bluuebunny/crossref_metadata_2025_split huggingface dataset:
Capacity building in the field of public health in Tunisia: processes and challenges
Authors: Chereches R , Coman M A , Oltean O , Bozdog E 
Published: November 2019

Abstract

Introduction
Capacity building activities between 3 Tunisian Medical Faculties (University of Sfax, University of Tunis el Manar and University of Sousse) and 3 European Universities (Babes-Bolyai University, University of Southern Denmark and Trnava University) began in 2017 in the framework of an Erasmus+ project. The aim of the collaboration is threefold: first, Tunisian partners were assisted in developing the infrastructure of the Centre for Evidence into Health Policy (C4EHP); second, EU- Partners delivered the Research into Policy training programme with 3 modules: public health research methods, evidence-based policymaking and health promotion policies. The program consisted of train-the-trainer and train-the-trainee sessions; third, partners are continuously working on strengthening the collaboration between the academic and non-academic sectors in the field of public health.

Lessons learnt
Developing the C4EHP contributed to the official recognition of the research structure in the partner Universities. The challenges faced were administrative and legislative national procedures and delays in the equipment delivery and instalment. The train-the-trainer sessions empowered the 18 Tunisian participants to acknowledge their importance in the development of the public health field. Knowledge transfer faced challenges due to differences in the culture and working process, adhering to deadlines, communicating via email as well as due to language barriers. The capacities were, however, strengthened when the trainers started teaching themselves and delivered the train-the-trainee sessions. We observed a level of distrust from the non-academic sector due to previous international projects, unrelated with the current project or implementation team, and which had elicited little to no impact. Development of local collaboration between academic and non-academic sectors needs to be explored deeper.
Capacity building in public health with two Saudi universities: Challenges of knowledge transfer
Authors: Aro A R , Palianopoulou M , Ikonen A L , Eklund Karlsson L 
Published: November 2019

Abstract

Introduction
Collaboration between SDU and two Saudi Arabian (KSA) Universities started in 2012. Case 1 was a new public university for women; the contract (until spring 2017) aimed at knowledge transfer from SDU to two Bachelor of Science curricula (Epidemiology, and Health Education and Promotion). The aim was to train the trainers by teaching the 1st student cohort 100% by the SDU staff and for later cohorts to increase the teaching by local staff gradually. The SDU teams travelled to KSA to run 1-month courses at a time. In Case 2 (ongoing since 2017), 1-week courses for health professionals are offered in an established mixed-gender university; the courses are for a fee.

Lessons learnt
In case 1, knowledge transfer was challenging, since the local staff was busy ‘with their own courses’ and had low interest to learn from SDU. The SDU and the local group were working as separate teams. The local staff saw knowledge transfer as receiving the slides and other material from SDU. Only in the 5th contract year, interaction started mainly via staff capacity building workshops organized by SDU. The students appreciated the SDU teaching, and on the administrative level collaboration worked very well. Due to the lack of ownership among local teachers and deficits in cultural adaptation on- site, knowledge transfer was not successful.
In case 2, different cultural approaches seem to clash; SDU prefers to market the courses early and e tailor them for the target groups; the Saudi cultural tradition relies less on organized marketing and is flexible with the registration deadlines. For the 1st course, this meant that the SDU team travelled to KSA without knowing who and how many participants had signed up. Learning the background of the participants only when the course started meant that the teaching was finalized from day-to-day while running the course. In the end, based on the course evaluation, the 9 participants were very satisfied with the course.
Experiences and pedagogical considerations of training the trainers in Saudi Arabia
Authors: Ikonen A , Eklund Karlsson L , Palianopoulou M , Aro A R 
Published: November 2019

Abstract

Introduction
A student-centered teaching method engages the student to take responsibility for his/her own learning. In this pedagogical approach, the role of the teacher has become to be a supportive coach rather than an authority and one-way superior knowledge provider. A teacher with good teaching skills actively involves and engages students in the learning process. Qualified teacheŕs competence consists of the substance of the subject taught, pedagogical skills as well as of the teaching experience gained after teacher training.

Lessons learnt
In our case we organized a 9-day workshop to enhance the teaching skills of teachers in one department of our collaborator university in Saudi Arabia (KSA). The workshop included lectures on-site and individual and group assignments such as integrating active learning methods into teaching. The pedagogical workshop was a part of the cross-cultural knowledge transfer project between SDU and (case 1) university in KSA in the Bachelor level education in 2013-2017. The project disclosed the cultural differences in teaching and learning and the different traditions of education. We found that there was a strong tradition of memorizing among students in KSA, which reflected into the attitudes of both teachers and students.
This workshop was the first pedagogical training for the most of participants and it revealed that they lacked theoretical knowledge on teaching, e.g. the concepts of student-centered teaching were new to the participants. However, they had extensive teaching experience and strong knowledge of the content of the subjects taught. The acquired knowledge of the basic approaches of student-centered teaching expanded participantś thoughts on how they could better interact with students instead of one-way lecturing. In the workshop, dialogue was used as a teaching method, and participants found the sharing of learning experiences in a peer group a useful and new way to learn at work.
A health screening of European political party manifestos to inform priorities and strategies for influence
Authors: Bos N , Bekker M P M 
Published: November 2019

Abstract

Background
The European Parliament (EP) elections gave way for a new political cycle for the European Union (EU), and thus for public health (PH); an area 70% of the European citizens want the EU to do more on. This research clarifies if and how EU political parties prioritise health and where the gaps are.

Methods
A literature search was undertaken to 1) gain insight in which sectors the EU can establish policy impacting PH, 2) map actors that play a role in PH policy, and 3) find building blocks for a receptive environment. Four interviews were held with NGOs. Eleven EU political parties’ manifestos were thoroughly screened and two interviews were held with MEPs of two different parties.

Results
Eight sectors were identified in which the EU has (shared) legislative power and can positively impact PH. How these policies are packaged depends on who places their beliefs on the EU agenda. Actors in the political arena such as, parties that will dominate the EP, the Member States, NGOs, and epistemic communities need to make use of building blocks such as trusting relationships, broad and long term coalitions between different actors, and effective translation of expert knowledge, in order to create a receptive environment. In the manifestos health is (in)directly touched upon, but not prioritised. They look beyond the medical sector, but whether plans are meant to be linked to PH improvements is not always clear. MEPs are keen to prioritise health more at EU level, but respect the EU’s health competences.

Conclusions
Health is recognized by parties as relevant in non-medical sectors, which offers positive perspectives for the future, as other EU sectors’ policy can impact public health. The agenda-setting of health can be boosted by organizing actors in such a way that they create receptive environments amongst each other.
Practical experience with SCIROCCO twinning and coaching- the perspective of a receiving region
Authors: Txarramendieta Suarez J 
Published: November 2019

Abstract
One of the SCIROCCO twinning and coaching activities was conducted between two healthcare systems: Scotland and The Basque Country. The objective of this presentation is to describe the experience of the receiving region, the Basque Country. In particular, it will outline the role and engagement of the voluntary sector in the provision of integrated care in the Basque Country, in terms of: Organisation, including the definition of the voluntary sector, its size and stakeholders;Engagement of the voluntary sector with integration of careMotivation for the knowledge transfer activity with ScotlandObjectives of twinning, potential benefits of the knowledge transfer activityFeasibility and required adaptation for the transferPriority actions, main learningsConclusions, lessons learned
Discussion and dialogue on steps forward for the SCIROCCO tool
Authors: Whitehouse D 
Published: November 2019

Abstract
The objective of this presentation is to inspire input from workshop participants about how the enhanced SCIROCCO tool could even better support knowledge transfer in different regions. Participants will be encouraged to reflect on what the tool can do for them, how they can help to shape its content, and to ask questions of their own. List of suggested questions: What do you think about the tool as it stands today?Can you see ways of using the tool in your region/ on your site?What do you think about the plans to expand the tool as part of the SCIROCCO Exchange project?Would you be willing to get involved in shaping and enhancing the tool?Would you be willing to get involved in expanding the tool’s use further? Could you use the tool for any twinning and coaching?Do you have any suggestions for improving the functionality of the tool?What are your opinions about the proposed way of evaluating the enhanced SCIROCCO tool?Do you have any suggestions for improving the evaluation?How would you get more involved in SCIROCCO Exchange?
Exploring equity, social determinants of health and gender considerations for antimicrobial resistance
Authors: Saint V 
Published: November 2019

Abstract
This presentation will focus on three aspects related to the equity, social determinants and gender considerations relevant to AMR. The presentation will begin with a general description of how structural forces and socioeconomic inequities can result in specific population groups in society having differential exposure and vulnerability to AMR as well as suffering differential social, economic and other consequences and impacts from the associated ill health. Secondly, will be an explanation of the how the application of conceptual frameworks and approaches on equity, social determinants and gender on can shed valuable light on the specific pathways and mechanisms through which these patterns arise, and how these factors may influence the effectiveness of any initiatives and interventions aimed at tackling aspects of this global health challenge. The presentation will conclude by providing an overview of the emerging results from a scoping review on the gender, equity and social determinants considerations for tackling AMR and promising directions for inter-/trans-disciplinary research on this theme.
Psychosocial aid provided to and sought by rescue workers after the March 2016 terrorist attacks in Brussels, Belgium. A qualitative analysis
Authors: Van Overmeire R , Van Keer R L , Vesentini L , Six S , Bilsen J 
Published: November 2019

Abstract

Background
During the terrorist attacks of 22/03/2016 in Brussels, Belgium, hundreds of rescue workers were present or came to the sites to give aid to the victims. However, until now, there is little research about these first responders’ own need for aid and support immediately after their work or later, and about how they experienced that aid.

Methods
Using half-structured interviews, we collected data from 31 first responders including 4 nurses, 5 soldiers, 7 firefighters, 11 airport police officers and 4 Red Cross volunteers. Interviews were transcribed, coded and analyzed by two researchers.

Results
Generally, debriefings were organized at hoc, informal and at the day of the event. Sometimes, an additional group conversation was organized in the week or weeks later. Further initiative was left to the rescue workers themselves to find psychosocial aid, whether inside or outside their organization. Because of many contextual factors (macho culture, no sense of normality of reactions on traumatic experiences, (lack of) social support, stigma of psychosocial health, lack of understanding of those who did not experience it...) rescue workers (mostly police officers and soldiers) often did not find the necessary psychosocial aid. Some workers simply accepted that they have changed due to the attacks. Those who did search for psychological help, experience several problems: the type of help, the financial costs, a lack of recognition of the psychosocial problems, etc.

Conclusions
Psychosocial aid of first responders is often too short-term, ad hoc, and poorly prepared and organized. Awareness of adverse changes in health or personality can come long after the debriefing sessions. Furthermore, the quality of the debriefings is not always up to standard.

Main message
Psychosocial aid must not only be aimed at the short term, and must be better prepared and organized.
Facilitating the collective expression of parents of disabled children at a scientific conference
Authors: Chatelin A , Scelles R , Sherlaw W 
Published: November 2019

Abstract
The European Academy of Childhood Disability is an academic association with over 500 members (health, social work and educational professionals working with children with disability) from some 35 different countries. The Academy wishes to put families at the heart of its agenda. Partnership with families has the potential to improve care and education outcomes and renew practice. It may also facilitate understanding between professionals and families. To this end for the annual conference in Paris a series of structured interactive group activities have been designed to facilitate the sharing of experience and expression of families and to gather their concerns. These activities designed by disability specialists in partnership with family representatives call on small group work “world café” style focus group methodology. They are structured, varied, interactive and take place in a specially organized conference session over 3 hours. Sensitive feedback is provided by experienced pediatricians in the childhood disability field. Parents provide narratives of significant experiences for their children prior to the conference. These are shared in groups of 3. Questions explored include “What matters for the happiness of your children? “Please give examples of things which have happened in your child’s life which seem to be key experiences” Relating to the concept of F-words, (Rosenbaum, Gorter, 2011) parents have also been asked to consider different dimensions of their children’s well-being such as friendship, functioning, fitness, family, fun, and future. Group discussions are noted, recorded, retranscribed and analysed allowing, the gain of insights and providing possible building blocks for professional training. Such qualitative data allows new topics and research on a joint family-professional agenda to emerge. These may be tackled at future conferences thus building bridges between specialists and families.
Estimated number of homeless people in Marseille in 2016
Authors: Daguzan A , Farnarier C , Jaubert S , Pironti G , Gentile S 
Published: November 2019

Abstract

Context
Since 2011, a project in favour of access to rights, access to care and continuity of care for homeless people has been implemented in Marseille (ASSAb project: Access to Care for the Homeless). One of its main lines of action is to improve public knowledge and has led to a census of homeless adults in Marseille in 2016.

Methods
The methodological approach chosen is based on a survey via homeless services, known as the ’Danish’ method, which consists of counting the number of people who have used homeless services at least once over a given period (Brousse, 2005; Marpsat, 2009; FEANTSA, 2016). This approach avoids the difficulties of recording seasonal variations or any other one-off event and controls double counting.

Results
In 2016, during the year, 14,063 people were at least once homeless in an emergency and accessed a dedicated reception or care facility. Compared to 2011, when 12,648 people were counted, this study reveals an overall increase of 11.2% in this population and a important increase in the number of women (+47%), elderly people (+24%) and minors (+85%).

Conclusions
Association, institutions and professionals in the field report a greater feeling of increase in the population concerned than shown in this study. The saturation of the reception and support capacities of the structures and the evolution of the situation since 2016 partly explains this representation difference.

Key messages
This study informs policy makers and helps them in strategic orientations (Court of Accounts, 2017). This study provides input for the thinking and actions of the homeless sector.
Health, wellbeing and access to care of undocumented migrants in Geneva, Switzerland
Authors: Jackson Y , Consoli L , Duvoisin A , Fakhoury J , Ferro-Luzzi G , Burton-Jeangros C 
Published: November 2019

Abstract

Background
Switzerland hosts 50’000 to 100’000 undocumented migrants but hardly any evidence exist about their health and wellbeing. A pilot regularization policy took place in Geneva (2017-2018).

Methods
Parchemins is a mixed-methods prospective study assessing the impact of legal status regularization on undocumented migrants’ health and wellbeing. The quantitative data collection uses yearly face-to-face health questionnaire. Wellbeing is measured by self-reported satisfaction with life on a 10-point Likert scale. We present the results of the first wave of data collection conducted before regularization.

Results
Participants were mainly women (71.9%) from Latin America (63.2%), aged 44.2 (SD 10.4) years, with secondary or higher education (77.3%), living in Geneva with a partner (47.6%) and minor children (22.3%) for an average of 11.8 (SD 5.4) years. While 82.2% reported good to excellent health, 54% presented overweight or obesity and 21% suffered 3 or more chronic conditions. Self-reported prevalence of hypertension, hypercholesterolemia and diabetes were 17.6%, 7.6% and 4.9%, respectively. Screening for depression and anxiety using PHQ-9 and GAD-7 scales was positive in 45.2% and 35.9% of participants. Only 29.9% had a health insurance. In the previous year, 74.8% had at least one medical consultation and 30.4% consulted in emergency but 27% had renounced to seek care for economic reasons. Overall, 97.3% were exposed to health hazards at the workplace and 5.9% suffered an accident leading to work interruption in the last 6 months. Overall, life satisfaction level amounted to 7.4 (SD 2.2) out of 10.

Conclusions
The baseline results show a contrast between good self-reported health and fair wellbeing with frequent comorbid health conditions notably of mental origin, exposure to occupational hazards and economic limitations in the ability to respond to one’s health care needs. Next study waves will shade light on the public health and clinical impact of regularization.

Key messages
Legal status may act as a key determinant of health therefore regularization is likely to produce significant health effects. Undocumented migrants good wellbeing and self-reported health contrasts with high morbidity notably of mental origin.
Parent emigration and physical health of children left behind: systematic review of the literature
Authors: Racaite J , Surkiene G , Jakubauskiene M , Sketerskiene R , Wulkau L 
Published: November 2019

Abstract

Background
Children left behind (CLB) are those, who have been left behind at their original residence while one or both parents migrate to other places for work. The aim of this study was to systematically review studies where the physical health consequences for CLB were analysed.

Methods
We searched the Web of Science, PubMed, Academic Search Complete, PsycINFO and Cochrane databases. We included studies reporting physical health outcomes of children affected by parent migration.

Results
We selected 35 studies from a total of 2191. The results reveal that, overall, the absence of one or both parents is related to poorer child health - the nutrition of CLB is not healthy or balanced and is insufficient, leading to higher rates of anaemia and poor growth indicators of affected children. Boys left by parents are smaller than boys who were never left behind. CLB face lower underweight or stunted growth risks due to the additional income from remittances which ensures sufficient food for the household, this can also lead, however, to overweight and obesity. Unhealthy lifestyle behaviours such as smoking, alcohol, food preferences, lower physical activity and higher risk of injuries were more prevalent among CLB. CLB were more likely not to have completed the recommended vaccination programme than those living with their parents. Opinions vary on how emigration of parents affects children’s well-being and quality of life. CLB had higher probabilities of higher well-being than children living in non-migrant households. However, health-related quality of life (HRQoL) of CLB scored significantly lower than HRQoL of non-left-behind children.

Conclusions
The migration of parents has negative impacts on the child’s physical health, however it can also have positive impacts on children’s well-being when basic needs for sufficient nutrition are not satisfied in the home countries. Public health interventions should be taken to ensure the health of the CLB population.

Key messages
This is the first systematic review on the physical health of CLB. The well-being of CLB is poorer and they are at risk of health problems, such as insufficient and/or unbalanced diet, unhealthy behaviours and incomplete vaccination status.