302 research outputs found
Estimación de la brecha en terminos de recursos humanos para ofertar servicios de prevención y promoción de la salud en unidades del primer nivel de atención.
No full textArtículo(Doctorado en Ciencias, área de concentración en Sistemas de Salud)Jacqueline Elizabeth Alcalde Rabana
Respuesta a la carta al editor sobre “Mapeo político de la discriminación y homofobia asociadas con la epidemia de VIH en México”
No full textCompartimos con los autores de la carta al editor la preocupación por la persistencia de discriminación y homofobia como prácticas sociales que afectan los derechos de las personas que viven con VIH..
Sistema de salud de Perú The health system of Peru
No full textEn este trabajo se describen las condiciones generales de salud de la población peruana y, con mayor detalle, el sistema peruano de salud: su estructura y cobertura, sus fuentes de financiamiento, los recursos físicos, materiales y humanos con los que cuenta, y las actividades de rectoría que en él se desarrollan. Asimismo se discute el estado en el que se encuentran la generación de información y la investigación, y la participación de los ciudadanos en la gestión y evaluación del sistema. El artículo concluye con una discusión de las innovaciones más recientes, dentro de las que destacan el Seguro Integral de Salud, el sistema de Empresas Prestadoras de Salud, el proceso de descentralización y los Comités Locales de Administración de Salud. El reto principal que enfrenta este sistema es ampliar la atención a la salud a poco más de 10% de la población que todavía no recibe servicios básicos.This paper describes the health conditions in Peru and, with greater detail, the Peruvian health system, including its structure and coverage, its financial sources, its physical, material and human resources, and its stewardship functions. It also discusses the activities developed in the information and research areas, as well as the participation of citizens in the operation and evaluation of the health system. The article concludes with a discussion of the most recent innovations, including the Comprehensive Health Insurance, the Health Care Enterprises system, the decentralization process and the Local Committees for Health Administration. The main challenge confronted by the Peruvian health system is the extension of coverage to more than I0% of the population presently lacking access to basic health care
Women's life writing 1760-1830 : spiritual selves, sexual characters, and revolutionary subjects
No full textPhDThis thesis uses print and manuscript sources to analyse and interpret women's life
writing at the end of the eighteenth and beginning of the nineteenth centuries. I
explore printed works by Catharine Phillips, Mary Dudley, Priscilla Hannah Gurney,
Ann Freeman, Elizabeth Steele, Mary Robinson, Helen Maria Williams, Mary
Wollstonecraft, Grace Dalrymple Elliott, and Charlotte West and discuss the
manuscripts of Mary Fletcher, Mary Tooth, Sarah Ryan, and Elizabeth Fox. Of these
sources, five have never been analysed in the critical literature and six have received
little attention. Considered as a group, this large corpus of texts offers new insights
into the personal and political implications of different models of female selfhood and
social being.
In chapter one, I compare the religious identities presented in the spiritual
autobiographies of Quakers and Methodists. For these women, religious identification
provides a powerful sense of social belonging and enables public participation.
However, it may also lead to a loss of self in the demand for religious conformity and
self-abnegation. In chapter two, I consider the life writing of late eighteenth-century
courtesans. These women adapt available models of femininity and female authorship
in order to establish themselves as socially connected subjects. However, their
narratives also reveal that dependence on the sexual and literary marketplace puts
female selfhood under pressure. In chapter three, I explore the eyewitness accounts of
British women in the French Revolution. I argue that, for these writers, connecting
personal identity to political history is an enabling source of self-definition but it also
exposes them to the risks of self-fragmentation.
In my focus on the social function of women's life writing, I present an alternative to
the traditional alignment of the eighteenth-century autobiographical subject with the
autonomous self of individualism. These narratives allow us to reconsider the
productive and problematic dialectic between personal expression and representative
selfhood, self-authorship and collective narratives, and individualism and social
being. They suggest that women's life writing has the potential to be both the self-expression
of a unique heroine and the self-inscription of a politicised subject
The gap in human resources to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico
No full textAbstract Background The purpose of this study was to estimate the gap between the available and the ideal supply of human resources (physicians, nurses, and health promoters) to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico. Methods We conducted a cross-sectional observational study using a convenience sample. We selected 20 primary health facilities in urban and rural areas in 10 states of Mexico. We calculated the available and the ideal supply of human resources in these facilities using estimates of time available, used, and required to deliver health prevention and promotion services. We performed descriptive statistics and bivariate hypothesis testing using Wilcoxon and Friedman tests. Finally, we conducted a sensitivity analysis to test whether the non-normal distribution of our time variables biased estimation of available and ideal supply of human resources. Results The comparison between available and ideal supply for urban and rural primary health care facilities reveals a low supply of physicians. On average, primary health care facilities are lacking five physicians when they were estimated with time used and nine if they were estimated with time required (P < 0.05). No difference was observed between available and ideal supply of nurses in either urban or rural primary health care facilities. There is a shortage of health promoters in urban primary health facilities (P < 0.05). Conclusion The available supply of physicians and health promoters is lower than the ideal supply to deliver the guaranteed package of prevention and health promotion services. Policies must address the level and distribution of human resources in primary health facilities
"different sentiments & different connections supports them" : sensibility, community, and diversity in British women's Romantic-period poetry
No full textWith diversity
as an overarching theme, women writers' responses to the
cultural
feminisation and developing social climate of
late eighteenth- and early
nineteenth-century Britain
are explored through analyses of their poems on
sensibility, community, and abolition.
To determine a
focus for
expressive criticism
and recover Romantic women writers
from the social and historical
contexts that have
previously succeeded in highlighting
male literary
achievements, women's poetry is
considered a distinct
contribution to Romanticism. This dissertation analyses poems
written
by Joanna Baillie, Anna Barbauld, Harriet
and Maria Falconar, Frances
Greensted, Frances Greville, Elizabeth Hands, Eliza Knipe, Isabella Lickbarrow,
Hannah More, Amelia Opie, Priscilla Pointon, Mary Robinson, Mary Scott, Helen
Maria Williams, Ann Yearsley, and Mary Julia Young.
Although literature brought together the public and private spheres, sensibility
mediated
between the two and served as a social currency
for
women.
The
various
applications of sensibility are apparent
in its dual-gendered nature,
its link
with
reason, and the significance of economic
language. A
new genre of the "Address to
Sensibility" was prominent
in the period and
followed
a
loose formula
which
defined
sensibility,
traced its
personal
impact,
and
determined
a
link between the Romantic
culture and
heightened
emotion.
Through
explorations of poems on
intellectual
coteries, patronage, creative
influence, Reviews, and
literary
critique,
it is
evident that women poets' affiliations
with the literary
community were marked
by
a
discomfort based on their literary
associations,
the anxiety about their public reception, and the social
differences in the
literary
community.
However, the development
of social,
intellectual, literary,
and
critical communities alleviated this discomfort
and contributed
to women's
participation
in literary
culture.
In
addition, women poets expressed sensibility and used images of community
in diverse ways in their works against slavery and the trade.
Abolitionist
poetry acts
as a case study of the particular motifs,
highlighted throughout, such as the
amalgamation of masculine and
feminine, the political and economic applications of
sensibility, the association of
feeling
with reason and community, and the assertion of
individuality
amidst commonality.
Women
poets' petitions
to alleviate the sufferings
of slaves paralleled arguments
for the improvement
of
British
society to benefit
women.
The poems discussed signify the complexity of the issues of sensibility,
community, and diversity
(Im)Perfect memories in Jacqueline Woodson’s Another Brooklyn
No full textThe article entitled “(Im)Perfect Memories in Jacqueline Woodson’s Another Brooklyn” explores the fallibility of memory as presented in Another Brooklyn, a novel by an African American author Jacqueline Woodson. The text presents the idea that personal memories change due to the passage of time along with the new experiences of an individual, and relates it to the studied novel. Special attention is given to different dimensions of grief and loss presented in the analyzed story. The mourning after the loss of loved ones is explored through the use of concepts such as Elizabeth Kübler-Ross’ five stages of grief, the selective amnesia and the idea of continuing bonds. The process of growing up is also briefly considered as a mourning process over losing the innocence and safety provided by childhood. Further, the article presents the hardships of growing up without a mother in an unsafe neighbourhood, the loss of vital friendships and the search of a better life - all introduced through the recollections which occurred after a significant passage of time and the accumulation of experiences which lend themselves to the change of the mindset of the main character.Magdalena Łapińska, MA – Phd student at Faculty of Philology, University of BiałystokAmerican Psychiatric Association. 2013. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM V). Arlington: American Psychiatric Association.Ekman, Paul. 2003. Emotions Revealed: Recognizing Faces and Feelings to Improve Communication and Emotional Life. New York: Holt Paperbacks.Freeman, Mark. 2010. “Telling Stories: Memory and Narrative.” Memory: Histories, Theories, Debates. Ed. Susannah Radstone, Bill Schwarz. New York: Fordham University Press. 263–277.Freud, Sigmund. 1917. “Mourning and Melancholia.” The Complete Edition of the Psychological Works of Sigmund Freud 14. Ed. and trans. James Strachey. 1957 Rpt. in On Freud's “Mourning and Melancholia”. 2009, 19–34.Hall, Christopher. 2011. “Beyond Kübler-Ross: Recent developments in our understanding of grief and bereavement.” InPsych 33.6. www.psychology.org.au/publications/inpsych/2011/ december/hall/.Impert, Laura and Rubin, Margaret. 2011. “The Mother at the Glen: The Relationship Between Mourning and Nostalgia”. Psychoanalytic Dialogues: The international Journal of Relational
Perspectives. 21: 6. 691–706.Kübler-Ross, Elisabeth. 2009. On Death and Dying: What the Dying Have to Teach Doctors, Nurses, Clergy and their own Families. London, New York: Routledge.Richter,Gerhard. 2010. “Acts of Memory and Mourning: Derrida and the Fictions of Anteriority”. Memory: Histories, Theories, Debates. Ed. Susannah Radstone, Bill Schwarz. New York:
Fordham University Press. 150–160.Shields, David. 2009. “Memory”. A Journal of Literature and Art. No. 46. 32–36.Woodson, Jacqueline. 2017. Another Brooklyn. London: Oneworld Publications.30/215516
Contributions of training to the promotion of health in State Health Services: comparative analysis in eight states in Mexico
No full textObjective. To evaluate the results of the training provided by the National Public Health Institute (INSP per its abbreviation in Spanish) in health promotion to institutional staff of local health services during 2007 and 2008. Materials and methods. A non-experimental evaluative research with comparison group was conducted, in which quantitative and qualitative methods were used. Results. In states intervened a better conceptualization of health promotion, social participation and components of the Health Promotion Operating Model was observed; participatory action research was the basic strategy to work in the community and management showed a tendency to be more participatory and inclusive. Conclusion. A better conceptualization of health promotion has allowed health personnel develop more sustainable work processes in the community and has driven the search for consent and participatory management
Intimate moments
No full textThis thesis consists of several short works of fiction and creative non-fiction by the author
The Health Care System in Peru
No full textThis country report provides a description of the emergence of a health care system under public responsibility in Peru. The inception of the health care system refers to the first legislation stipulating entitlements to medical care. The report also includes a brief description of major health care reforms, and the current organization of the health care system in Peru. This report is part of the CRC 1342 Social Policy Country Briefs Series.5
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