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Hernández-Gamboa AE, Barceló-Prats J, Villamizar Osorio ML, Martorell-Poveda MA. Self-management of Risk for the Prevention of Traffic Accidents from a Health Perspective: A Qualitative Study. HISPANIC HEALTH CARE INTERNATIONAL 2024:15404153241235666. [PMID: 38454624 DOI: 10.1177/15404153241235666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
Introduction: In the world, deaths and injuries caused by traffic collisions have been considered a public health problem. In Colombia, 7.238 fatalities were recorded in 2021, with motorcycle riders representing the largest group of victims at 59.7%. Methods: The aim of this qualitative phenomenological study is to describe the risky experiences and deliberate actions of diverse road users that influence the self-management of the risk of traffic collisions. Results: Data were obtained from 22 participants: motorists, pedestrians and drivers. The content analysis describes various human conditions that affect self-management of the risk of traffic accidents, such as unsafe behaviors, non-compliance with traffic regulations by the different road actors, competitive culture among drivers, eagerness, among others. Additionally, factors related to care were determined: healthy recreational activities, promoting the value of one's own life and that of others, adequate time management and preventive behaviors by some road users. Conclusion: This research provides information on social and cultural aspects, experiences and risky behaviors of different road actors that influence the incidence of traffic accidents in Colombia.
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Affiliation(s)
- Adriana Elena Hernández-Gamboa
- Departament d'infermeria, Universitat Rovira i Virgili, Tarragona, Spain
- Nursing Program, Universidad Cooperativa de Colombia, Bucaramanga, Colombia
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Essis EML, Yaméogo WME, Sossa OG, Doukouré D, Compaoré R, Kpebo DOD, Agbré-Yacé ML, Aka J, Tiembré I, Sondo B, Kouanda S. Development of Monitoring and Evaluation Systems in Four National Programs Addressing Mother and Child Health in Cote d'Ivoire: Qualitative Analysis of the Emergence and Formulation Process. Risk Manag Healthc Policy 2023; 16:699-709. [PMID: 37073282 PMCID: PMC10106087 DOI: 10.2147/rmhp.s377617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 03/24/2023] [Indexed: 04/20/2023] Open
Abstract
Background Monitoring and evaluation were introduced into the management of national health programs to ensure that results were attained, and that donors' funds were used transparently. This study aims to describe the process of the emergence and formulation of monitoring and evaluation (M&E) systems in national programs addressing maternal and child health in Cote d'Ivoire. Methods We conducted a multilevel case study combining a qualitative investigation and a literature review. This study took place in the city of Abidjan, where in-depth interviews were conducted with twenty-four (24) former officials who served at the central level of the health system and with six (06) employees from the technical and financial partners' agencies. A total of 31 interviews were conducted from January 10 to April 20, 2020. Data analysis was conducted according to the Kingdon conceptual framework modified by Lemieux and adapted by Ridde. Results The introduction of M&E in national health programs was due to the will of the technical and financial partners and the political and technical decision-makers at the central level of the national health system, who were concerned with accountability and convincing results in these programs. However, its formulation through a top-down approach was sketchy and lacked content to guide its implementation and future evaluation in the absence of national expertise in M&E. Conclusion The emergence of M&E systems in national health programs was originally endogenous and exogenous but strongly recommended by donors. Its formulation in the context of limited national expertise was marked by the absence of standards and guidelines that could codify the development of robust M&E systems.
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Affiliation(s)
- Esme Marie Laure Essis
- National Institute of Public Health, Abidjan, Cote d’Ivoire
- Reproductive Health Research Unit of Cote d’Ivoire, Abidjan, Cote d'Ivoire
- Doctoral School in Science, Health, and Technology, Saint Thomas Aquinas University, Ouagadougou, Burkina Faso
- Correspondence: Esme Marie Laure Essis, National Institute of Public Health, Abidjan, BP V 47, Cote d’Ivoire, Tel +225 07 07 88 72 13, Fax +225 20 22 44 02, Email
| | | | - Olivier Gbènamblo Sossa
- Department of Economics and Management, Thomas Sankara University, Ouagadougou, Burkina Faso
| | - Daouda Doukouré
- National Institute of Public Health, Abidjan, Cote d’Ivoire
- Reproductive Health Research Unit of Cote d’Ivoire, Abidjan, Cote d'Ivoire
| | - Rachidatou Compaoré
- African Institute of Public Health, Saint Thomas Aquinas University, Saaba, Burkina Faso
- Research Institute of Health Sciences, Ouagadougou, Burkina Faso
| | - Djoukou Olga Denise Kpebo
- National Institute of Public Health, Abidjan, Cote d’Ivoire
- Reproductive Health Research Unit of Cote d’Ivoire, Abidjan, Cote d'Ivoire
- Department of Public Health, Felix Houphouët Boigny University, Abidjan, Cote d’Ivoire
| | - Marie Laurette Agbré-Yacé
- National Institute of Public Health, Abidjan, Cote d’Ivoire
- Reproductive Health Research Unit of Cote d’Ivoire, Abidjan, Cote d'Ivoire
| | - Joseph Aka
- National Institute of Public Health, Abidjan, Cote d’Ivoire
- Department of Public Health, Felix Houphouët Boigny University, Abidjan, Cote d’Ivoire
| | - Issiaka Tiembré
- Department of Public Health, Felix Houphouët Boigny University, Abidjan, Cote d’Ivoire
- National Institute of Public Hygiene, Abidjan, Cote d’Ivoire
| | - Blaise Sondo
- African Institute of Public Health, Saint Thomas Aquinas University, Saaba, Burkina Faso
| | - Seni Kouanda
- African Institute of Public Health, Saint Thomas Aquinas University, Saaba, Burkina Faso
- Research Institute of Health Sciences, Ouagadougou, Burkina Faso
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Hyder AA, Hoe C, Hijar M, Peden M. The political and social contexts of global road safety: challenges for the next decade. Lancet 2022; 400:127-136. [PMID: 35779552 DOI: 10.1016/s0140-6736(22)00917-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 01/20/2022] [Accepted: 05/06/2022] [Indexed: 01/20/2023]
Abstract
The goal of this Series paper is to show how road safety has evolved as a global public health issue over the past two decades and to discuss the political and economic dynamics that led to this change. Specifically, the key stakeholders, influences, networks, issue framing, actor power, and synergistic interactions that have contributed to how road safety has evolved as a global public health issue will be discussed. In doing so, we capture the important chronology of events and discuss a set of challenges that highlight the complexity of road safety. We posit that the global road safety community needs to re-evaluate its role and strategy for the next decade and focus more on implementation and country action to achieve reductions in road traffic injuries. We call for an open and inclusive process to ensure that such a reflection occurs before the end of the current decade.
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Affiliation(s)
- Adnan A Hyder
- Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
| | - Connie Hoe
- Department of International Health, Johns Hopkins University, Baltimore, MA, USA
| | - Martha Hijar
- National Institute of Public health of Mexico, Cuernavaca, Mexico
| | - Margaret Peden
- George Institute for Global Health, Imperial College London, London, UK; School of Population Health, University of New South Wales, Sydney, NSW, Australia
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Selamoğlu M, Fawkes S, Önal AE, Gleeson D. Two steps forward, one step back: the lead up to tobacco plain packaging policy in Turkey. Health Promot Int 2022; 37:daab033. [PMID: 33729472 DOI: 10.1093/heapro/daab033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The Turkish government first announced its intention to proceed with tobacco plain packaging legislation in 2011; however, it was 7 years before the legislation passed in December 2018. This study (conducted in 2018 before the legislation was passed) explored the policy context in Turkey between the first announcement that plain packaging legislation would be introduced and the passage of the legislation in 2018, and identified barriers and facilitators influencing its introduction. Publicly available documents relevant to plain packaging in Turkey were analysed. Interviews were conducted in 2018 with ten key informants including academics, bureaucrats in government ministries and leaders of non-government organizations (NGOs). Thematic analysis was undertaken, using a framework for systematically analysing how issues reach the policy agenda. The introduction of plain packaging legislation proved to be problematic, with many false starts and delays. Findings suggest these were mainly due to political barriers including changes in government, tobacco industry opposition and the national economic crisis. However, plain packaging legislation in Turkey managed to advance on the policy agenda, primarily through the collaborative advocacy efforts of NGOs, academics, and leadership from particular tobacco control advocates and politicians. Turkey's experience provides lessons for the wider uptake of tobacco plain packaging legislation, illustrating the critical importance of building effective coalitions between a range of stakeholders and political support within government while raising public awareness. Lay summary This research provides insights into the barriers and facilitators of decision making and action that shaped the process of introducing tobacco plain packaging legislation in Turkey. Major barriers that slowed Turkey's progress in enacting plain packaging included the financial and national economic crisis in 2018, changes in health ministers and opposition by the tobacco industry. A major facilitator of the policy process was the collaborative advocacy efforts of non-government organizations, academics, politicians and the leadership of certain tobacco control advocates. The insights from this case study may help other low- and middle-income countries to anticipate and successfully navigate the challenges involved in introducing tobacco plain packaging, an important policy measure for reducing the burden of tobacco-related disease in their populations, and its social and economic impacts. Building effective coalitions and fostering and supporting leadership are important strategies for the successful introduction of plain packaging legislation.
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Affiliation(s)
- Melis Selamoğlu
- Department of General Practice, School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC 3168, Australia
| | - Sally Fawkes
- Department of Public Health, School of Psychology and Public Health, La Trobe University VIC 3068, Australia
| | - Ayşe Emel Önal
- Department of Public Health, Faculty of Medicine, Istanbul University, Beyazıt, Istanbul, 34126, Turkey
| | - Deborah Gleeson
- Department of Public Health, School of Psychology and Public Health, La Trobe University VIC 3068, Australia
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