RESUMO
PIP: This decree, issued by the Chilean Ministry of Justice, establishes the following regimes for the care of minors in irregular situations: a) ambulatory diagnosis services; b) day care in a family setting for breast feeding and pre-school children; c) substitute family care for minors who do not have problems with the law; d) care in group homes for such minors; e) emergency care in substitute families for minors; f) rehabilitation in substitute homes for minors who have problems with the law or severe behavioral problems; g) technical on-job training for minors who have broken the law; and h) group care for minors who have broken the law. These regimes can be implemented by the National Agency for Minors or public and private organizations entering into agreements with the Agency. Decree No. 1610 of 26 December 1991 of the Ministry of Justice sets forth regulations governing agreements between public and private organizations and the National Agency for Minors with respect to the Program of Support for Minors in Irregular Situations (a different program from the above regimes). These agreements are to have the following primary objectives: diagnosis; rehabilitation for minors who have broken the law; attention for minors with behavioral problems; deinstitutionalization of minors and their reinsertion in society; personal attention to minors who have problems with the law, including advising their families; education and training for minors; community prevention of juvenile delinquency; and awareness raising projects. See Recopilacion de Leyes y Reglamentos, Vol. 98, 1991, pp. 765-8 (Diario Oficial, No. 34179, 29 January 1992). Further provisions of the decree deal with applications, financing, and records, among other things. Decree No. 32 of 11 November 1991 establishes rules for the execution of the above program. See Recopilacion de Leyes y Reglamentos, Vol. 98, 1991, pp. 492-495.^ieng
Assuntos
Adolescente , Cuidado da Criança , Comunicação , Educação , Política de Planejamento Familiar , Legislação como Assunto , Política Pública , Ensino , Fatores Etários , América , Comportamento , Educação Infantil , Chile , Demografia , Países em Desenvolvimento , América Latina , População , Características da População , América do SulRESUMO
PIP: This law creates under the Ministry of Planning and Cooperation of Chile the National Youth Institute. The primary objective of the institute is to collaborate with the Executive Branch of the Government in the design, planning, and coordination of policies relating to youth affairs. The institute has the following responsibilities: a) to study and propose to the president general policies and plans for the diagnosis and solution of youth problems in all areas of national activities; b) to coordinate with public and private agencies and organizations in the execution of approved plans and policies, ensure that they are implemented, and evaluate the results; c) to propose and promote specific programs for youth in all spheres where the state administration is active; d) to maintain and develop an agency for information, orientation, technical support, and training designed to improve activities carried out by public officials and other organizations in the youth sector; e) to encourage youth awareness and participation by promoting and financing research, studies, campaigns, seminars, and other similar initiatives; f) to maintain ties to national, international, and foreign organizations and, in general, all institutions and persons who are working on the same issues and to enter into agreements with them on the execution of projects and activities of common interest; and g) to study and propose to the president legal initiatives relating to the conditions of youth. Further provisions of the law set forth the organization, administration, and assets of the institute, among other things. Decree with the Force of Law No. 1 of 30 January 1992 sets forth the internal structure of the National Youth Institute. See Diario Oficial, No. 34224, 24 March 1992.^ieng
Assuntos
Adolescente , Comunicação , Planejamento em Saúde , Cooperação Internacional , Legislação como Assunto , Organização e Administração , Política Pública , Pesquisa , Ensino , Fatores Etários , América , Chile , Demografia , Países em Desenvolvimento , Economia , Educação , América Latina , População , Características da População , América do Sul , TecnologiaRESUMO
PIP: Voluntary sterilization is the chosen family planning method of more couples worldwide than any other, evidence of its acceptability and lack of serious shortcomings. This work offers observations on training, counseling, supervision, cost-effectiveness, and acceptability of voluntary sterilization programs, and presents some results of Profamilia's program. Training of qualified medical personnel in the available techniques is a relatively simple. Profamilia has trained almost 1000 medical professionals, nearly half of whom were from other countries, but a legal technicality has forced Profamilia to curtail training of foreign professionals. It is much more difficult to train personnel to identify and inform potential clients about sterilization, promote the procedure, and provide follow-up, yet these program activities are crucial to a successful sterilization program. Counseling of couples is necessary and should include discussion of the greater convenience of vasectomy compared to tubal ligation. Sterilization should be presented as a permanent method. This permanence, often viewed as a disadvantage, has a positive side in freeing couples of the need for further consideration of family size or contraception and in protecting them against family and social pressures to have more children. Raising marriage age or family size requirements in the hope of avoiding regret does not appear justified. Assuring that sterilization is truly voluntary is a preoccupation of donors, but has not been a problem in Profamilia programs. All clients are required to make some payment and to sign a detailed consent form. Profamilia has been persuaded to discourage mental defectives from undergoing sterilization because of possible legal problems. Periodic, unannounced visits to clinics are recommended for quality control and supervision. Profamilia employs salaried medical personnel for sterilization when careful supervision is available to ensure that they do not unjustifiably reject applicants, and pays on a per-case basis otherwise. It is estimated that each Profamilia sterilization provides 12.5 couple-years of protection. Each sterilization costs US $ 33.20 on average, 60% of it for personnel costs. Profamilia offer highly subsidized services for its lower middle class clients and almost free services for its poorest 40% of clients. The financial strain is considerable for Profamilia, which carries out some 70,000 sterilizations each year at a cost of US $ 2.25 million, only 1/7 of it directly paid for by clients. Since 1973, Profamilia has performed over 700,000 tubal ligations. There have been 19 deaths, 9 attributed to surgical and 5 to anesthetic problems. There are minor complications in about 1% of cases. 26,401 vasectomies were performed through 1990, with 2 cases requiring hospitalization.^ieng
Assuntos
Análise Custo-Benefício , Aconselhamento , Educação , Emoções , Planejamento em Saúde , Administração de Serviços de Saúde , Consentimento Livre e Esclarecido , Organização e Administração , Aceitação pelo Paciente de Cuidados de Saúde , Gestão de Recursos Humanos , Avaliação de Programas e Projetos de Saúde , Esterilização Reprodutiva , Esterilização Tubária , Ensino , Vasectomia , Instituições de Assistência Ambulatorial , América , Comportamento , Colômbia , Anticoncepção , Comportamento Contraceptivo , Países em Desenvolvimento , Estudos de Avaliação como Assunto , Serviços de Planejamento Familiar , América Latina , Psicologia , América do SulRESUMO
This Resolution approves the Regulations for the organization and functioning of the Autonomous Authority of the Special Project for Primary Attention and Basic Health Services created by Peru Supreme Decree No. 005-86-SA. The objectives of the Authority are 1) to implement basic health services; 2) to bring about the construction of health centers; 3) to give medical equipment and medicines to these centers, as well as to the people with the poorest levels of health within its jurisdiction; 4) to supply means of communication and transportation; 5) to obtain the participation of the community in all steps of the project; and 6) to train personnel. Further provisions of the Resolution deal with the directorate, the executive presidency, departments, and resources of the Authority, among other things.
Assuntos
Comunicação , Atenção à Saúde , Equipamentos e Provisões , Planejamento em Saúde , Legislação como Assunto , Organização e Administração , Atenção Primária à Saúde , Ensino , Meios de Transporte , América , Países em Desenvolvimento , Economia , Educação , Saúde , Serviços de Saúde , América Latina , Peru , América do SulRESUMO
This Resolution creates a Department of Family Medicine under the Directorate of Medical Attention in the General Sectoral Directorate of Health of Venezuela. The Resolution was issued as part of a strategy to develop primary health attention in all the communities of the country. Among the functions of the Directorate are the following: 1) to promote, participate, and give advice on the programming of activities essential to the activities of primary medical attention; 2) to supervise, evaluate, and control activities relating to family medicine programs in primary attention establishments; and 3) to promote and program training and actualization courses of primary medical attention for general physicians and specialists in family medicine.
Assuntos
Publicidade , Consultores , Planejamento em Saúde , Legislação como Assunto , Organização e Administração , Atenção Primária à Saúde , Ensino , América , Atenção à Saúde , Países em Desenvolvimento , Economia , Educação , Saúde , Serviços de Saúde , América Latina , Marketing de Serviços de Saúde , América do Sul , VenezuelaRESUMO
This Resolution sets forth the Regulations on the organization and functions of the Peruvian National Maternal-Child Institute, created by Supreme Decree No. 022-87-SA. The following are among the functions of the Institute: 1) to propose a policy of maternal-perinatal care; 2) to encourage and realize basic, clinical, and operative research, developing technologies appropriate to the national maternal-perinatal health situation; 3) to disseminate to all levels scientific results in the maternal-perinatal area; 4) to coordinate and develop specialized training programs in maternal-perinatal health directed at health personnel and the community; 5) to contribute to the improvement and training of all personnel participating in activities aimed at gynecological, obstetrical, and perinatal care; 6) to intensify the training of specialists required for the care of women and childbirth; 7) to facilitate the decentralization of maternal-child care in order to achieve specialized care; 8) to propose rules and procedures for maternal-perinatal care; 9) to advise the High Directorate of the Ministry of Health with respect to maternal-child care; 10) to coordinate, support, and evaluate activities carried out by public and other institutions directed at maternal-perinatal health care; and 11) to increase and improve the quality of institutional care services for women of child-bearing age, pregnant women, child-birth, and the recently born, with the priority of developing care of greater sophistication. Further provisions of the Resolution set forth the organization, interinstitutional relations, and resources of the Institute, among other things.