ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS
Objective: This article analyzes the opinions of public servants involved in health problems concerning adolescents, focusing on the strategies and interventions designed to address such needs, and how they manage to articulate actions in order to achieve objectives. Method: A common mapping of acto...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
2019
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/RSD/article/view/19662 |
| Aporte de: |
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I10-R360-article-19662 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-360 |
| container_title_str |
Revista de Salud Pública |
| language |
Español |
| format |
Artículo revista |
| topic |
Adolescent Health Services Health Policies Strategic Planning Servicios de Salud Adolescente Políticas de Salud Planificación Estratégica |
| spellingShingle |
Adolescent Health Services Health Policies Strategic Planning Servicios de Salud Adolescente Políticas de Salud Planificación Estratégica Maceira, Daniel Hasicic, Cintia Carlino, Milva Ibarra, Marcelo Marcos, Paola Navarro, Damián Sadir, Fernando ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS |
| topic_facet |
Adolescent Health Services Health Policies Strategic Planning Servicios de Salud Adolescente Políticas de Salud Planificación Estratégica |
| author |
Maceira, Daniel Hasicic, Cintia Carlino, Milva Ibarra, Marcelo Marcos, Paola Navarro, Damián Sadir, Fernando |
| author_facet |
Maceira, Daniel Hasicic, Cintia Carlino, Milva Ibarra, Marcelo Marcos, Paola Navarro, Damián Sadir, Fernando |
| author_sort |
Maceira, Daniel |
| title |
ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS |
| title_short |
ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS |
| title_full |
ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS |
| title_fullStr |
ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS |
| title_full_unstemmed |
ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS |
| title_sort |
adolescent health and the look of institutional actors in five provinces in the north of argentina. paradigms, perceptions and programs |
| description |
Objective: This article analyzes the opinions of public servants involved in health problems concerning adolescents, focusing on the strategies and interventions designed to address such needs, and how they manage to articulate actions in order to achieve objectives. Method: A common mapping of actors was designed for the analyzed locations (Chaco, Jujuy, Salta, Misiones and La Rioja), 10-12 interviews were done in each province, prior informed consent, between October and November 2016. Results: The opinions gathered and management experiences show that there is no stated strategy in adolescent health in the country; however, there are isolated planned approaches as part of national programs, or through specific initiatives in the provinces. This does not necessarily imply lack of commitment from civil servants: their high turnover exacerbates the challenge; informal coordination relies on individual links, which require reorganization with every change of person in charge. Conclusions: The study shows gaps leading to identify and implement policies for adolescents. These gaps go from the recognition or not of a new paradigm based on persons of rights as well as its correlation with real actions showing that such paradigm is recognized and translated into concrete actions, knowledge transmission and consistent allocation of resources. As a result, it is observed that there is not a shared strategy regarding adolescence health in the country; instead we find non-coordinated and isolated approaches, with many gaps, particularly related to mental health and addictions. |
| publisher |
Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/RSD/article/view/19662 |
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I10-R360-article-196622025-04-03T12:06:14Z ADOLESCENT HEALTH AND THE LOOK OF INSTITUTIONAL ACTORS IN FIVE PROVINCES IN THE NORTH OF ARGENTINA. PARADIGMS, PERCEPTIONS AND PROGRAMS Salud Adolescente y la Mirada de los Actores Institucionales en cinco provincias del Norte Argentino. Paradigmas, percepciones y Programas SAÚDE ADOLESCENTE E O OLHAR DOS ATORES INSTITUCIONAIS EM CINCO PROVÍNCIAS DO NORTE ARGENTINO. PARADIGMAS, PERCEPÇÕES E PROGRAMAS Maceira, Daniel Hasicic, Cintia Carlino, Milva Ibarra, Marcelo Marcos, Paola Navarro, Damián Sadir, Fernando Adolescent Health Services Health Policies Strategic Planning Servicios de Salud Adolescente Políticas de Salud Planificación Estratégica Objective: This article analyzes the opinions of public servants involved in health problems concerning adolescents, focusing on the strategies and interventions designed to address such needs, and how they manage to articulate actions in order to achieve objectives. Method: A common mapping of actors was designed for the analyzed locations (Chaco, Jujuy, Salta, Misiones and La Rioja), 10-12 interviews were done in each province, prior informed consent, between October and November 2016. Results: The opinions gathered and management experiences show that there is no stated strategy in adolescent health in the country; however, there are isolated planned approaches as part of national programs, or through specific initiatives in the provinces. This does not necessarily imply lack of commitment from civil servants: their high turnover exacerbates the challenge; informal coordination relies on individual links, which require reorganization with every change of person in charge. Conclusions: The study shows gaps leading to identify and implement policies for adolescents. These gaps go from the recognition or not of a new paradigm based on persons of rights as well as its correlation with real actions showing that such paradigm is recognized and translated into concrete actions, knowledge transmission and consistent allocation of resources. As a result, it is observed that there is not a shared strategy regarding adolescence health in the country; instead we find non-coordinated and isolated approaches, with many gaps, particularly related to mental health and addictions. Objetivo: Este artículo analiza las miradas de los diferentes funcionarios/as involucrados en las problemáticas de salud detectadas en la población adolescente, destacando las estrategias e intervenciones diseñadas para responder tales necesidades y cómo la gestión logra articularse para alcanzar los objetivos de política planteados.Metodología: Se diseñó un mapeo de actores común a las jurisdicciones analizadas (Chaco, Jujuy, Salta, Misiones y La Rioja), efectuándose entre 10 y 12 entrevistas por provincia, mediando consentimiento informado, entre los meses de octubre y noviembre de 2016.Resultados: La recolección de opiniones y experiencias de gestión muestran que no existe una estrategia en salud adolescente en el país, aunque sí abordajes planificados aislados, tanto desde algunos programas nacionales, o a través de algunas iniciativas específicas implementadas desde las provincias. Ello no implica necesariamente falta de compromiso de las/os funcionaras/os involucrados: la alta rotación agudiza el desafío, en tanto la coordinación informal descansa en vínculos individuales, que requieren recomponerse en cada cambio de responsable. O objetivo deste trabalho analisa os olhares dos diferentes funcionários / as envolvidos em problemas de saúde detectados na população adolescente, salientando as estratégias e intervenções desenhadas para acodir a tais necessidades e como a gestão consegue articular para atingir os objetivos políticos propostos. Metodologia: Desenhou-se um mapeamento de atores comuns às jurisdições analisadas (Chaco, Jujuy, Salta, Misiones e La Rioja), realizado entre 10 e 12 entrevistas por província foi projetado, após consentimento informado, entre os meses de outubro e novembro de 2016. Os resultados : A coleta de opiniões e experiências de gestão mostram que não existe uma estratégia sobre a saúde dos adolescentes no país, embora haja abordagens planejadas isoladamente bem de alguns programas nacionais como através de algumas iniciativas específicas implementadas a partir das províncias. Isto não implica necessariamente uma falta de compromisso dos/as funcionários/as envolvidos: a alta rotatividade alavanca o desafio, enquanto a coordenação informal repousa em vínculos individuais, que requerem se recompor a cada troca de responsáveis. Conclusões: O estudo mostra a presença de lacunas no olhar que leva a identificar e imple mentar políticas para a adolescência. Essas lacunas se estendem desde o reconhecimento ou não de um novo paradigma baseado em sujeitos de direito, bem como em sua contraparte real em ações que mostrem que este paradigma é efetivamente reconhecido e traduzido em intenções, conhecimentos sobre a sua abordagem, e alocação de recursos consistentes com tais princípios. Como resultado, observa-se que não há necessariamente uma estratégia comum sobre a saúde dos adolescentes no país, mas abordagens planejadas isoladamente, com faltas marcadas, particularmente relacionados ao tratamento da saúde mental e adicções. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2019-04-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/19662 10.31052/1853.1180.v23.n1.19662 Revista de Salud Pública; Vol. 23 Núm. 1 (2019): Revista de Salud Pública; 10-25 1852-9429 1853-1180 10.31052/1853.1180.v23.n1 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/19662/23458 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |