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COMMUNICATION AND INFORMATION BARRIERS TO HEALTH ASSISTANCE FOR DEAF PATIENTS

PEREIRA, Patricia Cristina Andrade; FORTES, Paulo Antonio de Carvalho
Fonte: AMER ANNALS DEAF Publicador: AMER ANNALS DEAF
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.01%
IN BRAZIL, recent regulations require changes in private and public health systems to make special services available to deaf patients. in the present article, the researchers analyze the perceptions of 25 sign language using patients regarding this assistance. The researchers found communication difficulties between these patients and health services staff, as well as a culture clash and a harmful inability among the service providers to distinguish among the roles of companions, caretakers, and professional translator/interpreters. Thus, it became common for the patients to experience prejudice in the course of treatment and information exchange, damage to their autonomy, limits on their access to services, and reduced efficacy of therapy. The researchers conclude that many issues must be dealt with if such barriers to health access are to be overcome, in particular the worrying degree of exclusion of deaf patients from health care systems.

A educação especial na perspectiva da educação inclusiva: ajustes e tensões entre a política federal e a municipal; The special education from the inclusive education perspective: adjustments and tensions between federal and municipal politics

Fagliari, Solange Santana dos Santos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 07/08/2012 PT
Relevância na Pesquisa
36.2%
A perspectiva da construção de uma educação inclusiva em nossa realidade brasileira acentuou-se a partir dos anos 90, em um contexto desencadeado por reformas significativas que envolveram a educação básica e, mais especificamente, o ensino fundamental, com vistas a responder ao desafio de promover uma educação para todos. Com a democratização do acesso, em meio a essa diversidade de alunos que necessita ser incluída nos sistemas de ensino, encontra-se o público-alvo da educação especial. Se desde o final da década de 1980 o locus prioritário de atendimento desse público tem sido, preferencialmente, a classe comum, identifica-se, a partir de 2008, uma série de diretrizes e documentos legais que anunciam e induzem que a classe comum seja o seu espaço de matrícula. O documento Política Nacional de Educação Especial na perspectiva de educação inclusiva, publicado em 2008, preconiza o acesso, a participação e a aprendizagem dos alunos com deficiência, transtornos globais do desenvolvimento e altas habilidades/superdotação nas escolas regulares, e foi reiterado em legislação posterior, regulamentadora do financiamento do atendimento educacional especializado. Diante do exposto, essa pesquisa investigou como o município de São Bernardo do Campo...

Regionalização da assistência farmacêutica no estado de Goiás : dilemas, incertezas e desafios; Regionalization of pharmaceutical assistance actions in the state of Goiás: quandaries, hesitations and challenges

Carneiro, Maria Cristina Pigorelli
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
36.03%
O estado de Goiás deu início ao seu processo de regionalização das ações de saúde, seguindo as diretrizes do SUS e as normas preconizadas pela NOAS 2001. O Plano Diretor Regionalização (PDR) está pactuado desde 2002, entretanto ainda não se encontra em pleno funcionamento. As ações de assistência farmacêutica (AF) ainda não foram regionalizadas. Com a intenção que identificar quais ações deveriam ser regionalizadas, as maiores dificuldades para a regionalização desse setor e a necessidade de se regionalizar essas ações, questionou-se os servidores da Secretaria de Estado da Saúde SES-GO, do nível central e regional, que trabalham direta ou indiretamente com ações de AF. Utilizando a escala de Likert para medir a intenção (vontade, desejo) das atitudes desses servidores. Demonstrou–se, nesta pesquisa, a predisposição de realizar regionalmente as ações de programação anual, distribuição de medicamentos aos municípios e avaliação das ações básicas dos municípios da sua região, a neutralidade quanto a regionalização das ações de seleção de medicamentos e a dispensação de medicamentos especiais. Apenas com relação à ação de aquisição regionalizada se encontrou uma predisposição desfavorável...

O atendimento educacional especializado oferecido à educação infantil no município de Canoas-RS : análise de um centro de atendimento

Bonneau, Cátia Soares
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Trabalho de Conclusão de Curso Formato: application/pdf
POR
Relevância na Pesquisa
35.99%
O presente estudo tem como objetivo descrever e analisar a oferta do Atendimento Educacional Especializado (AEE), dirigida aos alunos matriculados na Educação Infantil da Rede Municipal de Educação de Canoas-RS, com ênfase no trabalho desenvolvido em um centro de atendimento municipal. Frente aos desafios e as necessidades de atendimento aos alunos público-alvo da educação especial, a Política Nacional de Educação Especial na Perspectiva da Educação Inclusiva de 2008 induz à necessidade de reflexão sobre os processos inclusivos e sobre a oferta do Atendimento Educacional Especializado. Para a análise foram utilizados como embasamento estudos que abordam a temática e a busca dirigida aos dispositivos normativos e orientadores para educação brasileira no campo da educação especial e da educação infantil. A metodologia utilizada tem como base a pesquisa qualitativa, recorrendo aos seguintes instrumentos: análise de documentos e entrevistas semi-estruturadas com professores atuantes no AEE oferecido à Educação Infantil. No município de Canoas o Atendimento Educacional Especializado é oferecido em um centro municipal e nas Salas de Recursos Multifuncionais. As Salas de Recursos, em 2012, totalizam 33, sendo que...

Improving Municipal Management for Cities to Succeed : An IEG Special Study

Independent Evaluation Group
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Relevância na Pesquisa
36.01%
The purpose of this Independence Evaluation Group (IEG) special study is to illuminate the scale and scope of Bank support for municipal development and to draw specific lessons from the achievements and failures of a sample of individual projects. The study focuses on three dimensions of municipal management: planning, finance, and service provision that figure repeatedly in Bank financed municipal development projects (MDPs). The planning dimension refers to the capacity of a municipality to forecast and oversee its own progress. It includes information systems, monitoring and evaluation (M&E), city planning, and investment strategies. The finance dimension refers to how a municipality manages the resources needed to provide services to its constituents. It covers financial management, own-resource mobilization, access to credit, and private funding. The service provision dimension refers to the capacity of a municipality to manage the services required by city residents and business people through the effective prioritization of investments...

Risks, Ex-ante Actions and Public Assistance : Impacts of Natural Disasters on Child Schooling in Bangladesh, Ethiopia and Malawi

Yamauchi, Futoshi; Yohannes, Yisehac; Quisumbing, Agnes
Fonte: Banco Mundial Publicador: Banco Mundial
Relevância na Pesquisa
36.11%
This paper examines the impacts of natural disasters on schooling investments with special focus on the roles of ex-ante actions and ex-post responses using panel data from Bangladesh, Ethiopia, and Malawi. The importance of ex-ante actions depends on disaster risks and the likelihood of public assistance, which potentially creates substitution between the two actions. The findings show that higher future probabilities of disasters increase the likelihood of holding more human capital and/or livestock relative to land, and this asset-portfolio effect is significant in disaster prone areas. The empirical results support the roles of both ex-ante and ex-post responses (public assistance) in coping with disasters, but also show interesting variations across countries. In Ethiopia, public assistance plays a more important role than ex-ante actions to mitigate the impact of shocks on child schooling. In contrast, households in Malawi rely more on private ex-ante actions than public assistance. The Bangladesh example shows active roles of both ex-ante and ex-post actions. These observations are consistent with the finding on the relationship between ex-ante actions and disaster risks. The results also show that among ex-ante actions...

Managing Resources for Better Outcomes in a Special Autonomy Region : Aceh Public Expenditure Analysis Update 2008

World Bank; Syiah Kuala University
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
36.22%
This public expenditure analysis for Aceh in 2008 states that the Government of Aceh has received a Special Autonomy Fund to give greater opportunities to build infrastructure and public services and promote economic development. Budget allocation for the provincial government and district went to the main sectors such as infrastructure, health and agriculture. Indicators of social output also show the improvement in the provision of public services. However, major challenges still remain. For one thing, progress in social outcomes in many cases was still below the national average. Furthermore, provincial governments and districts still can not confirm the budget in accordance with the schedule set by the regulations, or spend the budget fully in each budget year. In addition, several important issues related to the implementation of special autonomy funds are still to be defined clearly. In line with this, this report sets out the challenges and obstacles faced by the provincial government and districts in dealing with the allocation of the budget and financial management in Aceh. This report also provides recommendations to help resolve these challenges...

Partners in Reform : The Special Program of Assistance for Africa (SPA)

Jeffrey, Katz; Alison, Rosenberg
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
36.18%
It is essential to obtain a far more thorough understanding of how economic reforms affect household welfare, particularly the poor, and how households react to economic reform. It is therefore important to monitor the evolution of poverty levels and social conditions over time. The Working Group on Poverty and Social Policy in the Special Program of Assistance for Africa (SPA) has begun this monitoring process, and is supporting information gathering and analysis at the country level. This work will be expanded. Donor support for adjustment programs will continue to be the principal objective of SPA-3. It would be misleading to assume that SPA donors can address all the development issues that confront Africa. Ultimately, the resolution of these fundamental concerns will depend on the resolve and talent of the people and governments of Sub-Saharan Africa.

City Development Strategy and City Assistance Programme : Kathmandu Metropolitan City, Volume 1

World Bank
Fonte: Kathmandu Publicador: Kathmandu
EN_US
Relevância na Pesquisa
36.07%
In conformity with its objective of functioning as a local Government, Kathmandu Metropolitan City (KMC) sought the assistance of the World Bank for the preparation of a City Development Strategy (CDS) for Kathmandu. The various sectoral as well as integrated strategies presented in this document seem to be an overwhelming demand on KMC with its limited manpower and money. However, a CDS is essential if KMC is to focus its development potential. The optimism lies in political leadership, enabling environment and necessary support that will be rendered to KMC from civil society. The vision for Kathmandu stresses the need to develop the valley as administrative, cultural and tourism center. The strategy to move towards that vision through improvement in the overall situation of the KMC, however, is likely to be a long drawn struggle, yet achievable. The urban planning study strongly recommends that Kathmandu should be accorded special status as a capital city and large polluting and manufacturing industries should be discouraged immediately and if possible...

City Development Strategy and City Assistance Programme : Kathmandu Metropolitan City, Volume 2

World Bank
Fonte: Kathmandu Publicador: Kathmandu
EN_US
Relevância na Pesquisa
36.07%
In conformity with its objective of functioning as a local Government, Kathmandu Metropolitan City (KMC) sought the assistance of the World Bank for the preparation of a City Development Strategy (CDS) for Kathmandu. The various sectoral as well as integrated strategies presented in this document seem to be an overwhelming demand on KMC with its limited manpower and money. However, a CDS is essential if KMC is to focus its development potential. The optimism lies in political leadership, enabling environment and necessary support that will be rendered to KMC from civil society. The vision for Kathmandu stresses the need to develop the valley as administrative, cultural and tourism center. The strategy to move towards that vision through improvement in the overall situation of the KMC, however, is likely to be a long drawn struggle, yet achievable. The urban planning study strongly recommends that Kathmandu should be accorded special status as a capital city and large polluting and manufacturing industries should be discouraged immediately and if possible...

Understanding the global special operations network's value to counterterrorism: a balanced scorecard approach

Ameche, Michael; Carrizales, Shaun
Fonte: Monterey, California: Naval Postgraduate School Publicador: Monterey, California: Naval Postgraduate School
Tipo: Tese de Doutorado
Relevância na Pesquisa
36.17%
Approved for public release; distribution is unlimited.; The United States Special Operations Command (USSOCOM) has placed great importance on working by, with and through partners during the Global War on Terrorism. Grand strategies such as Line of Operation #2: Expand the Global SOF Network and the millions of dollars allocated to security force assistance are evidence of this emphasis. We develop and present a model to measure the value of the Global Special Forces Operation Network to counterterrorism operations. This model translates the strategy into clear objectives at the operational and tactical level. The model is based on a performance measurement tool for strategy implementation widely accepted in the private sector called the Balanced Scorecard. We introduce the natural unit of policy options created as a measure. This non-financial measure is a modification the traditional balanced scorecard and supports use by USSOCOM elements in the Global War on Terrorism. We argue that implementation of the model presented in this paper could enhance operational assessment and resource allocation decision-making by enabling assessment of the health of U.S. policy options in a region and identifying USSOCOM activities that can positively influence the quality and the quantity of those options.; Lieutenant...

Shoot, move, communicate, purchase : how United States Special Forces can better employ money as a weapon system

Yamaki-Taylor, Ryan D.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Formato: xvi, 53 p. ; 28 cm.
Relevância na Pesquisa
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This thesis analyzes how well United States Special Forces (USSF) are employing Money as a Weapon System (MAAWS) in accordance with the current Commander International Security Assistance Force (COMISAF) guidance on counterinsurgency (COIN) contracting in Afghanistan. By analyzing the current ways USSF are employing MAAWS, specifically in Southern Afghanistan, this thesis identifies friction areas (past, present, future) between guidance and employment at the Special Operation Task Force (SOTF) level and below. Based on this analysis, this thesis provides recommendations to help reduce these friction areas and enable Special Forces tactical units to better employ Money as a Weapon System. The main recommendations focus on incorporating the Yoder Three-Tier Model, modified to meet the needs of USSF and enhancing training on contingency contracting to educate SF Commanders and Soldiers designated to fill the role of contracting officer's representative (COR). These recommendations will enable Special Forces to better employ MAAWS in the future and greatly increase the effectiveness and efficiency of their contracting procedures.; US Army (USA) author

Accessing the airways: special assistance measures for people with disabilities and their carers

Kailasam, Punitha
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Relatório
Relevância na Pesquisa
56.26%
This research report explores the levels of assistance available for people with disabilities at Australian airports. This is achieved by analyzing the legislative acts and disability assistance systems at major international airports around the world and a simultaneous examination the current codification and practices at Australian airports. One of the reasons that prompted this study is the recent media attention that has been given to the negative experiences of people with disabilities at Australian airports. For example, in November 2009, Kurt Feamley, who crawled the Kokoda Track in New Guinea ended up doing the same through a Brisbane airport terminal and to a restroom after Jetstar staff refused to allow him to use his own wheelchair 1 • In Australia, airlines have contractual and statutory obligations to provide services to people with disabilities. However, there is no mandatory regulation or code of practice for the aviation industry to provide services to people with disabilities in Australia. Further, it should be noted that the aviation industry has to comply with provisions from bodies such as Civil Aviation Safety Authority (CASA), Australian Building Codes Board (ABCB) in Australian and International Aviation Transport Authority (lATA) and International Civil Aviation Organisation (ICAO) internationally. These laws are intended to cater to the needs of people with disabilities and their carers in accessing air travel. However...

World Bank Group Assistance to Low-Income Fragile and Conflict-Affected States : An Independent Evaluation

Independent Evaluation Group
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Publication; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
36.11%
Fragile and conflict-affected states (FCS) have become an important focus of World Bank Group assistance in recent years as recognition of the linkages between fragility, conflict, violence, and poverty has grown. Addressing issues of recurring conflict and political violence and helping build legitimate and accountable state institutions are central to the Bank Group's poverty reduction mission. This evaluation assesses the relevance and effectiveness of World Bank Group country strategies and assistance programs to FCS. The operationalization of the World Development Report 2011: Conflict, Security, and Development (2011 WDR) is also assessed, to see how the framework has been reflected in subsequent analytical work, country assistance strategies, and the assistance programs. The evaluation framework was derived from the concepts and priorities articulated in recent WDRs, policy papers, and progress reports issued by Bank Group management, to draw lessons from FCS. The framework is organized around the three major themes emerging from the 2011 WDR: building state capacity, building capacity of citizens, and promoting inclusive growth and jobs. The evaluation focuses on International Development Association (IDA)-only countries, which are deemed to have certain characteristics such as very low average income and no access to private finance...

The Role of Special Differential Treatment for Developing Countries in GATT and the World Trade Organization

Michalopoulos, Constantine
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
36.3%
The author analyzes how changes in thinking about the role trade plays in economic development have been reflected in provisions affecting developing countries in the GATT and the WTO. He focuses on the provisions calling for the special and differential treatment of developing countries. The WTO's special, and differential treatment has been extended to include measures of technical assistance, and extended transition periods to enable countries to meet their commitments in new areas agreed on in the Uruguay round of negotiations. At the same time, many WTO provisions encourage industrial countries to give developing countries preferential treatment, through a variety of measures, none of them legally enforceable. The author concludes that weaknesses in the institutional capacity of many developing countries, provide a conceptual basis for continuing special, and differential treatment in the WTO, but that the benefits should be targeted only to low-income developing countries, and those that need help becoming integrated with the international trading system. In addition...

Vietnam : Governance and Administration of Social Assistance - A Rapid Assessment and Options for Reform

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Policy Note; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
36.16%
The coverage of social assistance in Vietnam is expected to expand over the coming years in line with Government plans for further strengthening social security. This raises the question of whether the governance and administrative arrangements for social assistance at all levels are sufficiently robust to handle a larger program. This note provides a rapid assessment of the arrangements for delivering Vietnam's main social assistance program, social assistance under Decrees 67 and 13, and proposes options for further strengthening in the short and medium term. It aims to make a timely contribution to the ongoing policy discussions about strengthening social assistance as part of the implementation of the Social Security Strategy 2011-2020. The note reflects findings from visits to Ha Giang Province and Ho Chi Minh City in July 2010. It finds that the current delivery mechanisms for social assistance are basic, with limited human resources, no caseload management and no integrated database that would allow tracking of beneficiary numbers. While such basic governance and administrative arrangements may be appropriate for a small program such as social assistance under Decree 67 in the past...

Tajikistan - Delivering Social Assistance to the Poorest Households

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Economic & Sector Work :: Other Poverty Study
ENGLISH
Relevância na Pesquisa
36.27%
During the food, fuel, and financial crises of 2008 and 2009, the Government and donors found themselves without an effective mechanism for channeling assistance to the poor. In 2009, the Government of Tajikistan asked the World Bank to support improvement of its system of social assistance. The World Bank prepared this report to inform its technical and financial support for improvement of social assistance and also to define an initial mechanism for delivering benefits to the poorest households. At present, Tajikistan's system of social assistance exerts almost no downward influence on poverty rates. This note sets forth the case for reform and then presents some specific technical proposals for reforms. To trace the path to reform, this report starts with an assessment of the present system. The other main social assistance program is compensation to needy families whose children attend school. This program pays benefits to selected households if their children enroll in and attend school. The size of the benefit is negligible and is judged too low to influence school attendance. An important step in the reform will be to consolidate the two main social assistance programs...

Laboratory evaluation and assistance efforts: mailed, on-site and blind proficiency testing surveys conducted by the Centers for Disease Control.

Boone, D J; Hansen, H J; Hearn, T L; Lewis, D S; Dudley, D
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/1982 EN
Relevância na Pesquisa
36.15%
During the last three years, the Centers for Disease Control (CDC) has conducted: 1) on-site surveys in which trained personnel visited laboratories that had experienced performance problems in the quarterly mailed proficiency testing (PT) program, reviewing the laboratories' analytical procedures by using carefully referenced samples to determine sources of errors and providing assistance in correcting them; 2) special assistance surveys in which carefully referenced samples were mailed to laboratories that had performed unsatisfactorily in routine mailed PT surveys and then telephone consultations were conducted to correct the problems; and 3) blind surveys in which carefully referenced samples were sent through normal patient sample acquisition routes to assess the actual day-to-day performance capability of the laboratories. Results suggest that on-site surveys by trained laboratory surveyors and special mailed assistance surveys can be very effective in identifying the source of analytical errors in laboratories previously found, through mailed PT surveys, to have performance problems. Blind-survey results indicate that good performance in mailed PT does not necessarily imply good laboratory performance with routine patient specimens. Although difficult to conduct...

Development-assistance Strategies for Stroke in Low- and Middle-income Countries

Lee, Hyon; Nam, You-Seon; Lee, Kyoung-Min
Fonte: The Korean Academy of Medical Sciences Publicador: The Korean Academy of Medical Sciences
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.03%
While communicable diseases still pose a serious health threat in developing countries, previously neglected health issues caused by non-communicable diseases such as stroke are rapidly becoming a major burden to these countries. In this review we will discuss the features and current status of stroke in low- and middle-income countries (LMICs). Overall the global burden of hemorrhagic stroke is larger than ischemic stroke, with a disproportionately greater burden, measured in incidence and disability-adjusted life-years, regionally localized in LMICs. Patients in poorer countries suffer due to insufficient primary care needed to control risk factors such as hypertension, and inadequate emergency care systems through which sudden events should be managed. In light of these situations, we emphasize two strategic points for development assistance. First, assistance should be provided for bolstering, integrating, and coordinating both the primary health and emergency care systems, in order to prevent stroke and strengthen stroke management, respectively. Second, the assistance needs to focus on programs at the community level, to reduce life-style risks of stroke in a more sustainable manner, and to improve stroke outcomes more effectively.

Politics of social assistance and citizenship in Brazil today: some elements for discussion; Política de assistência social e cidadania no Brasil hoje: alguns elementos para discussão

Oliveira, Cláudia Hochheim; UFRGS - Porto Alegre - RS; Pinto, Maira Meira; UNISC - Santa Cruz do Sul - RS
Fonte: Editora da Universidade Federal de Santa Catarina (Edufsc) Publicador: Editora da Universidade Federal de Santa Catarina (Edufsc)
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/01/2005 POR
Relevância na Pesquisa
36.03%
  The subject of this article has special importance considering the situation of poverty and need in which significant portions of the Brazilian population now live. It is evident that the country needs to enact social policies to combat poverty, or it risks becoming a population weakened by any international reality. The current hegemony of neoliberal thinking has aggravated this situation and reinforced the progressive withdrawal of the state from the enactment of social policies, seeking Brazil's conformation to these ideas. This paper conducts a basic overview of the current social situation, specifically concerning social assistance policies which are based on social security, health care and retirement support. The municipalization of assistance is analyzed in the light of some of the central questions in this process.; O tema deste artigo reveste-se de especial importância se for considerada a atual situação de pobreza e indigência em que se encontram parcelas expressivas da população brasileira. É evidente que o país necessita de efetivas políticas sociais sérias de combate à pobreza, sob o risco de deixar a população completamente fragilizada ante qualquer realidade internacional. A atual hegemonia do pensamento neoliberal contribui para agudizar este quadro e ainda reforça a progressiva retirada do Estado no que tange à efetivação de políticas sociais. É intenção deste artigo introduzir brevemente o processo histórico de constituição das políticas sociais...