. Effectiveness on individual health-related parameter in order to determine the most effective training programme will be analysed in forthcoming publications.

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Orthodox teaching and practice on nutrition and health almost always focuses on nutrients, or else on foods and drinks. Thus, diets that are high in folate and in green leafy vegetables are recommended, whereas diets high in saturated fat and in full-fat milk and other dairy products are not recommended. Food guides such as the US Food Guide Pyramid are designed to encourage consumption of healthier foods, by which is usually meant those higher in vitamins, minerals and other nutrients seen as desirable.What is generally overlooked in such approaches, which currently dominate official and other authoritative information and education programmes, and also food and nutrition public health policies, is food processing. It is now generally acknowledged that the current pandemic of obesity and related chronic diseases has as one of its important causes increased consumption of convenience including pre-prepared foods(1,2). However, the issue of food processing is largely ignored or minimised in education and information about food, nutrition and health, and also in public health policies.A short commentary cannot be comprehensive, and a general proposal such as that made here is bound to have some problems and exceptions. Also, the social, cultural, economic and environmental consequences of food processing are not discussed here. Readers comments and queries are invited

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The objective of this descriptive study was to map mental health research in Brazil, providing an overview of infrastructure, financing and policies mental health research. As part of the Atlas-Research Project, a WHO initiative to map mental health research in selected low and middle-income countries, this study was carried out between 1998 and 2002. Data collection strategies included evaluation of governmental documents and sites and questionnaires sent to key professionals for providing information about the Brazilian mental health research infrastructure. In the year 2002, the total budget for Health Research was US$101 million, of which US$3.4 million (3.4) was available for Mental Health Research. The main funding sources for mental health research were found to be the São Paulo State Funding Agency (Fapesp, 53.2%) and the Ministry of Education (CAPES, 30.2%). The rate of doctors is 1.7 per 1,000 inhabitants, and the rate of psychiatrists is 2.7 per 100,000 inhabitants estimated 2000 census. In 2002, there were 53 postgraduate courses directed to mental health training in Brazil (43 in psychology, six in psychiatry, three in psychobiology and one in psychiatric nursing), with 1,775 students being trained in Brazil and 67 overseas. There were nine programs including psychiatry, neuropsychiatry, psychobiology and mental health, seven of them implemented in Southern states. During the five-year period, 186 students got a doctoral degree (37 per year) and 637 articles were published in Institute for Scientic Information (ISI)-indexed journals. The investment channeled towards postgraduate and human resource education programs, by means of grants and other forms of research support, has secured the country a modest but continuous insertion in the international knowledge production in the mental health area.