Internet na promoção da saúde: um instrumento para o desenvolvimento de habilidades pessoais e sociais Internet and health promotion: a tool for the development of individual and social skills
Keywordspromoção da saúde
informação em saúde
individual and social skills
Social sciences (General)
Public aspects of medicine
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AbstractO desenvolvimento de habilidades pessoais e sociais, no sentido da aquisição de maior controle e maior poder de decisão (Empowerment), é considerado estratégia de fundamental importância na promoção da saúde. O acesso à informação é uma das bases para tal. Muito vem sendo dito e escrito sobre o imenso potencial da internet, estudos apontam-na como um instrumento especial para obtenção de informação e de capacitação, tanto individual, quanto comunitária. Este texto se apoia na literatura científica nacional e internacional sobre promoção da saúde, informação e saúde na internet e divisão/exclusão digital, com o objetivo de discutir a possibilidade de utilização da rede como recurso em projetos voltados para a promoção da saúde, apontando pontos positivos e possíveis barreiras, com destaque para a questão da divisão/exclusão digital de boa parte da população brasileira. Os autores consideram que a internet pode vir a ser uma grande aliada na construção de projetos de promoção da saúde. No entanto, no desenvolvimento desses projetos, é fundamental considerar os potenciais riscos e compreender que as estratégias e programas na área da promoção da saúde precisam se adaptar às necessidades e possibilidades de cada local e levar em conta as diferenças sociais, culturais e econômicas.<br>The development of individual and social skills, in the sense of acquiring greater control and produce empowerment, is considered a very important Health Promotion strategy. Access to information is one of the bases for such process. Much has been said and written about the immense potential of the internet, as studies point it as a special tool to obtain information and develop skills, both individual and communal. This article is based on national and international scientific literature on Health Promotion, Health Information on the internet and Digital Divide, with the aim of discussing the possibility of using the internet as a resource on Health Promotion projects, highlighting strength points and potential barriers, especially the digital divide. The authors believe that the internet may be a great ally in building projects for Health Promotion, however, in developing these projects is essential to consider the potential risks and understand that the strategies and programs in health promotion area need to adapt to the needs and possibilities of each site and take into account social, cultural and economic differences.
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Social Protection in Low Income Countries and Fragile Situations : Challenges and Future DirectionsOvadiya, Mirey; Zampaglione, Giuseppe; Das, Maitreyi; Andrews, Colin; Elder, John (World Bank, Washington, DC, 2013-05-28)Demand for social protection is growing in low income countries and fragile situations. In recent years, the success of social protection (SP) interventions in middle income countries (MICs) like Brazil and Mexico, along with the series of food, fuel, and financial crises, has prompted policymakers in low income countries (LICs) and fragile situations (FSs) to examine the possibility of introducing such programs in their own countries. Flagship programs in countries as diverse as Ethiopia, India, Pakistan, and Rwanda have shown the adaptability of social protection interventions to the LIC context. Yet, despite growing levels of support for these initiatives, many challenges remain. In LICs and FSs, governments are confronted with a nexus of mutually reinforcing deficits that increase the need for SP programs and simultaneously reduce their ability to successfully respond. Governments face hard choices about the type, affordability, and sustainability of SP interventions. The paper reviews how these factors affect SP programs in these countries and identifies ways to address the deficits. It supports the establishment of resilient SP systems to address specific needs and vulnerabilities and to respond flexibly to both slow and sudden onset crises. To achieve this, both innovation and pragmatism are required in three strategic areas: (i) building the basic blocks of SP systems (e.g., targeting, payments, and monitoring and evaluation); (ii) ensuring financial sustainability; and (iii) promoting good governance and transparency. These issues suggest the possibility of a different trajectory in the development of social protection in LICs than in MICs. The implications for World Bank support include the need to focus on increasing knowledge and operational effectiveness of SP programs, fostering institutional links between multiple SP programs, and using community capacity and technological innovations to overcome bottlenecks in operations.
Managing Risk, Promoting GrowthWorld Bank (World Bank, Washington, DC, 2016-02-08)A growing body of evidence demonstrates
that individuals and households experience a range of
positive outcomes from social protection. Social protection
increases productivity and growth. Countries can realize
significant benefits by creating an integrated social
protection system. Social protection is affordable in
low-income countries despite tight budgets. While overall
spending on social protection in Africa remains low by
international standards, experience suggests that social
protection programs can achieve national coverage at the
cost of only 1 to 2 percent of gross domestic product (GDP).
While this is only a portion of the financing required to
operate a social protection system, it draws attention to
what countries can achieve in the short-term. Indeed, one
way in which existing social protection spending can be made
significantly more efficient would be by reallocating
existing financing for inefficient subsidies and ad hoc
emergency food aid to predictable safety nets. At the same
time, pursuing reforms to social security systems will
ensure their fiscal sustainability, while expanding
coverage. Notably, the costs of not protecting poor families
are very high, are borne disproportionately by women and
children, and undermine the productivity of future
generations. The Strategy will be implemented by leveraging
partnerships, knowledge, and the World Bank's financing
instruments. The World Bank will continue to invest in
analytical work to fill knowledge gaps and promote an
evidence-based dialogue for social protection systems in
Africa and further innovation. It will work with governments
to build country-owned national social protection systems
with the aim of reducing fragmentation in the sector. The
Bank also will pay particular attention to institutional
development and capacity building by using its lending to
increase the coverage of successful social protection
interventions. Throughout this work, the Bank will work in
coordination with governments, development partners, the
private sector, academics, civil society, and beneficiaries.
ISSPThe International Social Survey Programme (ISSP) is a continuing annual programme of cross-national collaboration on surveys covering topics important for social science research. It brings together pre-existing national social science projects and co-ordinates research goals, thereby adding a cross-national, cross-cultural perspective to the individual, national studies. Formed in 1983, the group develops topical modules dealing with important areas of social science as supplements to regular national surveys. Every survey includes questions about general attitudes toward various social issues such as the legal system, sex, and the economy. Special topics have included the environment, the role of government, social inequality, social support, family and gender issues, work orientation, the impact of religious background, behaviour, and beliefs on social and political preferences, and national identity. Participating countries vary for each topical module. The merging of the data into a cross-national dataset is performed by the Zentralarchiv fuer Empirische Sozialforschung, University of Cologne. A compact disc (CD-ROM) (archived under SN 3479) containing data and documentation for ISSP surveys carried out 1985-1996, 1998, 2000 and 2002 is available from the UKDA. Main Topics:The CD-ROM contains the complete collection of data and documentation of the International Social Survey Programme (ISSP) between 1985 and 1996, 1998, 2000. In these years, the ISSP conducted twelve different Social Science Surveys in up to 30 countries. The collection comprises the following titles: 1985 - Role of Government I (6 countries) (ZA 1490,UKDA 2448) 1986 - Social Networks and Support Systems (7 countries) (ZA 1620, UKDA 2560) 1987 - Social Inequality I (10 countries) (ZA 1680,UKDA 2702) 1988 - Family and Changing Sex Roles I (8 countries) (ZA 1700, UKDA 2744) 1989 - Work Orientations I (10 countries) (ZA 1840, UKDA 2864) 1990 - Role of Government II (9 countries) (ZA 1950, UKDA 2956) 1991 - Religion (16 countries) (ZA 2150, UKDA 3062) 1992 - Social Inequality II (17 countries) (ZA 2310, UKDA 3498) 1993 - Environment (20 countries) (ZA 2450, UKDA 3473) 1994 - Family and Changing Gender Roles II (22 countries) (ZA 2620, UKDA 3584) 1995 - National Identity (22 countries) (ZA 2880, UKDA 3809) 1996 - Role of Government III (23 countries) (ZA 2900, UKDA 4480) 1998 - Religion 11 (30 countries) (ZA 3190, UKDA 4482) 2000 - Environment 2000 (34 countries) (ZA 3440, UKDA 4827) 2002 - Family and Changing Gender Roles III (34 countries) (ZA 3880, UKDA 5018) Additionally, the 1985 and 1990 surveys, Role of the Government I and II, have been cumulated for those countries and those variables which have been included in both surveys: 1985/1990 - Role of the Government I/II (5 countries) (ZA 2240, UKDA 3499). All of the above are also available as separate datasets. The data for 1997, 1999 and 2001 are available separately on dedicated CD ROMs.