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A practical guide to concepts, methods, and instruments for conducting an evaluation of environmental health services. Noting that managers frequently overlook the importance of evaluation, the book also performs a persuasive function, serving to illustrate the advantages of evaluation for purposes ranging from the justification of continuing expenditure to assurance that public health is being adequately protected from hazards in food, air or water. Throughout the book, examples of evaluations conducted in European countries are used to show how different approaches work to resolve specific practical problems. The book has six chapters. The first provides a general introduction to the purpose, principles and components of evaluation, as well as procedures that are frequently used. Chapter two applies these general principles to the specific setting of environmental health services, where process, impact, relevance, and adequacy of services may need to be assessed. Factors that make such services difficult to evaluate through traditional mechanisms are also briefly discussed. Against this background, a chapter on data and indicators provides detailed advice on the choice of indicators, concentrating on the use of process, environmental health, and urban indicators. Chapter four, on instruments for evaluation, outlines the strengths and weaknesses of several methods of data collection, giving particular attention to tools for economic analysis and qualitative evaluation. The remaining chapters cover the use of results in management decisions and set out five case studies of evaluations recently conducted in Europe.
What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).
The book provides an analysis of existing local planning processes and initiatives in the WHO European Region, identifies their common features and describes how they interrelate with and support national environmental health action plans (NEHAPs). Based on a two-year project carried out in the eastern half of the Region, this book also provides guidance and options for the development of local plans (LEHAPs) that give the levels of flexibility necessary to ensure that a bottom-up planning process can occur. It adresses both local and national policy-makers and professionals in the environmental, health and other sectors
This publication is intended to serve as a practical guide to the development of relevant curricula for the education and training of environmental health professionals. This book aims to: (1) set out principles for developing policies on education and training for environmental health professionals at national and subnational levels; (2) formulate proposals for curricula that aid in conferring the necessary competencies to environmental health professionals; (3) support the upgrading of national capacities for education and training to facilitate national self-reliance in the prevention and control of environmental hazards; and (4) promote the harmonization of international efforts to upgrade the environmental health workforce in Europe. (WRM).
The book focuses on three key aspects of delivery of child health services: service integration and coordination, public health measures, and enhancing the quality of care for children.
This book takes a broad but detailed approach to public health in Europe and offers the most comprehensive analysis of this region currently available.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Research Ethics for Environmental Health explores the ethical basis of environmental health research and related aspects of risk assessment and control. Environmental health encompasses the assessment and control of those environmental factors that can potentially affect human health, such as radiation, toxic chemicals and other hazardous agents. It is often assumed that the assessment part is just a matter of scientific research, and that control is a matter of implementing standards that unambiguously follow from that research. But it is less commonly understood that environmental health also requires addressing questions of an ethical nature. Coming from multiple disciplines and nine different countries, the contributors to this book critically examine a diverse range of ethical concerns in modern environmental health research. This book will be of great interest to scholars and practitioners of environmental health, as well as researchers in applied ethics, environmental ethics, medical ethics, bioethics and those concerned with chemical and radiation protection.