A gestão de políticas públicas em saúde da divisão de vigilância em saúde da secretaria de estado de saúde pública - SESPA no combate do HIV/AIDS no estado do Pará - um estudo de caso

A presente dissertação teve como objetivo compreender como se promove a Gestão da Divisão de Vigilância Sanitária pela Secretaria de Estado de Saúde Pública/SESPA no combate do HIV/AIDS no Estado do Pará. A pesquisa contemplou o processo de Gestão de Políticas Públicas em Saúde da Divisão de Vigilância em Saúde da Secretaria de Estado de Saúde Pública – SESPA no combate do HIV/AIDS no Estado do Pará, destacando os resultados dessa gestão nos casos notificados. Tratou-se de um estudo descritivo, cujos dados foram coletados a partir de levantamento bibliográfico e documental com aplicação de questionário na Divisão de Vigilância em Saúde da Secretaria do Estado de Saúde Pública/SESPA. O referencial teórico enfocou aspectos da contextualização da Gestão Pública e Privada, assim como fez referencia a Gestão de Políticas Públicas em Saúde em Portugal e no Brasil. Os resultados mostraram que a Gestão da Divisão de Vigilância Sanitária /SESPA consiste em uma Gestão Pública que realiza suas atividades sobre uma estrutura burocrata e centralizada impedindo que a mesma supra adequadamente, enquanto organização, às demandas do Estado do Pará e aos desafios impostos pelo HIV/AIDS, que se reafirma como assunto de saúde pública. Como conclusão, o estudo evidenciou que Gestão da Divisão da Vigilância em Saúde da Secretaria de Estado de Saúde Pública/SESPA no combate do HIV/AIDS não promoveu adequadamente suas ações, apresentando resultados satisfatórios, pois necessita de melhores políticas públicas que propiciem ações para o cumprimento de suas metas, fortalecendo a capacidade de organização e de articulação, como a redução efetiva das vulnerabilidades sociais e políticas que agenciam a expansão da epidemia, crescentemente associada às desigualdades sociais que vigoram no Estado do Pará.

Horizontes y desafíos de descolonización en Bolivia (Tema Central)

El autor realiza una aproximación al contexto de la experiencia socio-estatal y gubernamental que se está empezando a vivir en Bolivia y cuyas políticas públicas, al menos las más importantes, están comenzando a diseñarse desde la perspectiva de la des-colonialidad. Este horizonte teórico y político plantea una serie de posibilidades y también de desafíos. A la dilucidación de tales emergencias, riesgos y retos está dedicada la presente reflexión.

Economía popular para una sociedad no capitalista: notas sobre el caso venezolano (Tema Central)

El artículo aborda las iniciativas que en materia de economía popular viene impulsando el Estado venezolano desde 2004, concretamente a través de la Misión Vuelvan Caras. Describe el devenir del proceso revolucionario venezolano desde 1998 hasta inicios de 2006, haciendo énfasis en el argumento de que la estrategia desestabilizadora de la oposición venezolana ha sido respondida desde el Estado y el movimiento popular con una radicalización del proceso político. En este contexto se explica la consolidación de una idea-fuerza que sostiene un profundo cuestionamiento del modelo de desarrollo imperante en Venezuela, lo que ha hecho posible la aplicación de políticas públicas de orientación anticapitalista.

El Ecuador y el ALCA: temas para la reflexión (Tema Central)

El artículo analiza los avances de las negociaciones comerciales del Área de Libre Comercio de las Américas. Se sostiene que Ecuador debe tomar previsiones, principalmente dada la dolarización. Falconí plantea un necesario cambio de perspectiva de la política pública y la gestión microeconómica para así generar un régimen especial para los países menores. Se propone también algunas líneas generales de un Programa de Cooperación Hemisférica. Dado que el ALCA podría implicar riesgos para la región, se enfatiza la necesidad de una estrategia a largo plazo.

Políticas públicas sobre juventud en Ecuador desde 1980

El artículo estudia el pensamiento social y político sobre la juventud en el Ecuador y América Latina. Traza el desarrollo de la perspectiva teórica dominante sobre este aspecto, desde los años 1980, y muestra cómo se han formulado las políticas públicas ecuatorianas siguiendo esa perspectiva. Concretamente, caracteriza la promoción de políticas públicas, y, además, reúne varios textos que se refieren a ellas. Finalmente, evalúa el impacto que han tenido en la formulación de nuevas prioridades nacionales.

Política y conflictividad en Bolivia (Coyuntura)

Después de las movilizaciones masivas del 2000 al 2005 que llevaron a Evo Morales y su partido a la presidencia se esperaba una incorporación positiva de los sectores populares, campesinos e indígenas a la arena política. Este artículo analiza por qué en su segundo gobierno (2010-2014) esa expectativa cedió paso a una creciente conflictividad con importantes movimientos sociales que lo llevaron al poder. Argumenta que la priorización de políticas de Estado generó fuertes tensiones en la amplia y heterogénea coalición social surgida de las luchas antineoliberales.

Jornadas laborales prolongadas y sus repercusiones en el buen vivir del trabajador y de su familia (Tema Central)

En versiones no oficiales del nuevo Código Orgánico de Relaciones Laborales que se discute actualmente en el país, se contempla la posibilidad de distribuir el máximo de 40 horas semanales en seis días en lugar de cinco, reconociendo el recargo de apenas el 25% (en lugar del 100%) en las horas que se ejecuten durante el sexto día de labor, en franca oposición a los principios esenciales de la intangibilidad y de no regresividad de los derechos laborales, a los postulados de la Constitución, que reconoce y garantiza a toda persona una vida digna que asegure, entre otros derechos, el trabajo, el empleo, el descanso, el ocio y la salud (en definitiva los medios para conciliar el trabajo con la vida personal y familiar), y a las políticas públicas reflejadas en los Planes Nacionales del Buen Vivir.

Denominaciones territoriales agroalimentarias, políticas y gestión social: Argentina, Brasil y la experiencia española en el contexto europeo

This article examines the conceptual framework and the institutional context of the Geographical Indications and Social Management in Spain on the European Union space. Then, providing a comparative study, Argentina’s and Brazil’s cases are analyzed. The emphasis is on identity and territorial development, where family farming has a central role. Thereafter, public policy drawings and implementation are projected in order to strength concrete agenda and measures elaboration based on Spanish and European experiences’. In both the Argentinean and Brazilian cases, the conclusions point to the need of an adjustment on public policies to better situate and implement actions and objectives. In Brazil the disclosure, financing and strengthening of the Geographical Indications should be bounded to the Programa Territórios da Cidadania, linked to the Ministério do Desenvolvimento Agrário, which is the place of the family farming strengthening policies. In Argentina, with the same logic, the actions should be situated on the Programa Nacional de Apoyo al Desarrollo de los Territórios.

Starting well: Gender, care and health in the family context

In this article we present a critique of a series of public policy documents that aim at improvement in health for the general population, particularly families, but fail to recognize or appreciate the implications of gender for the everyday and the long-term experiences of family members. Drawing upon considerations of gender, families, health time and space and previous theoretical work (McKie et al, 2002), we propose the concept of healthscapes to aid the analysis and development of public policies. A healthscapes approach allows analysis of health policy within the diverse and multi-dimensional notions of time, space and gender that infuse the lifecourse. We assert that consideration of the gendered and generational project of caring particularly in relation to the (re)production of health, should involve a reflective inter-play between theory research and policy.

Effects of beverage alcohol taxes and prices on drinking: a meta-analysis of 1003 estimates from 112 studies

Aims: We conducted a systematic review of studies examining relationships between measures of beverage alcohol tax or price levels and alcohol sales or self-reported drinking. A total of 112 studies of alcohol tax or price effects were found, containing 1003 estimates of the tax/price–consumption relationship. Design: Studies included analyses of alternative outcome measures, varying subgroups of the population, several statistical models, and using different units of analysis. Multiple estimates were coded from each study, along with numerous study characteristics. Using reported estimates, standard errors, t-ratios, sample sizes and other statistics, we calculated the partial correlation for the relationship between alcohol price or tax and sales or drinking measures for each major model or subgroup reported within each study. Random-effects models were used to combine studies for inverse variance weighted overall estimates of the magnitude and significance of the relationship between alcohol tax/price and drinking. Findings: Simple means of reported elasticities are -0.46 for beer, -0.69 for wine and -0.80 for spirits. Meta-analytical results document the highly significant relationships (P < 0.001) between alcohol tax or price measures and indices of sales or consumption of alcohol (aggregate-level r = -0.17 for beer, -0.30 for wine, -0.29 for spirits and -0.44 for total alcohol). Price/tax also affects heavy drinking significantly (mean reported elasticity = -0.28, individual-level r = -0.01, P < 0.01), but the magnitude of effect is smaller than effects on overall drinking. Conclusions: A large literature establishes that beverage alcohol prices and taxes are related inversely to drinking. Effects are large compared to other prevention policies and programs. Public policies that raise prices of alcohol are an effective means to reduce drinking.

Everything and nothing project

An EPRSC ‘Partnerships for Public Engagement’ scheme 2010. FEC 122,545.56/UoR 10K everything and nothing is a performance and workshop which engages the public creatively with mathematical concepts: the Poincare conjecture, the shape of the universe, topology, and the nature of infinity are explored through an original, thought provoking piece of music theatre. Jorge Luis Borges' short story 'The Library of Babel' and the aviator Amelia Earhart’s attempt to circumnavigate the globe combine to communicate to audience key mathematical concepts of Poincare’s conjecture. The project builds on a 2008 EPSRC early development project (EP/G001650/1) and is led by an interdisciplinary team the19thstep consisting of composer Dorothy Ker, sculptor Kate Allen and mathematician Marcus du Sautoy. everything and nothing has been devised by Dorothy Ker and Kate Allen, is performed by percussionist Chris Brannick, mezzo soprano Lucy Stevens and sound designer Kelcey Swain. The UK tour targets arts-going audiences, from the Green Man Festival to the British Science Festival. Each performance is accompanied with a workshop led by Topologist Katie Steckles. Alongside the performances and workshops is a website, http://www.everythingandnothingproject.com/ The Public engagement evaluation and monitoring for the project are carried out by evaluator Bea Jefferson. The project is significant in its timely relation to contemporary mathematics and arts-science themes delivering an extensive programme of public engagement.

International transmission mechanisms and contagion in housing markets

This paper explores international transmission mechanism and its role in contagion effect in the housing markets across six major Asian cities. The analysis is based on the identification of house price diffusion effects through a global vector autoregressive (GVAR) model estimated using quarterly data for six major Asian cities (Hong Kong, Tokyo, Seoul, Singapore, Taipei and Bangkok) from 1991Q1 to 2011Q2. The empirical results indicate that the open economies heavily relying on international trade such as Singapore, Japan (Tokyo), Taiwan (Taipei) and Thailand (Bangkok) show positive correlations between the economy's openness and house prices, which is consistent with the Balassa–Samuelson hypothesis. Interestingly, some region-specific conditions also appear to play important roles as determinants of house price movements, which may be driven by restrictive housing policies and demand–supply imbalances such as Singapore and Bangkok. These results are reasonably robust across several model specifications. The findings bear significant implications for formulation of investment strategy and public policies.

Cost-benefit analysis

Over the past 30 years, cost–benefit analysis (CBA) has been applied to various areas of public policies and projects. The aim of this essay is to describe the origins of CBA, classify typologies of costs and benefits, define efficiency under CBA and discuss issues associated with the use of a microeconomic tool in macroeconomic contexts.

Narrowing socioeconomic inequality in child stunting: the Brazilian experience, 1974-2007

Objective To assess trends in the prevalence and social distribution of child stunting in Brazil to evaluate the effect of income and basic service redistribution policies implemented in that country in the recent past. Methods The prevalence of stunting (height-for-age z score below 2 using the Child Growth Standards of the World Health Organization) among children aged less than 5 years was estimated from data collected during national household surveys carried out in Brazil in 1974-75 (n = 34 409), 1989 (n = 7374), 1996 (n = 4149) and 2006-07 (n = 4414). Absolute and relative socioeconomic inequality in stunting was measured by means of the slope index and the concentration index of inequality, respectively. Findings Over a 33-year period, we documented a steady decline in the national prevalence of stunting from 37.1% to 7.1%. Prevalence dropped from 59.0% to 11.2% in the poorest quintile and from 12.1% to 3.3% among the wealthiest quintile. The decline was particularly steep in the last 10 years of the period (1996 to 2007), when the gaps between poor and wealthy families with children under 5 were also reduced in terms of purchasing power; access to education, health care and water and sanitation services; and reproductive health indicators. Conclusion In Brazil, socioeconomic development coupled with equity-oriented public policies have been accompanied by marked improvements in living conditions and a substantial decline in child undernutrition, as well as a reduction of the gap in nutritional status between children in the highest and lowest socioeconomic quintiles. Future studies will show whether these gains will be maintained under the current global economic crisis.

The bubbles or the boiling pot? An ecosystemic approach to culture, environment and quality of life

For the diagnosis and prognosis of the problems of quality of life, a multidisciplinary ecosystemic approach encompasses four dimensions of being-in-the-world, as donors and recipients: intimate, interactive, social and biophysical. Social, cultural and environmental vulnerabilities are understood and dealt with, in different circumstances of space and time, as the conjugated effect of all dimensions of being-in-the-world, as they induce the events (deficits and assets), cope with consequences (desired or undesired) and contribute for change. Instead of fragmented and reduced representations of reality, diagnosis and prognosis of cultural, educational, environmental and health problems considers the connections (assets) and ruptures (deficits) between the different dimensions, providing a planning model to develop and evaluate research, teaching programmes, public policies and field projects. The methodology is participatory, experiential and reflexive; heuristic-hermeneutic processes unveil cultural and epistemic paradigms that orient subject-object relationships; giving people the opportunity to reflect on their own realities, engage in new experiences and find new ways to live better in a better world. The proposal is a creative model for thought and practice, providing many opportunities for discussion, debate and development of holistic projects integrating different scientific domains (social sciences, psychology, education, philosophy, etc.).