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Quem cuidará de nós em 2030? percepção dos representantes das Secretarias de Saúde da Região Metropolitana de São PauloKimura, Cleber 19 October 2012 (has links)
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Previous issue date: 2012-10-19 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The current study depicts part of the original research, Electronic Delphi
Method in prospecting necessary service/care for the elderly Who shall take
care of us in 2030? , in partnership with Pontifícia Universidade Católica de São
Paulo (PUC/SP), Universidade de Brasília, Universidade Católica de Brasília
and Escola de Artes e Ciências Humanas da USP (Pontifical Catholic University
at São Paulo PUC/SP, University of Brasilia, Catholic University of Brasilia
and the School of Liberal Arts, at USP), sponsored by FAD-DF and the Ministry
of Health, which intends to better understand how health public officials of São
Paulo Metropolitan Area municipalities (Região Metropolitana de São Paulo -
RMSP, in Portuguese) perceive currently available care and services, and, of
those, which are viewed as appropriate and suitable for senior citizens in 2030.
The qualitative methodological approach was used, as it facilitated to
understand subjective and particular care related issues mentioned by the 39
female and male interviewees, all of them health public service officials,
managers and workers in their city health departments. The Statistical Package
for the Social Sciences (SPSS), NVivo software, Laurence Bardin s content
analysis technique and Clifford Geertz s social discourse technique were used,
in order to determine the interviewees profile and their social discourse towards
care. Out of the 39 interviewees (54% male and 46% female), between 28 and
66 years old, 43.5% are health department workers, asked to participate in the
study by their superiors; 56,5% are health managers, but not necessarily health
civil secretaries; 87% of the top public health administrators in different cities
made themselves unavailabe to cooperate and display information about what
is being done. 58.9% of total interviewees had no technical qualification or
were experts on gerontology/geriatrics. The interviewed officials were
designated to work in public service out of trust or by way of civil service
examination, the former being mainly interested in primarily pleasing their
sponsors, either the political party and/or the politician who indicated them.
Welcoming and treatment is understood as a solution for health problems, as
far as eldercare is concerned; 82% are not satisfied with specialized care
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provided to the elderly in their towns, a matter of great concern, when we
consider the population s fast ageing as opposed to how slow health services
improve, and low long it takes for health politics and laws to be approved and
implemented. It was acknowledged that the eldercare system offered in their
cities is still at an early stage, there is a lack of human resources, a
dissatisfaction with the upper levels of government, as they feel hampered by
disagreements towards the allocation of health funds among city,state and
federal governments; how personnel is recruited and qualified after being
nominated. For 2030, they wish a better infrastructure in public spaces, more
qualified personnel, greater collaboration among health departments, listening
to the needs and the experiences of the elderly in creating new health policies,
projects and equipments for themselves, reenforcement of communication and
articulation among different public health departments. When asked how they
would like to be treated in 2030, RMSP health officials most frequent request
was with respect , a clear confirmation of the actual lack of it in the care and
services which they are responsible for nowadays. If no actions are taken, this
scenario shall almost certainly remain the same / Esta investigação é um recorte da pesquisa de origem Método Delphi
eletrônico para prospecção dos serviços/cuidados necessários ao idoso
Quem cuidará de nós em 2030?, parceria da Pontifícia Universidade Católica
de São Paulo (PUC/SP), Universidade de Brasília, Universidade Católica de
Brasília e Escola de Artes e Ciências Humanas da USP, financiada pela FAPDF
e Ministério da Saúde. Tem como objetivo compreender a percepção dos
gestores do sistema público de saúde dos municípios da Região Metropolitana
de São Paulo (RMSP) a respeito dos cuidados e serviços disponíveis na
atualidade e desejáveis para a população idosa em 2030. A abordagem
metodológica escolhida deste recorte foi qualitativa, porque ela possibilitou
compreender as questões subjetivas e singulares referentes ao cuidado
manifestado pelos 39 entrevistados, representantes do serviço de saúde
pública, gestores ou trabalhadores de saúde de seu município, de ambos os
sexos. Para a análise do perfil dos entrevistados e seus discursos sociais em
relação aos cuidados, utilizamos o Statistical Package for the Social Sciences
(SPSS), o software NVivo, a técnica de análise de conteúdo de Laurence
Bardin e o discurso social de Clifford Geertz. Dos 39 entrevistados (54%
homens e 46% mulheres), entre 28 e 66 anos, 35% pertencem à classe
trabalhadora das Secretarias de Saúde, indicados por seus superiores a
responder a pesquisa; 65% gestores de saúde, não sendo necessariamente
secretários; 35% dos gestores principais dos municípios não se dispuseram a
colaborar e esclarecer o que vem sendo feito. Do total, 56,4% não têm
nenhuma formação ou capacitação técnica em temas ligados à
Gerontologia/Geriatria. Os gestores entrevistados adentraram o serviço público
por nomeação para cargo de confiança ou concursos públicos. No primeiro caso, o principal interesse é agradar e dar satisfação primeiramente a seus
padrinhos políticos e partidos. Entende-se o acolhimento como resolução de
problemas de saúde; 82% estão insatisfeitos com os serviços especializados
aos idosos oferecidos em seus municípios. Fato preocupante se pensarmos na
velocidade na qual a população envelhece e na morosidade em que os
serviços de saúde são ampliados, as políticas aprovadas e implantadas.
Reconhecem que são incipientes os serviços e ações de saúde, oferecidos
especificamente aos idosos do município; falta de recursos humanos;
descontentamento com esferas superiores de poder por se considerarem
reféns de divergências entre os governos federal, estadual e municipal
responsáveis pelas verbas destinadas à saúde; forma de seleção dos
funcionários e sua capacitação após a nomeação.
Para 2030, desejam melhor infraestrutura de espaços coletivos e pessoal
preparado; maior articulação entre as secretarias; escuta às necessidades e
experiências dos mais velhos para a elaboração de políticas, projetos e
equipamentos para os mesmos; maior comunicação e articulação entre as
diferentes secretarias. O respeito foi a maior solicitação feita pelos
representantes das Secretarias de Saúde da RMSP quando indagados como
gostariam de ser cuidados em 2030, demonstrando a ausência do mesmo nos
serviços oferecidos e geridos por eles. Se nada for feito, dificilmente o quadro
mudará em futuro próximo
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Infrastruktur och miljöpåverkan från tunga transporter vid ett slutförvar av kärnavfall i Oskarshamns kommunNilsson, Anneli January 2008 (has links)
Denna rapport utreder översiktligt regional och kommunal infrastruktur ochmiljöpåverkan från transporter av bergmassor, bentonit och lera vid ett slutförvar avkärnavfall eller om det inte blir ett slutförvar i Oskarshamns kommun. Strategin harvarit att utefter de regionala miljökvalitetsmålen begränsad klimatpåverkan, frisk luftsamt det länsegna målet fossilbränslefri zon år 2030 undersöka hur olika lastbärare(lastbil, tåg och fartyg) bidrar till måluppfyllelse. Slutsatsen är att det mest troligascenariot med transporterna är olika transportalternativ beroende på vart materialetskall någonstans och vad det skall användas till. Oavsett om det blir ett slutförvar ellerej i Oskarshamns kommun, kommer infrastrukturen att bli förändrad, speciellt för deboende i Misterhults socken. Fossilbränslefrizon år 2030 är det målet som inte skullenå måluppfyllelse ifall enbart lastbärare med fossilt bränsle skulle användas vidtransporterna. 2008:Nr 3 Teknik
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Infrastruktur och miljöpåverkan från tunga transporter vid ett slutförvar av kärnavfall i Oskarshamns kommunNilsson, Anneli January 2008 (has links)
<p>Denna rapport utreder översiktligt regional och kommunal infrastruktur ochmiljöpåverkan från transporter av bergmassor, bentonit och lera vid ett slutförvar avkärnavfall eller om det inte blir ett slutförvar i Oskarshamns kommun. Strategin harvarit att utefter de regionala miljökvalitetsmålen begränsad klimatpåverkan, frisk luftsamt det länsegna målet fossilbränslefri zon år 2030 undersöka hur olika lastbärare(lastbil, tåg och fartyg) bidrar till måluppfyllelse. Slutsatsen är att det mest troligascenariot med transporterna är olika transportalternativ beroende på vart materialetskall någonstans och vad det skall användas till. Oavsett om det blir ett slutförvar ellerej i Oskarshamns kommun, kommer infrastrukturen att bli förändrad, speciellt för deboende i Misterhults socken. Fossilbränslefrizon år 2030 är det målet som inte skullenå måluppfyllelse ifall enbart lastbärare med fossilt bränsle skulle användas vidtransporterna.</p><p>2008:Nr 3 Teknik</p>
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Twitter Response to Vision 2030: A Case Study on Current Perceptions of Normative Disorder within Saudi Social MediaAlkarni, Saad 28 August 2018 (has links)
There has been a mixed public response on social media toward Saudi Vision 2030, which could threaten public support of its implementation. This research investigated local tensions between social, religious, political, and economic values concerning the Saudi Vision 2030 plan, with a view to understanding the opportunities and challenges of social and cultural change within an evolving Saudi society. In this study, Twitter activity is treated as a societal mirror that reflects some of the perceptions regarding the transformations taking place within Saudi society. Both a case study informed by tweets sampled from Saudi Arabia and Vision 2030 related documentation explored how the current public social media discourse reflects existing social, religious, and cultural tensions concerning the government-proposed Vision 2030. This study drew on theoretical framework informed by Durkheim’s and Ibn Khaldun’s theory of social change, Merton’s strain theory, and Luhmann’s Social System Theory, to explore social, political, economic, and religious tensions found within the interactions of Twitter users around projects and events implemented or inspired by Vision 2030. An application programming interface (API) was used to retrieve Twitter posts, while a thematic analysis was applied to published documents related to Vision 2030 to identify Saudi society’s challenges to the implementation of the Vision. The study found that within Saudi society, Vision 2030 had an impact upon the normative disorder already taking place due to the rapid changes brought about by the Vision. Specifically, the study highlighted the link between ambiguous, clear, or absent norms, and a person’s pre-existing background knowledge. Social and religious group norms were more ambitious than clear, whereas economic group norms tended to be clearer. Finally, the study found that over time, through public debates, norms moved from an ambiguous and absent stage and became increasingly well-defined. The study showed that Saudi society, as a result of Vision 2030, is experiencing a normative disorder.
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Global Partnerships for Sustainable Development - a case study of the Global Deal for Decent Work and Inclusive GrowthPalling Huusko, Susanna January 2018 (has links)
This thesis discusses global partnerships for sustainable development. Global partnerships have come to be considered as key tools for the implementation of certain international sustainable development goals and there is a growing literature on the subject. Nevertheless, no study has yet been done of the Global Deal Partnership for Decent Work and Inclusive Growth, initiated by the Government of Sweden in 2016. The partnership is presented as a concrete input to several of the Sustainable Development Goals, especially numbers 8, 10, and 17. This provides an important opportunity to make sense of the Global Deal partnership, in particular since it is the first attempt of its kind to unite all stakeholders on the global labour market to work together to provide decent work and inclusive growth for all. What are the goals of the Global Deal, how was it formed, and how is it being implemented? The analysis presented in this thesis is based on a literature survey, documentary analysis, and interviews with the Global Deal Partnership’s support unit at the Swedish Ministry for Foreign Affairs. This thesis argues that the Global Deal partnership is a textbook example of a global multi-stakeholder partnership, developed through an inclusive goal-setting process, and implemented with monitoring and reporting functions.
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“Stop stealing our beaches” : A comparative study on how Mauritius and the Seychelles are affected by and deal with climate change and tourismSager, Mollie, Sundberg, Gabriella January 2020 (has links)
Small Island Developing States are known to be extra sensitive to environmental changes due to their geographical location and characteristics, and many are known as luxurious tourist destinations. This study explores how Mauritius and the Seychelles are affected by and deal with climate change and the negative impacts of tourism. The study connects to globalisation and sustainable tourism frameworks while analysing vulnerability and resilience in both countries, as well as how the countries work towards the 2030 Agenda for Sustainable Development. The method used is a mixed qualitative method with interviews and a text analysis of websites and official documents. The result indicates that both Mauritius and the Seychelles are highly vulnerable to climate change, especially in their coastal zones, which is further increased by tourism practices and development of tourism facilities. The study also highlights that both countries lack resilience to environmental changes. Both Mauritius and the Seychelles strive to work towards the 2030 Agenda, through policymaking on state level and through non-governmental organisations aligning their projects to the Sustainable Development Goals. The result also shows that there is a need to create a more sustainable tourism sector in each country to protect both the environment and the countries’ economies. This study aims to be a contribution to the research field of Small Island Developing States and to increase the understanding of Mauritius and the Seychelles’ particular characteristics and vulnerabilities.
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Europe and the 2030 Agenda for Sustainable Development : The Future of European IntegrationVerleye Rikenberg, Emma January 2020 (has links)
This thesis is a theory consuming case study that aims to examine how the Council of the European Union voted in matters regarding the environment between 2015 and 2019 in order to begin the implementation of the 2030 Agenda’s Sustainable Development Goal number 13. Moreover, the thesis further examines the impact of the Council’s voting results on the European integration process by using rational choice institutionalism and three explanatory factors; ideology, institutional factors and economical position in the EU. The findings of the thesis show that the member states in the EU voted diversely and that only four member states constantly voted yes throughout 2015 to 2019. Despite the diversity in voting, the factors and the theory utilised here helped explain why it is unlikely that disintegration would occur. As a result, it is clear that the European integration process will continue even though the voting results of the Council could impact further integration or even disintegration due to the member states’ various preferences. The future of European integration thus continues to be uncertain.
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From siloistic to holistic? : Integration and coordination to implement the 2030 Agenda on the Swedish municipal levelReppen, Martina January 2021 (has links)
In September 2015, all member states of the United Nations signed upon the 17 Sustainable Development Goals (SDGs), constituting the core of the 2030 Agenda. The 2030 Agenda form an integrated policy agenda, with the SDGs characterised as inherently interlinked. Policy integration and coordination across customary boundaries are assumed as fundamental when attempting to implement the indivisible and interlinked objectives. The public sector has, however, shown insufficient capabilities of such, characterised by increasing specialisation and fragmentation following from unforeseen effects of New Public Management (NPM) reforms. To facilitate necessary policy integration and coordination, significant alterations to policies and institutions are assumed to be necessary, and post-NPM approaches that seeks to join up the governmental apparatus have surfaced as counter-movements. Building on the above, the thesis set out to examine policy integration and coordination as cornerstones when attempting to implement the 2030 Agenda, as well as organisational key capabilities and/or barriers for such. The thesis’ theoretical point of departure builds on the fields of organisation theory and public administration, and the longstanding deliberation between the two dichotomies specialisation and coordination. Such dichotomy is elaborated on through the NPM perspective contrasted against the post-NPM perspective. The thesis’ central theoretical concepts are policy integration, coordination and specialisation. The thesis was carried out as a qualitative case study, researching the experiences and opinions of 16 civil servants, from 14 Swedish municipalities, operating strategically within sustainable development on the municipal level, through semi-structured interviews. Research findings indicate deficient policy integration in the majority of municipalities, with the 2030 Agenda being treated in separate programmes for social, environmental and economic sustainability respectively. Further, is vertical coordination, within the organisation as well as between governmental levels, appearing as insufficient. Identified organisational key factors include: the role of organisation; the role of the budget; the role of the ordinary municipal structure; the role of the leaders; the role of the center; the role of the individual civil servant; and, the role of communication. Many of the organisational key factors are described as capabilities as well as at the same time being barriers, and, hence, constituting contradictory practices for the civil servants and the organisations. The budgetary process especially stands out as one such contradiction. Similarly, are signs of the NPM perspective and the post-NPM perspective surfacing as simultaneous logics, practices and contradictions the civil servants must relate to. To strengthen policy integration and coordination, as well as the advancements of the 2030 Agenda, some practices may have to be modified.
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Health Equity as a Priority in the 2030 Agenda for Sustainable Development: A Nested Qualitative Case Study of Maternal, Newborn and Child Health in EthiopiaBergen, Nicole 06 May 2020 (has links)
The 2015 global adoption of the United Nations 2030 Agenda for Sustainable Development places the achievement of health equity as a global priority for health and development. Due to the normative nature of the concept of health equity and the multi-level, multi-sectoral approaches required to advance it, interdisciplinary investigations are warranted to demonstrate how health equity as a policy objective is understood and operationalized. This dissertation is a case study of health equity in maternal, newborn and child health (MNCH) in Ethiopia, using qualitative methods to explore how health equity is conceptualized and pursued by stakeholders across levels of the health system. Ethiopia, a low-income country in East Africa, reported improvements in MNCH during the Millennium Development Goal period (1990-2015), largely attributed to the expansion of health services into rural areas; however, achievements were not realized across all geographies and population groups. Health equity is a stated policy objective for the country. Through a series of four articles, this dissertation addresses: community members’ perceptions and experiences related to health inequity and MNCH; barriers and enablers encountered by community-level health workers in implementing an equity-oriented MNCH intervention; subnational health managers’ understandings of health equity, and their roles in promoting it; and the characterization of health equity as a policy problem in national-level health discourses. This work deconstructs health equity into three components (health, distribution of health and characterization of the distribution of health) and compares how stakeholders across levels of the health system attribute meaning to each component and imply responsibility and accountability for health equity. The findings detail how diverse experiences related to health equity in MNCH across community, subnational and national contexts are driven by high-level technocratic framings of health equity, which tend to emphasize the delivery of a narrow package of health services to under-served geographical areas. Providing support and recognition for the role of subnational stakeholders in mediating the adaption of national health equity policies to local contexts, and making prominent the social justice underpinnings of health equity in the implementation of national policies are opportunities to strengthen the advancement of health equity in Ethiopia.
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How socially responsible are SMEs in Vietnam? : - A qualitative studyBrunosson, Malin, Malmsten, Emma January 2020 (has links)
Introduction: Vietnam is a developing country that has had rapid economic growth during the last 25-30 years. Alongside, the waste and pollution of the country has increased where both the economy and pollution is expected to grow even further in the upcoming years. Simultaneously is the challenge of protecting the environment, especially for businesses to take responsibility through implementing Corporate Social Responsibility (CSR) in their business. Furthermore, Small and Medium sized Enterprises (SMEs) make up 90% of the businesses in the world and therefore have great influence. CSR is well researched in developed countries, but the developing countries are as important in the work towards sustainable development, where specifically SMEs in developing countries are not as researched. Purpose: The purpose of this research is to explore the implementation of CSR activities of SMEs in Vietnam as a developing country. Research questions: How is CSR perceived by SMEs in Vietnam? How do SMEs in Vietnam engage in CSR activities? What are the reasons behind SMEs engagement in CSR activities in Vietnam? Methodology: The methodological approach of this research was based on a qualitative nature with an ontological perspective. Furthermore, the sample consisted of five SMEs in Vietnam and data was gathered through email-interviews. Conclusion: It was found that SMEs in Vietnam do have a somewhat clear perception of what CSR involves and that the SMEs engage in several CSR activities. Although, vague regulations and guidance from the government, alongside with scarce financial resources makes it more challenging for the SMEs in Vietnam to engage in CSR activities.
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