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"Aid to developing countries has largely neglected the population-wide health services that are core to communicable disease control in the developed world. These mostly non-clinical services generate "pure public goods" by reducing everyone's exposure to disease through measures such as implementing health and sanitary regulations. They complement the clinical preventive and treatment services which are the donors' main focus. Their neglect is manifested, for example, in a lack of coherent public health regulations in countries where donors have long been active, facilitating the spread of diseases such as avian flu. These services can be inexpensive, and dramatically reduce health inequalities. Sri Lanka spends less than 0.2% of GDP on its well-designed population-wide services, which contribute to the country's high levels of health equity and life expectancy despite low GDP per head and civil war. Evidence abounds on the negative externalities of weak population-wide health services. Global public health security cannot be assured without building strong national population-wide health systems to reduce the potential for communicable diseases to spread within and beyond their borders. Donors need greater clarity about what constitutes a strong public health system, and how to build them. The paper discusses gaps in donors' approaches and first steps toward closing them. "--World Bank web site.
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L'arrêté du 11 avril 2006 a redéfini la profession d'aide médico-psychologique comme étant la « première qualification de la filière éducative » et lui a donné un diplôme d'État. Pourtant, largement méconnue, elle peine à construire son identité et à obtenir la reconnaissance de sa spécificité et de son ambition : prendre soin au quotidien. Comment rendre compte de cette dimension très complexe mais peu visible et peu spectaculaire des « petits riens » du travail au jour le jour des AMP ? En quoi peut-on dire que les AMP sont les sentinelles, les guetteurs de l'inconfort, de la souffrance, du mal-être, qu'ils soient physique, psychique ou social ? Quelles représentations les AMP ont de leur métier ? Comment conçoivent-ils leur engagement auprès des personnes gravement handicapées, de tous âges, au sein de diverses institutions ? Comment les autres acteurs de l'accompagnement (psychologues, médecins, juristes, paramédicaux) perçoivent-ils la fonction d'AMP ? Professionnels, résidents, formateurs témoignent dans cet ouvrage de l'importance de l'accompagnement sensible et humain que les AMP mènent au plus près de l'intimité des personnes les plus vulnérables.
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"Aid to developing countries has largely neglected the population-wide health services that are core to communicable disease control in the developed world. These mostly non-clinical services generate "pure public goods" by reducing everyone's exposure to disease through measures such as implementing health and sanitary regulations. They complement the clinical preventive and treatment services which are the donors' main focus. Their neglect is manifested, for example, in a lack of coherent public health regulations in countries where donors have long been active, facilitating the spread of diseases such as avian flu. These services can be inexpensive, and dramatically reduce health inequalities. Sri Lanka spends less than 0.2% of GDP on its well-designed population-wide services, which contribute to the country's high levels of health equity and life expectancy despite low GDP per head and civil war. Evidence abounds on the negative externalities of weak population-wide health services. Global public health security cannot be assured without building strong national population-wide health systems to reduce the potential for communicable diseases to spread within and beyond their borders. Donors need greater clarity about what constitutes a strong public health system, and how to build them. The paper discusses gaps in donors' approaches and first steps toward closing them. "--World Bank web site.
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Humanitarian assistance, American. --- Medical assistance, American. --- Public health --- International cooperation. --- United States.
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Humanitarian assistance, American. --- Medical assistance, American. --- Public health --- International cooperation. --- United States.
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Humanitarian assistance, American. --- Medical assistance, American. --- Public health --- International cooperation. --- United States.
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