The Social Determinants of Health and the Role of the Health Care System: A Case Study of the Significance of Good Governance in Public Hospitals in South Africa

Increasingly international and national policies are being directed at actions for the social determinants of health and for an integrated approach to health care provision, not only in terms of institutional cooperation but also stakeholder involvement. A key component of both these policies is the development of good governance principles in all health care agencies and organizations. A neglected dimension in these debates has been the role of the public hospital which remains a vital and expensive dimension of service provision. In a case study of a public hospital in South Africa, this paper charts the readiness of its management principles and activities to provide quality health care linked to population health and to contribute to the non-medical determinant of health. Using Taylor’s principles of good governance, we conclude that there is a mixture of good and not so good governance activity. The paper concludes by examining the external constraints on the public hospital and by providing suggestions for future activities.

Health awareness and lifestyle toward healthcare-seeking behavior among students in Universitas Advent Indonesia

Objective:Healthcare-seeking behavior(HSB)would affect the prevalence of morbidity and mortality.There are various factors that affect one's HSB.This study aimed to determine if health awareness and lifestyle might relate to HSB.Methods:A cross-sectional study was applied by using three questionnaires to determine par ticipants'health awareness,lifestyle,and HSB.This study took place in Universitas Advent Indonesia and the students were recruited to be par ticipants.Results:There were 39 par ticipants joined in this study.Most of the par ticipants were females,third-year students,and from Accounting major.Almost all participants were aware of their low risk of health issues,had a fine lifestyle,and had moderate HSB.Conclusions:One's urge to seek health care facilities was not related to their health awareness and lifestyle.There was no fur ther study to contradict with this finding at this moment.

Reassessing the Empirical Relationship between Health Expenditure,Governance and Economic Growth in Africa:Analysis of Nigerian

As an aspect of human capital,a positive association exists amongst health,productivity,and growth in output per capita.On the other hand,social infrastructure defined by the institution of governance has a direct effect on the environment upon which productive activities take place to determine outcomes.Nigeria like most African countries is bedevilled by the high prevalence of inadequate health financing and poor governance.Health financing for Nigeria consistently has fallen short of the AU health funding commitment of 15%of annual budgetary allocation to the health sector.Secondly,poor governance conditions available resources and shape the state of infrastructure,particularly health infrastructure and socioeconomic conditions.In turn,this determines individuals’level of exposure to health risks and their capacity to actively contribute to productive activity for growth stimulation and sustainability.Against this backdrop,this study added to the existing literature in the context of Nigeria,by theoretically applying the Solow augmented Mankiw-Romer-Weil structural model in the examination of the impact of government size and governance quality in the health sector,on economic growth.Autoregressive Distributed Lag(ARDL)model was adopted in the estimation.Findings show that governance quality adversely affects growth and this reduces the capacity of health spending to stimulate growth by an almost equal margin.As a result,this study recommends legislative backing to the AU health funding commitment in Nigeria.

The Role of Library and Information Science Education in the Development of Community Health Information Services for People Living with HIV/AIDS: Perspectives of Directors and Managers of Public Libraries

This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions.

Zibo MATO village public health service development present situation and problem analysis

Rural public health services in the relationship of farmers＇ quality of life and health, and the farmers＇ interests is closely related to the public, is very important to build a new socialist countryside. In national attention and support of the rural public health services in the development of big situation, based on the zibo MATO village as an example, the public health service development present situation has carried on the brief analysis, and describes the Jane MATO village problems of public health service.

Pluralistic Choice of Government Public Service Pattern： Trend and Strategy

20世纪80年代以来，在治理理论不断兴起的背景下．政府公共服务方式的多元化发展成为一种趋势，这也是源于公共服务主体的多中心、公共服务需求的复杂化、现代科学技术与工具手段的发展等多重动因。创新公共服务方式，关键在于公共服务多元方式与技术工具的集成运用。为此，应通过选择实施流程再造、构建电子政府、引入竞争机制和志愿机制等策略，实现公共服务的一站式、电子化、市场化和社会化的全方位供给。

China's Anti-epidemic Diplomacy Boosts Global Public Health Governance

In 2020 with a pandemic sweeping the world,global political and economic orders seriously disrupted and tens of millions of human lives threatened,the spread of the novel coronavirus is the world's number one challenge.China has efficiently organized domestic epidemic control and vigorously promoted international cooperation in the battle against the pandemic by advancing head-of-state diplomacy.In this ongoing crisis,China has actively led the way for global public health governance,promoted the building of a community with common health for mankind,and demonstrated the actions of a responsible major country.

The power of the public purse: financing of global health partnerships and acienda setting for sustainability

Public-private partnerships(PPPs) have reshaped the institutional structure of global governance.They have advanced collaboration on core issues such as health, clean energy, the rights of women and children, and access to infrastructure, among others. But which actors create and finance public-private partnerships in global governance to advance such objectives? What are the implications of the agency behind such collaboration for influencing the global agenda on sustainable development? While some scholars and advocacy groups see the growing role of private actors as a powershift away from public institutions, others argue that such arrangements tend to be complementary to public mandates and indeed may provide a new means for international institutions to pursue such mandates. The article probes this debate by analyzing the type of actors that finance global health partnerships, an area in which the influence of hybrid initiatives is particularly prominent. It reveals that public financing remains a core and necessary condition for the emergence and functioning of PPPs. The growing share of private financing,nonetheless, has important implications for shaping partnerships agendas and steering global health and sustainability governance. Rather than a powershift or abdication of responsibilities by the state, there is rather a tendency of deliberate diffusion of power by donors toward hybrid structures.

Environmental Information Governance Reform in the Era of Big Data--From Information Disclosure to Public Service

The development of environmental information governance includes three phases: providing for oneself,information disclosure,and public service. And then China is in the transition and transformation of environmental information disclosure to the environmental information public service. The core of the transformation is public participation,in the whole procedure of environmental information supply decision making,production,and quality supervision and evaluation,etc. The target path of the environmental information governance reform includes five parts: improvement of public satisfaction,optimizing information disclosure,information quality control,integration of information resources,and multiple supply.

Health Status and Access to Health Services in Indian Slums

This paper analyzes the state of health and access to health services among the urban poor in India. Analysis is based on data from a primary survey conducted among 2000 households, covering 10,929 individuals from four cities of India. Summary statistics and regressions (using STATA) are used for data analysis. Results show lack of government facilities and services, a very high preference for private health facilities, high expenses especially in private but also in public facilities, and a perception that private facilities are offering high quality services as important concerns. An econometric analysis of the determinants of acute illness indicates the insufficiency of basic amenities like sanitation, garbage disposal and potable water. Together with the lack of availability of government health facilities in the vicinity, these results indicate continued vulnerability of the urban poor, and the need for urgent government action.

Antibiotics prescribed to febrile under-five children outpatients in urban public health services in Burkina Faso

Appropriate use of antibiotics remains critical for success in achieving MDG4. The aim of this study was to investigate antibiotics prescribing practices to febrile under-five children outpatients in urban public health services in a low income country. Methods: From March to April 2013, a cross-sectional epidemiological study of care facilities visit by under-five age, for febrile illness, was carried out in urban health services in Bobo-Dioulasso, Burkina Faso. Patient demographics, diagnoses and medications were recorded. We calculated for each diagnoses several indicators for antibiotics use. Results: Our study showed an over-prescription of antibiotics at the university teaching hospital (78.08%) and at the first level facilities (57.71%) for under-five outpatients for febrile illness. There was evidence of high antibiotic prescription in children with diarrhea (more than 9 on 10 at university teaching hospital of diarrhea cases and 60% at the first level facilities), in children with Upper respiratory tract infections (respectively 60% and 85.2% of cases at university teaching hospital and at the first level facilities) and in children with malaria (respectively 47.5% and 17.6% of cases at university teaching hospital and at the first level facilities). Overuse, misuse and inappropriately prescribed antibiotic coexisted in our results: at university teaching hospital 90.9% of diarrhea cases, 60% of URTI cases,?47.5% of malaria cases received antibiotic prescription;at first level heath care facilities 85.2% of URTI, 17.6% of malaria cases received an prescribed antibiotic and 11.8% of LRTI did not received a prescribed antibiotic. Developing countries have poor access to newer antibiotics and irrational antibiotics use remains a global problem. Overuse and misuse of antibiotics combat, rigorous infectious diseases diagnosis, antimicrobial resistance consequences education of users and health professional’s prescribers, and improved surveillance of antimicrobial resistance, must be strengthened.

Business Process Analysis and Simulation: The Contact Center of a Public Health and Social Information Office

This article proposes a framework, called BP-M* which includes: 1) a methodology to analyze, engineer, restructure and implement business processes, and 2) a process model that extends the process diagram with the specification of resources that execute the process activities, allocation policies, schedules, times of activities, management of queues in input to the activities and workloads so that the same model can be simulated by a discrete event simulator. The BP-M* framework has been applied to a real case study, a public Contact Center which provides different typologies of answers to users’ requests. The simulation allows to study different system operating scenarios (“What-If” analysis) providing useful information for analysts to evaluate restructuring actions.

Public Service Media Journalism and Democracy in the Digital Age

In the digital age, when we witness the rapid proliferation of platforms and services, European societies continue debating the role and the future of public service media （PSM）. In the new digital environment, public service broadcasting/media, which for a number of social and cultural reasons have been at the core of the European media system, faces the capital question--What democracy do public operators strive for and how can they accomplish it？ PSM has to be at the vanguard of the complex process of media transformation in the information society and particularly of the formation of novel journalistic culture which besides the values of ethical and innovative content should also serve the principles of good and efficient governance.

Study on the Guarantee Mechanism for the Construction of Government Public Culture Service System

The design and study on the construction of government public culture service system have been commenced since 2010 in China, aiming at exploring the construction models of government public culture service system in central China, east China, west China, and urban and rural areas, and researching effective measures. As a result, the study of the guarantee mechanism for the construction of government public culture service system can be promoted. In this paper, the main contents of the construction of government public culture service system, the construction significance, and the construction＇s guarantee mechanism are studied and discussed emphatically.

Problems and Countermeasures on the government public service purchase

Government to purchase public service is the Government＇ s administrative reform, important innovations in system, in recent years, the Government has to provide community organizations purchase basic public services, and gradually become innovation in government provision of public services, improving public service quality, increased use of financial efficiency. This document from the Government buying the concept of public service, starting with the Carding the purchase of essential public services in practice there is a major problem, on how to move forward with the ourchase of essential nublic services, raising the effectiveness in the use of financial proposed countermeasures.

Study on The Basic Public Health Service in Shanghai

It is increasingly found that medical investment is not the only effective means to improve the national health level. The basic public health service, which is dominated by disease control and prevention, is paid more and more attention.This paper analyzes the relationship between the migrant population and the population of the city＇s household registration to the basic public health service. Access to basic public health services and satisfaction of the system, analysis of the factors affecting the satisfaction of the basic public health services in Shanghai revealed the problems and causes of development. Finally, putting forward the concrete countermeasures and suggestions for perfecting and improving the basic public health service in Shanghai.

The Limits of the Intervention of Public Power in Individual Health Choices——From the Perspective of the Realization of the Right to Health in the Prevention and Control of Chronic Diseases

Noncommunicable chronic diseases have become the most important public health problem in the world today,so the focus of public health services should be shifted from the traditional area of communicable diseases to the prevention and control of chronic diseases.Since bad living habits are the most direct cause of chronic diseases,the most effective measure to prevent and control chronic diseases is to promote healthy lifestyles for the individual citizen.The theories of equal health opportunity,the right to health from the perspective of human rights,and determinants of a healthy society provide justified reasons for the intervention of public power in individual health choices.In the current legal system,the intervention of public power is limited to flexible measures such as health education,which shows respect for individual autonomy.However,it is inconsistent with the needs of current public health practice.We should expand diversified intervention means to encourage individuals to make healthy choices under the guidance of the management model.The“ladder of intervention”outlines a panoramic view of the intervention measures available.However,for the selection of specific measures,it is necessary to consider the public health objectives and the invasion of individual freedom,introduce the“legal reservation principle”and“proportionality principle”as policy analysis tools,and reasonably choose intervention measures at different levels on the ladder to properly handle the tension between public power and private rights.

The Relationship between Public Service Efficiency of Government and Residential Political Trust in Hong Kong

Hong Kong has a long history with its high efficiency and clean and self-disciplined government.Within the past over 20 years,different social development trend has occurred in Hong Kong.The article observed the relationship between political trust from residence and public service efficiency of government in Hong Kong from 1992 to 2015 and found that the value of public service efficiency has a significant effect on political trust in Hong Kong government,the higher the efficiency of public services,the higher the political trust.The author tried to find the path for the Hong Kong government to improve its public service quality and efficiency after testifying the positive correlation between public service efficiency and residential political trust with empirical analysis.

Current Development Situation and Trend Analysis of Meteorological New Media Based on Public's Demand

In the recent years,with rapid development of mobile internet,new media platform has been developing at full speed,such as twitter,WeC hat and APP. It has wide information dissemination channels,fast release frequency and efficient interactive mode. According to the characteristics of new media,we set forth the current situation of public weather service. Through the questionnaire survey,we have analyzed the actual demand of public from three aspects,including the public reading habits,characteristics of sharing and transmission and defect of information distribution. Finally,we have discussed the future trend of meteorological new media,which will promote public service effectiveness of meteorological new media by considering requirement,applying new technology and reasonably using platform.

Science and Technology Associations and Social Governance of Britain in the Middle and Late 19^(th) Century

Civil science and technology associations have been widely springing up everywhere in Britain, especially the new industrial towns in the eighteenth and nineteenth centuries. Associations held various academic activities, organized and funded scientific research, which played an important role in promoting the progress of science and technology and the development of industrial society. Based on case study on British Association for the Advancement of Science and Manchester Literary and Philosophical Society by academic circles at home and abroad, development situation of British science and technology associations in the middle and late 19^(th) century is summarized, and a series of activities of associations participating in industrial and agricultural development and environmental health reform are systematically sorted out, while the promoting role of science and technology associations in the social development of Britain in the 19^(th) century is explored.