Mortalidade infantil pós-neonatal evitável: o que revelam os óbitos em domicílio

Caldeira, Antônio Prates; França, Elizabeth; Goulart, Eugênio Marcos Andrade

doi:10.1590/s1519-38292002000300007

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…In light of this information, the CMR levels in national and State contexts are still not acceptable. This scenario indicates the need for formulation of concrete and wellplanned public policies, capable of setting in motion multiple actions that perform in-depth and critical analysis of the child mortality rates, casting light not only on cause of death but also on general life standards (DE CASTRO MOREIRA, 2010;CALDEIRA et al, 2002).…”

Section: The Child Mortality Issuementioning

confidence: 99%

Women and children first: street-level policy entrepreneurship at the Viva Vida Centers of the south east macro-region -MG

Melo¹

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The literature on policy entrepreneurs has mainly focused on high-level decision-makers, ignoring low and middle-level bureaucrats. However, in light of their close position to citizens and the nature of activity, some recent works have been linking street-level bureaucrats (SLBs) with policy entrepreneurship. They highlight the use of entrepreneurial strategies by SLBs to influence policy via implementation practices and/or policy design. Immersed in a broad network that provides health services to children and women in all three levels of health assistance, Viva Vida Centers' (CVV) SLBs are in a very similar context to those normally approached in literature. Thus, this works main objective was to investigate the engagement of SLBs within CVVs Viçosa and Manhuaçu in entrepreneurial strategies to shape policy through implementation practices and/or directly influence policy design. Data collection was carried out through semi-structured interviews with bureaucrats Cvvs Viçosa and Manhuaçu. The results report the case of CVV Manhuaçu's former manager (I3). The case is chronologically divided into two distinct moments, considering the policy process literature. In the first moment, the manager of CVV Manhuaçu from 2010 to 2017, prompted by a lack of guidance for implementation and a high level of discretion, framed problems, planned processes, diffused her vision and actively led her team, successfully outlining the Center’s prototype, securing smooth implementation through consolidating strategies. Years later, when when a top-down change in policy struck, leaving hundreds unassisted, she ultimately acted to reinsert the issue of sexual violence and abuse victims into the official government agenda, aiming to promote policy change at the isntituciinal level. It is argued that the use of entrepreneurial strategies can increase the chances of success for street-level bureaucrats in influencing policy outcomes, thus it is important to promote proactivity among the street-level bureaucracy, and place at their reach, political and governance instruments for political participation, once just favorable personal traits might not enough sometimes. Keywords: Entrepreneurship. Policy Entrepreneruship. Street-level bureaucracy. Street-level policy entrepreneurship. Policy process. Policy change.

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Section: The Child Mortality Issuementioning

confidence: 99%

Women and children first: street-level policy entrepreneurship at the Viva Vida Centers of the south east macro-region -MG

Melo¹

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Reflexos das políticas de saúde sobre as tendências da mortalidade infantil no Brasil: revisão da literatura sobre a última década

Duarte

2007

Cad. Saúde Pública

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The infant mortality rate (IMR) is considered a good indicator of living conditions. It is simple to calculate and reflects the health conditions of the most vulnerable segment of the population: children less than one year of age. Official Brazilian data indicating a decrease of 31% in the IMR seem surprising, considering the deterioration in the country's economy, income, and employment. Still, the last decade witnessed important political decisions, especially the implementation of the Family Health Strategy and incentives under the so-called Basic Operational Norm (NOB)-96. The current study assesses how the Brazilian literature analyzed the infant mortality trends and possible associations with changes in the organization and financing of the Unified National Health System (SUS). A systematic review of the literature from 1998 to 2006 highlighted both the need to monitor the IMR and the importance of local studies, especially in cities with deficient data.

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Mortalidade infantil pós-neonatal evitável: o que revelam os óbitos em domicílio

Cited by 2 publications

References 10 publications

Women and children first: street-level policy entrepreneurship at the Viva Vida Centers of the south east macro-region -MG

Women and children first: street-level policy entrepreneurship at the Viva Vida Centers of the south east macro-region -MG

Reflexos das políticas de saúde sobre as tendências da mortalidade infantil no Brasil: revisão da literatura sobre a última década

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