Setting health priorities in a Swiss canton: what do different methods tell us?

Schopper, Doris; Torres, Alberto; Pereira, Joaquín; Ammon, Catherine; Cuende, Natividad; Alonso, Mónica; Baylin, Ana; Ronchi, Anne; Rougemont, André

doi:10.1136/jech.54.5.388

Cited by 16 publications

(12 citation statements)

References 17 publications

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“…For example, the number of health staff by qualification was obtained from available MoH records, through key informant interviews done by our field teams and by visiting the remaining health facilities. This approach holds promise for minimising potential sources of errors, which in turn enhances the validity of the findings (MacNeil & Hogle, 1998;Schopper et al , 2000).…”

Section: Discussionmentioning

confidence: 99%

Effect of an armed conflict on human resources and health systems in Côte d'Ivoire: Prevention of and care for people with HIV/AIDS

et al. 2006

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In September 2002, an armed conflict erupted in Cô te d'Ivoire which has since divided the country in the government-held south and the remaining territory controlled by the 'Forces Armées des Forces Nouvelles' (FAFN). There is concern that conflict-related population movements, breakdown of health systems and food insecurity could significantly increase the incidence of HIV infections and other sexually-transmitted infections, and hence jeopardize the country's ability to cope with the HIV/AIDS epidemic. Our objective was to assess and quantify the effect this conflict had on human resources and health systems that provide the backbone for prevention, treatment and care associated with HIV/AIDS. We obtained data through a questionnaire survey targeted at key informants in 24 urban settings in central, north and west Cô te d'Ivoire and reviewed relevant Ministry of Health (MoH) records. We found significant reductions of health staff in the public and private sector along with a collapse of the health system and other public infrastructures, interruption of condom distribution and lack of antiretrovirals. On the other hand, there was a significant increase of non-governmental organizations (NGOs), some of which claim a partial involvement in the combat with HIV/AIDS. The analysis shows the need that these NGOs, in concert with regional and international organizations and United Nations agencies, carry forward HIV/AIDS prevention and care efforts, which ought to be continued through the post-conflict stage and then expanded to comprehensive preventive care, particularly antiretroviral treatment.

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Section: Discussionmentioning

confidence: 99%

Effect of an armed conflict on human resources and health systems in Côte d'Ivoire: Prevention of and care for people with HIV/AIDS

et al. 2006

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“…Hasta la fecha más de 30 países han realizado estudios nacionales en gran medida estandarizados sobre la carga de enfermedades. [6][7][8][9][10][11] La OMS realizó estudios globales de carga de enfermedades en ocho regiones del mundo con referencia al año 1990, 12 (GBD90) y al año 2000, 13 (GBD2000). Resultados anuales del cálculo de este indicador por regiones se publican sistemáticamente en el World Health Report.…”

Section: Introductionunclassified

Carga del cáncer ginecológico en Cuba

Alonso¹,

Jo²,

Álvarez³

et al. 2009

Rev. cub. salud pública

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Objectives To describe the comprehensive burden associated to gynecological cancer locations such as breast, uterine neck, endometrium and ovary for Cuba, its provinces and special municipality Isla de la Juventud during 1990,1995,2000 and 2002. Methods The disability-adjusted life year indicator, taken as the sum of potential years of life lost from mortality and the potential years of life lost from morbidity. The former was calculated on the basis of life expectancy estimates and the latter on the basis of severity, incidence and average duration of disease. Results The breast cancer consistently exhibited the highest burden caused by mortality and morbidity in the four studied years for the whole country. The potential years of life lost (PYLL) from premature death by location were on the rise in the four years for the four gynecological locations. Uterine cancer was responsible for deaths at younger ages. Except for endometrium, the rest of locations increased morbidity burden from 1990 to 2002. The comprehensive burden increased from 3.58 to 4.54; 1.62 to 2.42; 1.72 to 2.03 and 0.86 to 0.88 per 1 000 for breast, uterine neck, endometrium and ovary respectively. There were some differences among the provinces; it is worth to underline the highest comprehensive burden found in Ciudad de la Habana due to breast cancer (6.72 per 1000) and in Camagüey province and the rest of Eastern provinces due to uterine neck cancer. Conclusions Mortality and morbidity were both involved in the unfavorable development of the gynecological cancer burden in the studied years in Cuba.

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“…Because funds are limited, public health programs need to be prioritized [10,11]. Hence, we used the priority health index (PHI), a prioritization methodology applied in the State of Missouri in the United States since 2000 [12,13] and Italy [14] to prioritize public health programs for NCD in the combined 26 state capital cities and the city of Brasilia.…”

Section: Introductionmentioning

confidence: 99%

A priority health index identifies the top six priority risk and related factors for non-communicable diseases in Brazilian cities

et al. 2015

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Background: In Brazil, 72% of all deaths in 2007 were attributable to non-communicable diseases (NCD). We used a risk and related factor based index to prioritize NCD prevention programs in the combined 26 capital cities and the federal district (i.e., Brasilia) of Brazil. Methods: We used 2006-2011 data (adults) from census and Brazil's surveillance of 12 NCD risk factors and 74 disease group mortality. The risk and related factors were: smoking, physical inactivity, overweight-obesity, low fruits and vegetables intake, binge drinking, insufficient Pap smear screening (women aged 25 to 59 years), insufficient mammography screening (women aged 50 to 69 years), insufficient blood pressure screening, insufficient blood glucose screening, diagnosis of hypercholesterolemia, diagnosis of hypertension and diagnosis of diabetes. We generated six indicators: intervention reduction of the risk factor prevalence, intervention cost per person, prevalence of risk factor, deaths attributable to risk factor, risk factor prevalence trend and ratio of risk factor prevalence between people with and without a high school education. We transformed risk and related factor indicators into priority scores to compute a priority health index (PHI). We implemented sensitivity analysis of PHI by computing it with slightly altered formulas and altering values of indicators under the assumption of bias in their estimation. We ranked risk factors based on PHI values. Results: We found one intermediate (i.e., overweight-obesity) and six top risk and related factors priorities for NCD prevention in Brazil's large urban areas: diagnosed hypertension, physical inactivity, blood pressure screening, diagnosed hypercholesterolemia, smoking and binge drinking. Conclusion: Brazil has already prioritized the six top priorities (i.e., hypertension, physical inactivity, blood pressure screening, hypercholesterolemia, smoking and binge drinking) and one intermediate priority (i.e., overweight-obesity) for NCD prevention identified in this report. Because effective interventions to reduce disease burden associated with each of the six priority risk factors are available, strategies based on these interventions need to be sustained in order to reduce NCD burden in Brazil. PHI can be used to track NCD prevention and health promotion actions at the local and national level in Brazil and in countries with similar public health surveillance systems.

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Setting health priorities in a Swiss canton: what do different methods tell us?

Cited by 16 publications

References 17 publications

Effect of an armed conflict on human resources and health systems in Côte d'Ivoire: Prevention of and care for people with HIV/AIDS

Effect of an armed conflict on human resources and health systems in Côte d'Ivoire: Prevention of and care for people with HIV/AIDS

Carga del cáncer ginecológico en Cuba

A priority health index identifies the top six priority risk and related factors for non-communicable diseases in Brazilian cities

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