Methodological aspects of dietary quality assessment in Brazil: systematic review
Resumo Esta revis ão sistemática objetivou analisar metodologias de estudos brasileiros que utilizam índices para avaliação da qualidade da dieta. Realizou-se busca sistemática em bases eletrônicas de dados (Lilacs, Medline, SciELO e Scopus), sem fazer restrição ao ano de publicação dos estudos. Foram sele cionados artigos originais, nacionais, que avaliassem a qualidade da dieta pelo Healthy Eating Index (HEI) ou suas versões revisadas. Utilizou-se os descritores: qualidade da dieta, índice de alimentação saudáve...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Effectiveness of n-3 fatty acids in the treatment of hypertriglyceridemia in HIV/AIDS patients: a meta-analysis
This study is a systematic review with meta-analysis of randomized clinical trials. Electronic databases – PubMed, Cochrane and Lilacs were researched. Fifty one articles were encountered. Nine were added to the meta-analysis. The reduction of triglycerides level was -77.55 mg (IC of -121.85 to -33.25) in Omega 3 groups. The analysis considering trials with more than 1000 mg of EPA/DHA included seven studies and the heterogeneity dropped to 0%.The reduction of combined averages was -101.56mg (IC of -145.76 to -57.37). The analysis considering trials with patients that had more than 200 mg/dL of initial triglycerides ...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

The interface between primary and secondary care in dentistry in the Unified Health System (SUS): an integrative systematic review
This article seeks to analyze national publications in Portuguese and English on the interface between secondary health care and primary health care in dentistry from the perspective of comprehensive care in the SUS. It is an integrative review, considering the publications of the following databases: SciELO (Scientific Electronic Library Online), LILACS (Latin American and Caribbean Literature) WEB OF SCIENCE, SCOPUS, PubMed (International Literature on Health Sciences) and GOOGLE SCHOLAR. The search located 966 articles, of which 12 were used in full. Coverage of the oral health teams (ESB) in the family health strategy ...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Impact of interventions to promote the use of generic drugs: a systematic review
Resumo A necessidade de aumento do acesso aos medicamentos, aliada à limitada aceitação dos genéricos, tem suscitado a busca de intervenções eficazes para a sua promoção. Esta revisão sistemática realizou levantamento de intervenções voltadas à promoção do uso dos medicamentos genéricos e seus impactos. Foram incluídos ensaios randomizados, ensaios controlados não randomizados, estudos tipo antes e depois e séries temporais interrompidas. As análises quanto ao impacto das interven&cced...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Prevalence of medicine use among Brazilian adults: a systematic review
Resumo O uso de medicamentos em adultos foi avaliado por alguns estudos de base populacional no Brasil, mas n ão há estimativa geral da prevalência desse consumo disponível. Nosso objetivo foi estimar a prevalência do uso de medicamentos avaliada em estudos transversais entre adultos brasileiros. Realizou-se uma revisão sistemática da literatura por meio de busca no Medline, Embase, Scopus, Lilacs, S ciELO, banco de teses da Capes até janeiro de 2017. Duas revisoras selecionaram as pesquisas, extraíram os dados e avaliaram a qualidade metodológica daquelas...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

National Medicines Policy in retrospective: a review of (almost) 20 years of implementation
Resumo A assist ência farmacêutica (AF) e a formulação de políticas de medicamentos são campos de atuação do Sistema Único de Saúde (SUS). Assim, em 1998, após um processo participativo, a Política Nacional de Medicamentos (PNM) foi aprovada e publicada em portaria. A PNM traz em seu cerne, baseadas nos princípios e diretrizes do SUS, diretrizes e prioridades para balizar as ações das três esferas de Governo no alcance do objetivo essencial da política. A fim de conduzir o leitor a momentos de reflexão...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Coordination between pharmaceutical services for integrated pharmacotherapy: the case of Catalonia
This study sought to describe the pharmaceutical services developed at different levels of care in the health network in Catalonia, as well as to identify and analyze the mechanisms and instruments that act as facilitators and/or barriers to the coordination of pharmacotherapy. This is a descriptive study of 12 cases of hospital pharmacy services, primary care and community pharmacies. Advances related to the perception, formalization and clinical and assistance coordination of the pharmaceutical services were identified. However, weaknesses and potential improvements in coordination were observed. The conclusion drawn was...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Sustainability of ARV provision in developing countries: challenging a framework based on program history
Abstract The provision of ARVs is central to HIV/AIDS programs, because of its impact on the course of the disease and on quality of life. Although first-line treatments costs have declined, treatment-associated expenses are steeper each year. Sustainability is therefore an important variable for the success of treatment programs. A conceptual framework on sustainability of ARV provision was developed, followed by data collection instruments. The pilot study was undertaken in Brazil. Bolivia, Peru and Mozambique, were visited. Key informants were identified and interviewed. Investigation of sustainability related to ARV pr...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Rational use of medicines, pharmaceuticalization and uses of methylphenidate
Resumo O uso racional de medicamentos (URM) é considerado um dos elementos-chave recomendados pela Organização Mundial de Saúde (OMS) para as políticas de medicamentos. O crescimento excessivo no uso de medicamentos em muitos países tem sido apontado como uma importante barreira para o alcance do URM e faz parte de um fenômeno denomina do ´farmaceuticalização´ da sociedade. Desta forma, o presente artigo objetiva apresentar movimentos para racionalizar o uso do metilfenidato no Brasil e discutir os limites impostos tendo como referência o conce...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

The Brazilian phytotherapics industry: challenges and opportunities
Resumo O objetivo deste artigo é discutir e analisar os desafios do desenvolvimento da indústria de plantas medicinais e de fitoterápicos no Brasil. Esta indústria representa uma excelente alternativa para responder ao paradoxo da abundância na área de saúde. A metodologia adotada foi uma pesquisa de campo, utilizando-se q uestionários semiestruturados, com empresas, pesquisadores e gestores públicos para avaliar seu desenvolvimento entre 2009 e 2015 e apontar seus principais problemas. Os resultados observados indicam que os principais desafios são, na p...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Nonbioequivalent prescription drug interchangeability, concerns on patient safety and drug market dynamics in Brazil
Abstract Since the enforcement of Generics Act (1999), three types of pharmaceutically equivalent products are marketed in Brazil: innovative reference (REF), “ similar ” (S) and generic (G) drugs. The S (brand name) and G (generic name) borrow from REF (brand name) clinical data on safety and efficacy and dosage regimen. G (but not S) is bioequivalent to and interchangeable with REF. Starting in 2003, Brazilian Sanitary Surveillance Agency (Anvisa) has required data on relative bioavailability tests (with REF) to approve (or renew registration of) S drugs. In 2014, Anvisa extended interchangeability notion to ...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

The lawsuits to antineoplastic drugs: the tip of an iceberg?
This study analyzed cases conducted by federal entities to a reference institute for the treatment of cancer for technical opinion. Data were collected from copies of the cases examined from July 1 to December 31, 2013. It was analyzed: therapeutic subgroups, presence in essential drug list, drug registry, off-label use, indications of clinical practice guidelines, drug incorporation in Brazilian Health System and estimated value of court cases. 158 cases were examined, with a total of 164 requests of 35 antineoplastic drugs. Most of the medications were protein kinase inhibitors (31.4%), ten (28.6%) were included in the e...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Public procurement of hepatitis C medicines in Brazil from 2005 to 2015
Resumo O artigo analisa as compras de medicamentos para hepatite C, feitas pelo Minist ério da Saúde (MS), de 2005 a 2015. Os dados são do Sistema Integrado de Administração de Serviços Gerais (SIASG). Para estimar o gasto contratado anual selecionou-se medicamentos previstos nos Protocolos Clínicos e Diretrizes Terapêuticas para Hepatite C do MS e incluiu-se todas as apresent ações e concentrações que apareceram no SIASG. Houve aumento de 159,5 vezes no gasto com os medicamentos selecionados de 2005 a 2006 porque esses produtos passaram a s...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Incorporation of new medicines by the National Commission for Incorporation of Technologies, 2012 to June 2016
Resumo A Comiss ão Nacional de Incorporação de Tecnologias em Saúde (Conitec), instituída em 2011, assessora o Ministério da Saúde nas decisões relacionadas à incorporação, exclusão ou alteração de novos medicamentos, produtos e procedimentos no Sistema Único de Saúde. O estudo investigou o processo de recomendação pela Conitec e o perfil das demandas e incorporações de medicamentos, de janeiro/2012 a junho/2016. A fonte de dados baseou-se nos registros disponíveis no site da Co...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Farmácia Popular Program: pharmaceutical market analysis of antihypertensive acting on the renin-angiotensin system medicines
Abstract This paper aims to analyse changes in the retail pharmaceutical market following policy changes in the Farm ácia Popular Program (FP), a medicines subsidy program in Brazil. The retrospective longitudinal analyses focus on therapeutic class of agents acting on the renin-angiotensin system. Data obtained from QuintilesIMS (formerly IMS Health) included private retail pharmacy sales volume (pharmaceutical units) and sales values from 2002 to 2013. Analyses evaluated changes in market share following key FP policy changes. The therapeutic class was selected due to its relevance to hypertension treatment. Marke...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

An evaluation of governance capacity of the specialized component of pharmaceutical services in Brazil
Resumo Este artigo apresenta a aplica ção de um protocolo de indicadores para a avaliação da capacidade de gestão do Componente Especializado da Assistência Farmacêutica (CEAF) em um estado do Sul do Brasil. A escolha do referencial teórico de capacidade de governo de Carlos Matus, refletido no conceito de capacidade de gestão e de gestão da assistência farmacêutica, tem por base a necessidade de superar a fragmentação e a redução tecnicista imposta à área. A aplicação do protocolo envolve...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Infrastructure evaluation of Pharmaceutical Services in the National Health System of Minas Gerais
Conclusion The higher state investment in the PS organization for municipalities adept to the RFM developed better infrastructure that have been approved by health professionals and the users of the National Health System. (Source: Ciencia e Saude Coletiva)
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Pharmaceutical Services in Primary Health Care: are pharmacists and users on the same page?
This study investigated structural and organizational characteristics of the Pharmaceutical Services based on Primary Health Care (PHCPS) from the viewpoints of users and pharmacists. A mixed method design was applied, combining one-to-one semi-structured interviews with four pharmacists in charge of five public dispensing facilities and 69 users, with a secondary database analysis. Data were collected from February to August 2014 in Divin ópolis, a municipality in Minas Gerais State. PHCPS were similar in terms of general activities performed and staff profile and background. While users were concerned about medici...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Investment of financial resources for the procurement of medicines for primary care in Brazilian municipalities
This study shows a descriptive data analysis related to the procurement of medicines for primary care in Brazilian municipalities, as recorded in the National database of Pharmaceutical Service Actions and Services for the period July 2013 – June 2014, by geographic region and population size. Nine hundred and sixty municipalities were analyzed, of which 27% invested monetary value equal to or greater than the minimum statutory recommendations and 43% of these are located in the Southeast. The North region has the highest number of municipalities with less investment. Municipalities with a population over 500,000 inh...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Reflections on the Report of the UN Secretary General’s High Level Panel on Access to Medicines
Abstract Within the context of the recently released United Nations Secretary-General ´s Report of the High-Level Panel on Access to Medicines, the author reviews issues related to the context and discussions on access to medicines and the conflict between trade and health during the last decades. These issues have been relevant and outstanding in Global Health, especially questioni ng the current system of innovation, R&D and IP protection. Lessons learned from the HLP Report are highlighted and the need to further discuss and implement concrete actions, as the world has moved from the MDGs to the SDGs, demand s...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Contemporary challenges on access to medicines: beyond the UNSG High-Level Panel
Abstract Within the context of the recently released United Nations Secretary-General ´s Report of the High-Level Panel on Access to Medicines, the author reviews issues related to the context and discussions on access to medicines and the conflict between trade and health during the last decades. These issues have been relevant and outstanding in Global Health, especially questioni ng the current system of innovation, R&D and IP protection. Lessons learned from the HLP Report are highlighted and the need to further discuss and implement concrete actions, as the world has moved from the MDGs to the SDGs, demand s...
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Pharmaceutical Assistance: a field in the process of consolidation
(Source: Ciencia e Saude Coletiva)
Source: Ciencia e Saude Coletiva - August 7, 2017 Category: Occupational Health Source Type: research

Errata
This study aimed to build a substantive theory that describes experiences of home care teaching and learning during undergraduate degree courses in nursing, pharmacy, medicine, nutrition, dentistry and occupational therapy. A qualitative analysis was performed using the grounded theory approach based on the results of 63 semistructured interviews conducted with final year students, professors who taught subjects related to home care, and recent graduates working with home care, all participants in the above courses. The data was analyzed in three stages - open coding, axial coding and selective coding – resulting in ...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Resenhas
This study aimed to build a substantive theory that describes experiences of home care teaching and learning during undergraduate degree courses in nursing, pharmacy, medicine, nutrition, dentistry and occupational therapy. A qualitative analysis was performed using the grounded theory approach based on the results of 63 semistructured interviews conducted with final year students, professors who taught subjects related to home care, and recent graduates working with home care, all participants in the above courses. The data was analyzed in three stages - open coding, axial coding and selective coding – resulting in ...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

The home care teaching and learning process in undergraduate health care degree courses
This study aimed to build a substantive theory that describes experiences of home care teaching and learning during undergraduate degree courses in nursing, pharmacy, medicine, nutrition, dentistry and occupational therapy. A qualitative analysis was performed using the grounded theory approach based on the results of 63 semistructured interviews conducted with final year students, professors who taught subjects related to home care, and recent graduates working with home care, all participants in the above courses. The data was analyzed in three stages - open coding, axial coding and selective coding – resulting in ...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Profile of mortality from external causes among Seventh-day Adventists and the general populations
Resumo Este estudo teve por objetivo comparar o perfil de mortalidade por causas externas entre Adventistas do S étimo Dia e população geral do Espírito Santo no período de 2003 a 2009. Realizou-se busca dos Adventistas no banco nominal do Sistema de Informação sobre Mortalidade de posse das informações dos Adventistas fornecidas pelas sedes administrativas da instituição. Os óbitos por causas exte rnas ocorridos no período estudado foram então separados em dois grupos: Adventistas e população geral. Os Adventist...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Different patterns of social support perceived and their association with physical (hypertension, diabetes) or mental diseases in the context of primary health care
Resumo Este trabalho discute a rela ção entre hipertensão, diabetes, ansiedade, depressão e apoio social no contexto da atenção primária. O objetivo desta pesquisa foi detectar, na amostra pesquisada, a associação entre: adoecimento físico, adoecimento psíquico, rede de apoio e apoio social percebido. Este estudo é um cort e transversal inserido numa pesquisa maior financiada pela Organização Panamericana da Saúde e realizada no município de Petrópolis (RJ) em 2002. A amostra foi constituída de 714 ...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Food risk regulation: the tensions of the Brazilian Health Surveillance System
This article addresses the dynamics of Brazilian food control practices, highlighting their special risk-related features and the types of intervention, as well as the recently adopted instruments to control risks related to the nutritional composition of food and their institutional repercussions. Food regulation in Brazil dates back to the First Republic. The practice has been remodeled over the years, due to both the increasing complexity of the risks and the introduction of new institutional operational mechanisms. In recent years, with the adoption of instruments such as agreements and terms of commitments established...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Deinstitutionalization of long stay patients in a psychiatric hospital in Rio de Janeiro
This study assesses the impact of CTI-BR on social performance and quality of life within a population in the process of deinstitutionalization, after long-term hospitalization in a psychiatric institution. The study population was split into two groups, one of which received CTI plus the regular care. Results showed no advantage of the intervention compared to the regular programs provided by the institution. When study participants are analyzed as a group, we found positive improvement regarding their social functioning and self-perception of their mental-health. Results show that it is possible for elderly patients disc...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Anti-bullying interventions in schools: a systematic literature review
Resumo Este artigo apresenta uma revis ão sistemática da literatura referente a intervenções rigorosamente planejadas e avaliadas na redução do bullyin escolar. O levantamento dos artigos foi realizado em quatro bases de dados (Lilacs, Psycinfo, Scielo e Web of Science) orientado pela questão norteadora: Em relação ao bullyin, q uais são as intervenções empreendidas para a sua redução nas escolas? Foram incluídos somente estudos do tipo caso-controle, com foco específico no bullyin escolar e sem recorte temporal....
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Prescription medication by physiotherapists: a Brazilian view of the United Kingdom, Canada, Australia and New Zealand
Abstract Many health systems (HS) have adopted novel models of care which have included non-medical prescription (NMP) by physiotherapists. The aim of this study was to verify in the literature the existence of this practice and its possible benefits. A literature review was carried out through search on Science Direct, PubMed, SciELO, Lilacs and Google Scholar, and in the World Confederation for Physical Therapy and Chartered Society of Physiotherapy websites. In recent decades the United Kingdom adopted the NMP for health professionals, followed by Canada. In Australia and New Zealand physiotherapists have acted in the p...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Interview: inequality the key concept when discussing health internationally
Resumo O desenvolvimento econ ômico, científico, tecnológico e a inovação influenciam as desigualdades entre os países, especialmente nas condições de saúde e de bem-estar de suas populações. Este é um fenômeno que ocorre entre países e dentro deles. Como essas desigualdades podem ser diminuídas e como analisar a saúde no contexto internacional são os temas dessa entrevista com Gastão Wagner, presidente da Associação Brasileira de Saúde Coletiva (Abrasco).Abstract Economic, scient...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Health surveillance and response on a regional scale: a preliminary study of the Zika virus fever case
Resumo Apesar de ser conhecido desde os anos 50, o Zika v írus não havia despertado interesse da comunidade internacional. Entre 2015 e 2016, o vírus se alastrou pelo Brasil com a suspeita de que o aumento de casos de distúrbios neurológicos poderia ter vínculos com a infecção, configurando uma Emergência Nacional de Saúde Pública em novembro de 2015. Em 1º de fevereiro de 2016, a OMS declarou esta suspeita como uma Emergência de Saúde Pública de Importância Internacional (ESPII), deflagrando resposta conforme o Regul...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

The AIDS Epidemic and the Mozambican Society of Medicines: an analysis of Brazilian cooperation
This article analyzes the Brazilian South South Cooperation in Health in Mozambique, specifically the fight against the AIDS Epidemic through the Antiretroviral Factory, in light of the concept of Structural Cooperation in Health, and with a basis in the literature on Cooperation for Development and Global Health. Thus, the article is divided into four parts: (i) a historical-bibliographic review of health as an International Relations issue; (ii) an overview of the field of health in Mozambique; (iii) an historical-political-conceptual debate about both types of International Cooperation for Development: North-South Coope...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Management of Primary Care: a challenge for international cooperation in health
This article examines an experience of triangular cooperation in health between Angola, Brazil and Japan, which took place in Luanda, Angola between 2011 and 2014. The “ Project to Strengthen the Healthcare Through the Development of Human Resources at the Josina Hospital and in other Healthcare Services, and to Revitalize Primary Healthcare in Angola (ProForsa) ” , with the involvement of Fiocruz as the party executing the primary healthcare component. This is an innovative role in technical cooperation as a tool of political action. A training program with multiple possibilities enabled technical-political pa...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

The dialog between health and foreign policy in Brazilian cooperation in human milk banks
Resumo O leite materno é a principal forma de alimentação nos primeiros anos da infância. Na impossibilidade deste tipo de amamentação, surgem alternativas secundárias, como os bancos de leite humano. No caso brasileiro, a adoção desta fonte teve início em 1943, com a instituição do primeiro banco de leite. A partir de então, passando por diferentes fases, foi desenvolvido um modelo nacional que culminou na criação da Rede Brasileira de Bancos de Leite Humano. Como consequência, diversos projetos de cooperaç...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

An analysis of the major challenges and obstacles for international technical cooperation in health, Brazil-Mozambique
Resumo A sa úde tornou-se tema prioritário na agenda da cooperação técnica internacional brasileira na última década, com Moçambique sendo considerado parceiro estratégico do Brasil, tendo em vista o volume de projetos e de recursos disponibilizados. Assistiu-se ali a uma mudança de paradigma em polí tica externa, servindo a relação bilateral de laboratório para uma nova postura exterior do Brasil, enquanto provedor de cooperação internacional. Uma análise retrospectiva e atual dos resultados aponta, todav...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

(Mal)nutrition and the new epidemiological trend in a context of development and inequalities
Resumo O atual contexto de intensas transforma ções sociais, econômicas e políticas tem contribuído para as mudanças no perfil de adoecimento da população e gerado discussões acerca de seus impactos na reorganização da sociedade. Atualmente, o aumento de doenças e agravos não transmissíveis impulsiona inquietudes quanto ao paradoxo da coexistência entre desnutrição e obesidade. A partir da leitura e interpretação de textos, documentos e banco de dados, este artigo discute os aspectos relacionad...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Development cooperation in water and sanitation: is it based on the human rights framework?
Abstract The water and sanitation sector is verifiably receiving increased attention and funding through international development cooperation. Not least because of the way that it affects incentives and institutions in partner countries, development cooperation can have either positive or negative effects on human rights though. The consolidated frameworks for the human rights to water and sanitation is becoming linked to the international community ’ s coordinated development efforts, as evidenced notably in the 2030 Agenda for Sustainable Development. However, a review of major funders ’ official policies fo...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Human resources for health: global crisis and international cooperation
This article aims to explore this context highlighting the participation of Brazil in the international cooperation arena on HRH and emphasizing the role of the World Health Organization in confronting this crisis that limits the ability of countries and their health systems to improve the health and lives of their populations.Resumen A partir de los a ños 90 las economías nacionales se han entrelazado y globalizado. Los cambios en el perfil epidemiológico y demográfico de la población mostraron la necesidad de nuevos debates y estrategias de los Recursos Humanos para la Salud (RHS). La c...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

International cooperation and shortage of doctors: an analysis of the interaction between Brazil, Angola and Cuba
Resumo A escassez de m édicos, principalmente em áreas remotas, é tida como uma questão crítica para o desenvolvimento dos sistemas nacionais de saúde e tem motivado uma série de projetos de cooperação internacional. Este estudo possui caráter exploratório, de abordagem qualitativa, em que se analisaram casos d e cooperação entre Brasil, Angola e Cuba. Foi realizada revisão não sistemática de literatura e selecionados artigos de livre acesso e documentos oficiais que abordavam experiências de cooperaç...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Global health and Brazilian foreign policy: the negotiations on innovation and intellectual property
Resumo Ap ós a entrada em vigor do Acordo sobre Direitos de Propriedade Intelectual relacionados ao Comércio (Trips), o Brasil, assim como outros países em desenvolvimento, se tornou mais assertivo nas negociações multilaterais e passou a defender que o atual sistema internacional de propriedade intelect ual fosse mais bem adaptado às suas necessidades e interesses. Ao fazê-lo, o país tem ressaltado que a propriedade intelectual não é tema associado exclusivamente ao comércio, mas também à saúde pública e aos direitos hu...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Challenges in a product development partnership: a malaria treatment case study
Resumo Analisou-se o processo de desenvolvimento da combina ção em dose fixa de artesunato e mefloquina no Brasil à luz de dimensões do acesso a medicamentos, visando registrar acertos e lições aprendidas. Tratou-se de um estudo de caso do desenvolvimento de produto no âmbito de uma parceria público privada. Foram realizadas entrevistas semiestrutura das com atores-chave envolvidos nas diferentes etapas do desenvolvimento e analisados documentos. Modelo lógico de acesso aos medicamentos assim como avaliação de programas foram importantes referencia...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Food marketing targeting children: unveiling the ethical perspectives in the discourse on self-regulation
The objective of this research was to characterize the ethical perspective in the discourse against state regulatory actions on food marketing directed at children, aiming to understand the context of the discourse ’ s production and how it creates meaning. The methodology adopted was qualitative, with documentary analysis and use of concepts and procedures from Discourse Analysis. The work of Hans Jonas, specifically his Responsibility Principle, and Garrafa and Port ’ s Intervention Bioethics oriented the analysis. The self-regulation discourse analysis showed an ethical perspective in which relations of cons...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Differences and inequalities in relation to access to renal replacement therapy in the BRICS countries
Resumo A doen ça renal terminal (DRT) é um importante problema de saúde pública, sobretudo nos países em desenvolvimento, em vista dos altos recursos econômicos necessários para manutenção dos pacientes nas diversas formas de terapias renais substitutivas (TRS) existentes. O objetivo deste artigo é anal isar as diferenças e as desigualdades que envolvem o acesso a TRS nos países que compõem o BRICS (Brasil, Rússia, Índia, China e África do Sul). Estudo aplicado, descritivo, transversal, qualitativo e quantitativo,...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Moving towards South-South International Health: debts and challenges in the regional health agenda
Abstract The aim of this paper is twofold. First, it aims to investigate the increased interest in health as an important dimension of the foreign policy and diplomatic concerns together with the emergence of a new framework for regional health integration and regional health diplomacy. Second, it seeks to understand the role and practices of new regional blocs in the field of health and whether they are conducting to the emergence of new strategies for addressing health regional policies in South America. The regional policy process relates to health as a right. Thus, some practices and processes in social policy are sett...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Citizen participation and the health policies of Unasur
Resumo Objetivou-se verificar de que forma a Uni ão das Nações Sul-Americanas (Unasul) se preocupa em garantir a democracia e a participação na construção de políticas de saúde. Buscou-se explicar o significado da democracia sanitária e sua importância para a efetivação do direito à saúde. A preocupação é que a definição dessas políticas no bloco deve estar em consonância com os interesses de seus cidadãos, de modo a identificar a atuação ética d...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Access to health care as a human right in international policy: critical reflections and contemporary challenges
Resumen Tomando como referencia la instituci ón supranacional más importante, la Organización de las Naciones Unidas (ONU), y su agencia subordinada, la Organización Mundial de la Salud (OMS), este artículo se propone hacer un análisis del acceso a la salud como derecho humano en políticas internacionales intergubernamentales. Inicialme nte se discute el tema de la salud al interior de la ONU, destacando el concepto de salud global; posteriormente, se discute el concepto de salud global considerando la salud como un derecho humano; luego, se presenta el debate cobertura vers...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research

Bioethical Dimensions of International Cooperation for Health: still a controversial issue?
Resumo O presente ensaio destaca a import ância de análises críticas sobre a cooperação internacional em saúde a partir da reflexão sobre a diplomacia, reconhecendo os limites e as possibilidades éticas da cooperação nesse contexto. Enfatiza a importância da perspectiva histórica, ao destacar as circunstâncias da consolidação do atual sistema internacional, quando, após dois conflitos bélicos mundiais, os países vitoriosos criaram a Organização das Nações Unidas, que hoje re...
Source: Ciencia e Saude Coletiva - July 14, 2017 Category: Occupational Health Source Type: research