Disasters, Gender and Access to Healthcare

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Author :
Publisher : Routledge
ISBN 13 : 1351330853
Total Pages : 228 pages
Book Rating : 4.3/5 (513 download)

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Book Synopsis Disasters, Gender and Access to Healthcare by : Nahid Rezwana

Download or read book Disasters, Gender and Access to Healthcare written by Nahid Rezwana and published by Routledge. This book was released on 2017-11-28 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disasters, Gender and Access to Healthcare: Women in Coastal Bangladesh emphasizes women’s experiences in cyclone disasters being confined with gendered identity and responsibilities in developing socio-economic conditions with minimum healthcare facilities. The study is situated in the coastal region of Bangladesh, considered as one of the most disaster-prone regions in the world. Bangladesh has been working on disaster management for a long time; however, considering gender perspective, the book reveals gaps in plans and raises serious questions about the successful implementation of healthcare strategies after disasters. The book also describes the pre–during–after disaster periods showing the full picture of a disaster attack in victims’ own words. Case studies of seriously affected victims give the reader an opportunity to understand the situations created for women during a disaster attack in a remote area with poor transport and healthcare facilities. These unique research findings will contribute to the broader context of gender, disaster and health studies. This book will be helpful for university staff and students of different disciplines including Anthropology, Disaster Management, Gender Studies and Geography and South Asian Regional Studies and be invaluable reading for disaster managers, policy makers, aid workers, development partners, NGOs and government, especially in disaster-prone countries.

Healthy, Resilient, and Sustainable Communities After Disasters

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Author :
Publisher : National Academies Press
ISBN 13 : 0309316227
Total Pages : 535 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Healthy, Resilient, and Sustainable Communities After Disasters by : Institute of Medicine

Download or read book Healthy, Resilient, and Sustainable Communities After Disasters written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-10 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

Disasters: Core Concepts and Ethical Theories

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Author :
Publisher : Springer
ISBN 13 : 3319927221
Total Pages : 245 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Disasters: Core Concepts and Ethical Theories by : Dónal P. O’Mathúna

Download or read book Disasters: Core Concepts and Ethical Theories written by Dónal P. O’Mathúna and published by Springer. This book was released on 2018-10-16 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Open Access Book is the first to examine disasters from a multidisciplinary perspective. Justification of actions in the face of disasters requires recourse both to conceptual analysis and ethical traditions. Part 1 of the book contains chapters on how disasters are conceptualized in different academic disciplines relevant to disasters. Part 2 has chapters on how ethical issues that arise in relation to disasters can be addressed from a number of fundamental normative approaches in moral and political philosophy. This book sets the stage for more focused normative debates given that no one book can be completely comprehensive. Providing analysis of core concepts, and with real-world relevance, this book should be of interest to disaster scholars and researchers, those working in ethics and political philosophy, as well as policy makers, humanitarian actors and intergovernmental organizations..

Gender, Development and Disasters

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Author :
Publisher : Edward Elgar Publishing
ISBN 13 : 1782548238
Total Pages : 255 pages
Book Rating : 4.7/5 (825 download)

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Book Synopsis Gender, Development and Disasters by : Sarah Bradshaw

Download or read book Gender, Development and Disasters written by Sarah Bradshaw and published by Edward Elgar Publishing. This book was released on 2013-04-01 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: ÔDisaster research owes a lot to development studies and yet the debt is often not acknowledged. In this scholarly but accessible book by Sarah Bradshaw, we see a very effective linking of gender, disaster and development that will be of value to academics and practitioners working in and across all these domains.Õ Ð Maureen Fordham, University of Northumbria, UK ÔBringing gender into the foreground in both development and disaster discourse, the author challenges received wisdom and offers cautionary notes about reinforcing inequalities through feminized disaster interventions. The book is an outstanding platform for fundamental change in how we think about and act toward gender in disaster contexts, leaving readers cautiously optimistic. This is one for the top shelf Ð a book we have been waiting for and must put to use.Õ Ð Elaine Enarson, founder, Gender and Disaster Resilience Alliance ÔOnce in a while a book is published which offers an empirically and theoretically informed analysis of an under-studied topic which helps to carve out a new field of enquiry. Such is the case with Dr Sarah BradshawÕs breathtakingly detailed, richly first-hand informed, and incisive, account of the frequently paradoxical co-option of women into the analysis and practice of ÒdisasterÓ in developing economies. BradshawÕs eminently comprehensive, well-substantiated, perceptive and sensitive treatment of the ÒA to ZÓ of gender and ÒdisasterÓ in developing country contexts constitutes a 21st century volume which will be a definitive benchmark for scholars, policymakers, practitioners, and feminist activists at a world scale.Õ Ð Sylvia Chant, London School of Economics, UK The need to Ôdisaster proofÕ development is increasingly recognised by development agencies, as is the need to engender both development and disaster response. This unique book explores what these processes mean for development and disasters in practice. Sarah Bradshaw critically examines key notions, such as gender, vulnerability, risk, and humanitarianism, underpinning development and disaster discourse. Case studies are used to demonstrate how disasters are experienced individually and collectively as gendered events. Through consideration of processes to engender development, it problematizes womenÕs inclusion in disaster response and reconstruction. The study highlights that while women are now central to both disaster response and development, tackling gender inequality is not. By critically reflecting on gendered disaster response and the gendered impact of disasters on processes of development, it exposes some important lessons for future policy. This timely book examines international development and disaster policy which will prove invaluable to gender and disaster academics, students and practitioners.

Communities in Action

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Author :
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Care Without Coverage

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Author :
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Health Disparities, Disasters, and Crises

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Author :
Publisher : Taylor & Francis
ISBN 13 : 100383194X
Total Pages : 252 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Health Disparities, Disasters, and Crises by : Roland J. Thorpe Jr.

Download or read book Health Disparities, Disasters, and Crises written by Roland J. Thorpe Jr. and published by Taylor & Francis. This book was released on 2023-12-29 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Disparities, Disasters, and Crises: Approaches for a Culture of Preparedness presents a roadmap to help guide the actions needed to address health disparities introduced as part of the pre-planning, planning, and mitigation phases of natural and technological disasters. With contributions from 30 scholars in disaster management in public health, this text explores how the intersectionality of health disparities of different socioeconomic and racial/ethnic groups and how social determinants help shape exposure, and vulnerability to pandemic disasters and crises. Supported by examples from across the world, chapters are supplemented with case studies of best practices, graphs, and tables. Each of the seven parts address different topics, including how disasters affect the poor, medically underserved, and racial/ethnic groups, the impact of health disparities, and the growing link between global health, disaster planning/mitigation, and global security. Written for the benefit of undergraduate and graduate students, working professionals, and academics in the US and abroad, Health Disparities, Disasters, and Crises: Approaches for a Culture of Preparedness provides the best overall understanding of professional disaster management and safety for all citizens. It is also an ideal text for graduate and undergraduate courses in public health, public policy, medicine and nursing, healthcare administration, emergency management, emergency preparedness, homeland security, epidemiology, sociology, and medical sociology.

Feminist Global Health Security

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Author :
Publisher : Oxford University Press
ISBN 13 : 0197556930
Total Pages : 297 pages
Book Rating : 4.1/5 (975 download)

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Book Synopsis Feminist Global Health Security by : Clare Wenham

Download or read book Feminist Global Health Security written by Clare Wenham and published by Oxford University Press. This book was released on 2021 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Global health security, focused on a firefighting short-term response efforts fail to consider the differential impacts of outbreaks on women. For example, the policy response to the Zika outbreak centred on limiting the spread of the vector through civic participation and asking women to defer pregnancy. Both actions are inherently gendered and reveal a distinct lack of consideration of the everyday lives of women. These policies placed women in a position whereby were blamed if they had a child born with Congenital Zika Syndrome, and at the same time governments required women to undertake invisible labour for vector control. What does this tell us about the role of women in global health security? This feminist critique of the Zika outbreak, argues that global health security has thus far lacked a substantive feminist engagement, with the result that the very policies created to manage an outbreak of disease disproportionately fail to protect women. Women are both differentially infected and affected by epidemics. Yet, the dominant policy narrative of global health security has created pathways which focus on protecting the international spread of disease to state economies, rather than protecting those who are most at risk. As such, the state-based structure of global health security provides the fault-line for global health security and women. This book highlights the ways in which women are disadvantaged by global health security policy, through engagement with feminist security studies concepts of visibility; social and stratified reproduction; intersectionality; and structural violence. It argues that it was no coincidence that poor, black women living in low quality housing were the most affected by the Zika outbreak and will continue to be so, until global health security is gender mainstreamed. More broadly, I ask what would global health policy look like if it were to take gender seriously, and how would this impact global disease control sustainability?"--

Health-Care Utilization as a Proxy in Disability Determination

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Author :
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

The Future of Nursing 2020-2030

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Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine

Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Hood Feminism

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Author :
Publisher : Penguin
ISBN 13 : 0525560556
Total Pages : 288 pages
Book Rating : 4.5/5 (255 download)

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Book Synopsis Hood Feminism by : Mikki Kendall

Download or read book Hood Feminism written by Mikki Kendall and published by Penguin. This book was released on 2020-02-25 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: A NEW YORK TIMES BESTSELLER “The fights against hunger, homelessness, poverty, health disparities, poor schools, homophobia, transphobia, and domestic violence are feminist fights. Kendall offers a feminism rooted in the livelihood of everyday women.” —Ibram X. Kendi, #1 New York Times-bestselling author of How to Be an Antiracist, in The Atlantic “One of the most important books of the current moment.”—Time “A rousing call to action... It should be required reading for everyone.”—Gabrielle Union, author of We’re Going to Need More Wine A potent and electrifying critique of today’s feminist movement announcing a fresh new voice in black feminism Today's feminist movement has a glaring blind spot, and paradoxically, it is women. Mainstream feminists rarely talk about meeting basic needs as a feminist issue, argues Mikki Kendall, but food insecurity, access to quality education, safe neighborhoods, a living wage, and medical care are all feminist issues. All too often, however, the focus is not on basic survival for the many, but on increasing privilege for the few. That feminists refuse to prioritize these issues has only exacerbated the age-old problem of both internecine discord and women who rebuff at carrying the title. Moreover, prominent white feminists broadly suffer from their own myopia with regard to how things like race, class, sexual orientation, and ability intersect with gender. How can we stand in solidarity as a movement, Kendall asks, when there is the distinct likelihood that some women are oppressing others? In her searing collection of essays, Mikki Kendall takes aim at the legitimacy of the modern feminist movement, arguing that it has chronically failed to address the needs of all but a few women. Drawing on her own experiences with hunger, violence, and hypersexualization, along with incisive commentary on reproductive rights, politics, pop culture, the stigma of mental health, and more, Hood Feminism delivers an irrefutable indictment of a movement in flux. An unforgettable debut, Kendall has written a ferocious clarion call to all would-be feminists to live out the true mandate of the movement in thought and in deed.

Women on the Frontlines of Peace and Security

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Author :
Publisher : Government Printing Office
ISBN 13 : 9780160925559
Total Pages : 216 pages
Book Rating : 4.9/5 (255 download)

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Book Synopsis Women on the Frontlines of Peace and Security by :

Download or read book Women on the Frontlines of Peace and Security written by and published by Government Printing Office. This book was released on 2014 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances the critical dialogue on the importance of women in international peace and security. Points out the importance of women in building and keeping peace. Brings together diverse voices from diplomats to military officials and from human rights activists to development professionals. "

Oxford Textbook of Nature and Public Health

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Publisher : Oxford University Press
ISBN 13 : 019103875X
Total Pages : 368 pages
Book Rating : 4.1/5 (91 download)

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Book Synopsis Oxford Textbook of Nature and Public Health by : Matilda van den Bosch

Download or read book Oxford Textbook of Nature and Public Health written by Matilda van den Bosch and published by Oxford University Press. This book was released on 2018-01-05 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human beings have always been affected by their surroundings. There are various health benefits linked to being able to access to nature; including increased physical activity, stress recovery, and the stimulation of child cognitive development. The Oxford Textbook of Nature and Public Health provides a broad and inclusive picture of the relationship between our own health and the natural environment. All aspects of this unique relationship are covered, ranging from disease prevention through physical activity in green spaces to innovative ecosystem services, such as climate change adaptation by urban trees. Potential hazardous consequences are also discussed including natural disasters, vector-borne pathogens, and allergies. This book analyses the complexity of our human interaction with nature and includes sections for example epigenetics, stress physiology, and impact assessments. These topics are all interconnected and fundamental for reaching a full understanding of the role of nature in public health and wellbeing. Much of the recent literature on environmental health has primarily described potential threats from our natural surroundings. The Oxford Textbook of Nature and Public Health instead focuses on how nature can positively impact our health and wellbeing, and how much we risk losing by destroying it. The all-inclusive approach provides a comprehensive and complete coverage of the role of nature in public health, making this textbook invaluable reading for health professionals, students, and researchers within public health, environmental health, and complementary medicine.

Disaster Nursing and Emergency Preparedness for Chemical, Biological, and Radiological Terrorism, and Other Hazards

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Author :
Publisher :
ISBN 13 : 9780826144171
Total Pages : 0 pages
Book Rating : 4.1/5 (441 download)

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Book Synopsis Disaster Nursing and Emergency Preparedness for Chemical, Biological, and Radiological Terrorism, and Other Hazards by : Tener Goodwin Veenema

Download or read book Disaster Nursing and Emergency Preparedness for Chemical, Biological, and Radiological Terrorism, and Other Hazards written by Tener Goodwin Veenema and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by Disaster nursing and emergency preparedness for chemical, biological, and radiological terrorism and other hazards / Tener Goodwin Veenema, editor. 3rd ed. c2013.

Disaster Mental Health Services

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Author :
Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Disaster Mental Health Services by : Bruce H. Young

Download or read book Disaster Mental Health Services written by Bruce H. Young and published by . This book was released on 1998 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Disease Control Priorities, Third Edition (Volume 9)

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Author :
Publisher : World Bank Publications
ISBN 13 : 1464805288
Total Pages : 426 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 9) by : Dean T. Jamison

Download or read book Disease Control Priorities, Third Edition (Volume 9) written by Dean T. Jamison and published by World Bank Publications. This book was released on 2017-12-06 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

Disasters and Public Health

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Author :
Publisher : Butterworth-Heinemann
ISBN 13 : 0128019891
Total Pages : 538 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Disasters and Public Health by : Bruce W. Clements

Download or read book Disasters and Public Health written by Bruce W. Clements and published by Butterworth-Heinemann. This book was released on 2016-02-23 with total page 538 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disasters and Public Health: Planning and Response, Second Edition, examines the critical intersection between emergency management and public health. It provides a succinct overview of the actions that may be taken before, during, and after a major public health emergency or disaster to reduce morbidity and mortality. Five all-new chapters at the beginning of the book describe how policy and law drive program structures and strategies leading to the establishment and maintenance of preparedness capabilities. New topics covered in this edition include disaster behavioral health, which is often the most expensive and longest-term recovery challenge in a public health emergency, and community resilience, a valuable resource upon which most emergency programs and responses depend. The balance of the book provides an in-depth review of preparedness, response, and recovery challenges for 15 public health threats. These chapters also provide lessons learned from responses to each threat, giving users a well-rounded introduction to public health preparedness and response that is rooted in experience and practice. Contains seven new chapters that cover law, vulnerable populations, behavioral health, community resilience, preparedness capabilities, emerging and re-emerging infectious diseases, and foodborne threats Provides clinical updates by new MD co-author Includes innovative preparedness approaches and lessons learned from current and historic public health and medical responses that enhance clarity and provide valuable examples to readers Presents increased international content and case studies for a global perspective on public health