Description

Apart from biomedical care, the social determinants of health approach focuses on factors that have linked poor health outcomes to socioeconomic inequality and social injustice. Social determinants of health are often hard to measure and complicated; As a result, additional efforts are required to encourage the effective incorporation of social determinants of health into global health programming. The Pathways vulnerability approach is one possibility for use. A vulnerability framework, solutions for population-representative household segmentation, and a collection of qualitative stories and insights that bring the framework and segmentation to life are all part of the Pathways approach. This strategy aims to make it possible for actors in the health system to divide their customers into groups based on the social, environmental, and cultural risks associated with poor health outcomes in a variety of areas, including nutrition, reproductive, maternal, and new-born child health, and women's health and well-being outcomes. We reflect on our role in bringing a more woman-cantered approach to understanding how women are made vulnerable by the social and cultural systems in which they are embedded and the distinct effect this has on specific health outcomes in this viewpoint article. We did this by employing design methods. There is a growing awareness among healthcare professionals of the significance of implementing low-carbon, long-term health systems. Through an exploratory qualitative descriptive study that involved individual in-depth interviews with climateengaged Canadian physicians participating in health-care sustainability advocacy and action, our goal was to investigate how physicians. The themes that emerged from the analysis of the interview transcripts were related to the steps that physicians can take to promote sustainable health care as well as the factors that encourage and facilitate physician involvement in sustainable health care.

Potential Implementation

There were 19 participants who participated in a variety of health care sustainability initiatives, including reducing waste and lobbying and political action. Concerned about the health effects of climate change, dissatisfaction with healthcare waste, and recognition of their influence as physicians inspired them to work for health care sustainability. Supports for policy and system, organizational and team, knowledge generation and translation, and organizational and team support were outlined by participants as being necessary to enhance their capacity to advance health care sustainability. These findings can inspire opportunities for engagement in health care sustainability, direct service delivery and educational innovations to encourage health care professionals to become sustainability champions, and increase their capacity to lessen health care's impact on the environment. During the course of their reproductive lives, the majority of people require services for both the prevention of pregnancy (contraception) and the preparation for pregnancy (preconception care). Service delivery is far from routine, despite increased attention and growing recognition that health before pregnancy is essential for addressing disparities in maternity outcomes. An integrated, community-based model that combines reproductive life planning, contraception, and preconception care is created by bringing together evidence from the literature, brand-new quantitative and qualitative data on women's preferences, and case studies of existing practice. Our model emphasizes the need for training and system-level support for the variety of health care professionals who are able to deliver it and provides a holistic, life-course approach that includes school-based education, social media, and national campaigns. This high-level model is adaptable to different settings, resulting in a step change in the community's provision of prenatal care, which in turn leads to improvements in health and well-being and decreases population inequalities. Almost all deaths and permanent disabilities caused by Snakebite Envenoming (SBE) can be avoided thanks to advances in treatment and treatment options. Implementing these evidence-based treatments and methods across various populations and settings presents a challenge. In order to inform potential implementation science strategies, the purpose of this study is to compare data on provider perceptions of SBE care across health systems and cultural contexts. Within the central tenets of care delivery (such as cost, access, and human resources), we hypothesize that distinct health systems and cultural contexts will influence specific perceived needs to provide adequate snakebite care. In order to comprehend the experience, knowledge, and perceptions of health professionals treating SBE, we previously carried out exploratory and descriptive studies in Brazil and the United States.

Quantitative

From January 2020 to March 2020, comprehensive interviews with emergency physicians were conducted in the United States. At the end of June 2021, health professionals from community health centers participated in focus group discussions in BR. An inductive thematic analysis method was initially used to analyze the focus group discussions (BR). This codebook was then used in a deductive content analysis of the interviews (US) during our secondary qualitative analysis. The examination finished up in August 2022. Brazil members were doctors (n=5) or attendants (n=20) from three districts in the Province of Amazonas with a normal of three years of expert experience. 16 emergency physicians with an average of 15 years of experience participated in the study from the United States. Four principal topics arose on the patient and community side, barriers to adequate care on the health system side, perceived considerations for addressing SBE and identified requirements for improving care within the four themes, there were 25 subthemes. Although the rationale and content of these shared subthemes varied significantly between the Brazil and US data, these subthemes were largely identical. For instance, Brazil and the United States were covered by the subtheme "role of health professionals in improving care." While the United States suggested specialized strategies aimed at expanding access to toxicologists and other referral resources, Brazil emphasized the necessity of task shifting and sharing among health care disciplines. Health professionals in various health systems and sociocultural contexts identified a variety of needs, despite similarities in the fundamental obstacles to providing adequate care for snakebite envenomation and the factors to take into account when attempting to improve care delivery. Initiatives aimed at improving care for snakebite victims must take into account and comprehend these differences for success. For SBE, implementation science efforts should be used to develop new or modify existing evidence-based treatments and procedures with explicit input from health professionals. Accessing a large amount of data is largely responsible for the success of studies based on machine learning. However, within a single health system or hospital, such data typically cannot be accessed. Sharing data outside of institutes poses legal, business, and technical challenges, despite the fact that multicenter studies are the most efficient way to access a large amount of data.