Metas SMART do ChatGPT para práticas colaborativas na Global Strategy to Accelerate the Elimination of Cervical Cancer

This study aimed to analyze the collaborative practices within the policy "Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem," using insights offered by the SMART criteria generated by ChatGPT. It is a qualitative and exploratory study based on document analysis. ChatGPT generated Specific, Measurable, Achievable, Relevant, and Time-bound (SMART) criteria from the document, which were analyzed using a three-step inductive content analysis method. Five categories were identified: measurable goals, healthcare monitoring, technology as an ally, alignment with the Sustainable Development Goals, and collaborative practices for educational expansion. Screening, diagnosis, and treatment actions must be implemented by 2030 in underdeveloped countries, in accordance with the Sustainable Development Goals.

Advancing global health and the sustainable development goals through transdisciplinary research and equitable publication practices

In 2020, an estimated 596 million people worldwide had distance vision impairment and a further 510 million had uncorrected near vision impairment.1 Most of these people live in low-income and middle-income countries (LMIC). Eye health is also affected by conditions that do not, at least initially, impair vision. Although these conditions are not currently included in global prevalence estimates, they contribute substantially to the unmet need for eye health services. Vision is important for many aspects of life, and vision impairment can profoundly affect individuals, families, and society. Eye health touches all lives, either directly or indirectly, through its impact on those close to us. The year 2020 marks the culmination of the global initiative to eliminate avoidable blindness, VISION 2020: The Right to Sight (appendix 1 p 7). This initiative provided the framework for national programmes to address eye health over the past 20 years. In 2019, WHO published the World report on vision,2 which was endorsed by the 73rd World Health Assembly in 2020. The report and resolution call for the advancing of eye health as an integral part of universal health coverage, by implementation of integrated people-centred eye care, following the approach outlined in a broader health services framework.3 The Lancet Global Health Commission on Global Eye Health contends that eye health should be part of the mainstream agenda to achieve universal health coverage and sustainable development. We define eye health as the state in which vision, ocular health, and functional ability are maximised, thereby contributing to overall health and wellbeing, social inclusion, and quality of life. Eye health can be considered both a process and an outcome. We define eye care services as those that contribute to any of vision, ocular health, or functional ability being maximised. This report broadly divides into two halves. First, we present evidence for the importance of eye health, supporting the case for urgent action. Second, looking beyond 2020, we examine approaches to enable delivery of eye health services within universal health coverage. In section 1 we summarise the visual system, vision impairment, and common conditions. In section 2, we synthesise several reviews done by the Commission on the relevance of eye health to the Sustainable Development Goals (SDGs), as well as its impact on quality of life, general health, and mortality. In section 3, we describe the magnitude and causes of vision impairment in 2020 and projected global and regional trends. We explore service needs of people with non-vision impairing eye conditions. We propose a more standardised approach to reporting population-based eye health surveys and examine the disability weights applied to vision impairment. In section 4, we summarise findings from a systematic review of eye health economics, identifying important areas for future work. We present a new estimate of global lost productivity associated with vision impairment for 2020, and an analysis of the cost-effectiveness ratios for cataract surgery and refractive error services. In section 5, we outline a bibliometric analysis of eye health research since 2000, and report a global Grand Challenges project, highlighting crucial issues for concerted research and action. Lastly, we address the question of how health systems can practically advance towards delivering high quality integrated people-centred eye care within universal health coverage.2 We argue that business as usual will be insufficient, as evidenced by new analysis of effective cataract surgical coverage data. We examine service delivery components: primary eye care and integration with general health services, workforce strengthening, financing, health information systems, indicators, advocacy, and approaches to increase quality and equity. The development of global eye health This Commission views global eye health through the global health framework articulated by Koplan and colleagues.4 Eye health started with an understanding of the anatomy, physiology, diseases of the eye, and the development of clinical ophthalmology, the medical and surgical discipline for diagnosis and treatment of eye diseases. From the mid-20th century onwards (figure 1), there have been major technological advances in microsurgical techniques for cataract and other conditions, and equipment for diagnosis and treatment of major non-communicable eye diseases, resulting in more effective interventions. There has been an enormous demographic transition, with ageing populations and epidemiological changes from infectious diseases and towards non-communicable diseases, requiring accessible and affordable eye services with long-term follow-up. The increase in demand, emphasis on better quality, and higher cost of more sophisticated diagnostic and treatment services is requiring an increase in resources, which presents enormous public health challenges. Open in a separate window Figure 1 The development of global eye health Blue circles indicate major global developments. Red circles indicate major treatments and programmatic developments. WHA=World Health Assembly. IAPB=International Agency for the Prevention of Blindness. RAAB=Rapid Assessment of Avoidable Blindness. RACSS=Rapid Assessment of Cataract Surgical Services.

Digital social innovation: An overview and research framework

Diabetes in Socioeconomically Vulnerable Populations.

Background In 2015, the United Nations adopted the 2030 Agenda for Sustainable Development, including the 17 Sustainable Development Goals (SDGs). Higher education institutions have a role in raising awareness and building skills among future professionals for implementing the SDGs. This review describes how the SDGs have been integrated into higher education globally. Objectives Determine how have the SDGs been integrated into higher education globally. Describe the differences in the integration of the SDGs in higher education across high-income countries (HICs) and low- and middle-income countries (LMICs). Methods Following a scoping review methodology, we searched Medline, Web of Science, Global Health, and Educational Resources Information Center, as well as websites of key institutions including universities, identifying peer-reviewed articles and grey literature published between September 2015 and December 2021. Results We identified 20 articles and 38 grey literature sources. Since 2018, the number of publications about the topic has been increasing. The SDGs were most frequently included in bachelor-level education and disciplines such as engineering and technology; humanities and social sciences; business, administration, and economics. Methods of integrating the SDGs into higher education included workshops, courses, lectures, and other means. Workshops and courses were the most frequent. The methods of integration varied in high-income countries compared to low- and middle-income countries. High-income countries seemed to follow a more academic approach to the SDGs while low- and middle-income countries integrate the SDGs with the aim to solve real-world problems. Conclusion This study provides examples of progress in integrating the SDGs into higher education. Such progress has been skewed to high-income countries, bachelor-level initiatives, and certain disciplines. To advance the integration of the SDGs, lessons learned from universities globally should be shared broadly, equitable partnerships formed, and students engaged, while simultaneously increasing funding for these processes.

The Sustainable Development Goals (SDGs) were adopted by the United Nations (UN) in 2015 to “end poverty and set the world on a path of peace prosperity and opportunity for all on a healthy planet” by 2030. This ambitious framework includes 17 goals (e.g., no poverty, zero hunger, good health, quality education, etc.) with 169 targets and 231 unique indicators. The SDGs have been widely adopted to guide policy makers in development efforts around the world, but they also have been criticized as too unwieldy and all-encompassing. The Economist (March 26, 2015) concluded that the “SDGs are unfeasibly expensive” and “are so sprawling and misconceived that the entire enterprise is being set up to fail.” Nevertheless, the SDGs are now an integral part of the global development movement and are often cited by advocates of specific interventions. The Sustainable Development Report 2020 (SDR2020) was prepared by teams of independent experts at the Sustainable Development Solutions Network and the Bertelsmann Stiftung. It is separate from the The Sustainable Development Goals Report 2020 published by the UN. The project is directed by Jeffry Sachs, who was an advisor to UN Secretaries-General Kofi Annan and Ban-Ki Moon in the creation of the Millennium Development Goals (MDGs) and SDGs. As in previous years, the SDR2020 presents and aggregates data from all UN member states to describe each country's progress towards achieving the SDGs and indicates areas requiring faster progress. Estimates of indicators rely on the most up-to-date data from variety of official and nonofficial sources. In order to summarize levels and trends in country performance, the report calculates indices for each SDG with a scale from 0 to 100 (worst to best). A country's overall SDG Index score and its scores on individual SDGs can be interpreted as a percentage of optimal performance. The overall SDG index score ranges from a high of 84.7 in Sweden to a low of 38.5 in Central African Republic. The report's central chapter summarizes global and regional trends in index scores, and appendix tables present two-page summaries of levels and trends for SDG indicators for each country. Besides struggling with a range of methodological issues, the authors faced the difficult task of succinctly summarizing a very large set of data (115 SDGs indicators for 193 countries). Unfortunately, there are few general findings, because the degree of progress towards achieving the SDGs depends on (i) country/region, (ii) the specific SDG, and (iii) level or trend. On average, progress since 2015 has been fastest in low- and middle-income countries especially in East and South Asia. Africa scores low but showed significant improvements in a number of SDGs. OECD countries, which have on average the highest scores, made only limited progress. The report provides a valuable but rather brief summary of these regional differences. A second objective of SDR2020 is to review policy efforts to implement the SDGs. This assessment is based on information gathered in new expert and public opinion surveys to gauge political leadership in support of the SDGs at the country level. Results confirm that the SDGs framework is increasingly used at many national and international statistical institutes and other data providers. The adoption of the SDG framework by policy makers is growing but more limited. The report's clear exposition in graphs and tables and the many country and regional statistics will no doubt be appreciated by policy makers and researchers in national and international organizations. However, the value of the findings is somewhat limited by the lack of current data for many indicators. As the authors discovered, most estimates are not up to date and a substantial proportion of the data points available now even have a year of reference that predates the adoption of the SDGs. This diminishes the value of publishing country-level estimates on an annual basis, as indicators for many countries change little from one year to the next. The report was in preparation when the Covid-19 epidemic struck. A brief discussion of this huge new human and economic crisis is included, and the authors identify which SDGs will likely be most heavily affected. The epidemic will cause massive disruption of progress on the SDGs for years to come, but it was too early to assess this damage at the time of the publication of the report (July 2020).

BackgroundThe circular economy framework for human production and consumption is an alternative to the traditional, linear concept of ‘take, make, and dispose’. Circular economy (CE) principles comprise of ‘design out waste and pollution’, ‘retain products and materials in use’, and ‘regenerate natural systems’. This commentary considers the risks and opportunities of the CE for low- and middle-income countries (LMICs) in the context of the Sustainable Development Goals (SDGs), acknowledging that LMICs must identify their own opportunities, while recognising the potential positive and negative environmental health impacts.Main bodyThe implementation of the CE in LMICs is mostly undertaken informally, driven by poverty and unemployment. Activities being employed towards extracting value from waste in LMICs are imposing environmental health risks including exposure to hazardous and toxic working environments, emissions and materials, and infectious diseases. The CE has the potential to aid towards the achievement of the SDGs, in particular SDG 12 (Responsible Consumption and Production) and SDG 11 (Sustainable Cities and Communities). However, since SDG 3 (Good Health and Well-Being) is critical in the pursuit of all SDGs, the negative implications of the CE should be well understood and addressed. We call on policy makers, industry, the health sector, and health-determining sectors to address these issues by defining mechanisms to protect vulnerable populations from the negative health impacts that may arise in LMICs as these countries domesticate the CE.ConclusionStriving towards a better understanding of risks should not undermine support for the CE, which requires the full agency of the public and policy communities to realise the potential to accelerate LMICs towards sustainable production and consumption, with positive synergies for several SDGs.

The commercial determinants of health (CDOH) and the adverse impacts they have on health equity globally, have recently emerged as an innovative growing field of research in public health. The corporate playbook comprises a myriad of strategies and tactics that aim to enhance profitability for the commercial actors, while harming health and posing grave risks to planetary health for current and future generations. The literature however, rarely explicitly makes the connection between commercial determinants and the impact they have on the attainment of the Sustainable Development Goals (SDGs) set out by the United Nations in 2015. This workshop aims to use the commercial determinants of health framework as a new approach to draw attention to, and make linkages between, commercial determinants and the challenges they pose to the attainment of several if not all the global SDGs. The four presentations showcase exemplars of the commercial determinants to include the firearms industry, fossil fuel industry, food industry and the tobacco industry focusing on impacts in low- and middle-income countries (LMICs). The workshop will start with a brief overview of the CDOH framework, their corporate playbook, and the progress in SDG attainment globally while presenting the first case on the firearms industry trade impacting armed conflicts that impede SDG 3 (good health and wellbeing), 10 (reduced inequalities), and 16 (peace, justice and strong institutions). The second presentation will discuss how the fossil fuel industry uses greenwashing tactics to conceal its harmful activities thereby compromising SDGs 7 (affordable and clean energy), 11 (sustainable cities and communities), and 13 (climate action). The third presentation will address how the tobacco industry impedes the advancement of SDG 3, 8 (decent work and economic growth), 13 (climate action) and 17 (partnerships for the goals) perpetuated by national system level attributes. The last presentation will showcase how the food industry challenges SDG 3 in its production of ultra-processed foods. The workshop will draw on evidence from LMICs, but is also eye opening for high-income countries of Europe which face industry interference in social and health policymaking progress in SGD attainment. The audience will be engaged in a short warm-up exercise at the start of the workshop through an app for real-time feedback accessed through a QR code on the screen, and will interact with the presenters at the end of the workshop if time permits. Key messages • All commercial actors pose a direct or indirect threat to progress in attaining the SDGs. • The commercial determinants of health pose are in direct contradiction to the SDG 17 through their corporate playbook.

The SDGs in middle-income countries: Setting or serving domestic development agendas? Evidence from Ecuador

Adding quality to primary care.

Progress towards the United Nations’ Sustainable Development Goals (SDGs) is monitored using a set of targets and indicators. Gaps in official datasets have led to calls for the inclusion of data generated through citizen science (CS) and allied approaches. Co-benefits of CS mean these approaches could also contribute to localising, defining, and achieving the SDGs. However, mapping of current and potential contributions is needed, as well as an understanding of the challenges these approaches present. We undertake a semi-systematic review of past and current CS projects and assess them against dimensions of CS—spatial, temporal, thematic, process, and management—and their value for the SDGs set out by Fritz et al. in 2019, focusing on low and middle income country (LMIC) cities as key environments in the battle for sustainability. We conduct interviews with project leaders to further understand the challenges for CS in these contexts. We find opportunities for projects to monitor and achieve a wide range of goals, targets, and indicators. However, we find fewer projects in low income countries when compared with middle income countries. Challenges include balancing local needs with national monitoring requirements and a lack of long-term funding. Support is needed for LMICs to achieve the potential of CS.

Purpose of the study: Sustainable Development Goals (SDGs) proposed by the United Nations (UN) in 2015 comprising a universally acceptable worldwide development agenda which each country of the world has to achieve till 2030. The purpose of this study is to examine the socio-economic and political transformational challenges confronted to South Asian Countries (SA) i.e. Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka, in achieving the targets of Sustainable Development Goals (SDGs). Methodology: The study uses different statistics of World Bank, International Monetary Fund (IMF), World Health Organizations (WHO), and Food and Agriculture Organization (FAO) to give a comprehensive picture of South Asian economies and the challenges which they are currently facing for achieving the targets of Sustainable Development Goals (SDGs). In our preliminary analysis, the methodology highlighted the issues of South Asian Countries such as poverty (SDG 1), healthy lives and well-being (SDG 3), inclusive and equitable quality education (SDG 4), sustained, inclusive, and sustainable economic growth, full and productive employment and decent work for all (SDG 8)". Principal Findings: The statistics presented regarding South Asian economies exhibit a dismal picture. At present, the attainment of these stipulated goals seems impossible and remains elusive if some serious measures have not been taken. The role of DCs and the world community as a whole is significant in this regard. To save the planet from extreme poverty, hunger, malnutrition, equitable access to modern technology, improved education and health for all human beings, the developed countries should give at least one percent of their GNP in the form of development assistance to poor countries. The study suggests that good governance that could undertake and implement structural reforms is necessary to deal with the challenges confronting to South Asian countries in achieving the targets of these stipulated goals. More importantly, the Developed Countries (DCs) started to implement their strategies to view SDGs' targets. Now it is a dire need that DCs should assist the Under Developed Countries (UDCs) and help them from their experience in identifying the transformational challenges which they possibly have to face in achieving SDGs' targets. Otherwise, it looks impossible for the UDCs to come up with these targets till 2030. Applications of this study: The study highlighted some key challenges that South Asian countries face to achieve the targets of Sustainable Development Goals (SDGs). The study outcomes can prove very much helpful for South Asian countries for achieving these targets and devising thriving economic policies generous to attaining their targets till 2030. Novelty/Originality of this study: This study gives a brief picture of the current position of the South Asian countries where they stand regard to Sustainable Development Goals' targets. Moreover, the results and policy recommendations presented at the end of the study provides help to deal with the challenges that are big hindrances in achieving the targets of these SDGs.

Dietary transition towards higher consumption of animal source foods (ASF) associated with higher incomes across low and middle-income countries could have negative impacts on environmental systems and their potential in the long run to provide services necessary for achieving multiple Sustainable Development Goals (SDGs). In this article, we integrate economic, land use allocation, and biophysical models to investigate trade-offs between the five ecosystem services and their contributions to various SDGs associated with agricultural expansion to meet future demand for ASF, using Tanzania as a case study. Our results show that under the scenario of sustainable socio-economic development, between 2010 and 2030 in Tanzania, per capita income grows by 169% and the share of population at risk of hunger declines from 34.8% to 23%. These changes can be associated on a macro-level with positive contributions to achievement of SDG 1 (No Poverty) and SDG 2 (Zero Hunger). To satisfy feed demand for increased livestock production domestically, an increase by 21.4% of biomass production as compared to 2010 is needed. Analysis of alternative scenarios for meeting this new demand shows potential threats on a landscape level to achieving numerous SDGs and more generally to attaining sustainable food systems. Ecosystem-based contributions primarily decline to SDGs: SDG 3 (Health), SDG 6 (Clean Water), SDG 11 (Sustainable Cities), SDG 13 (Climate) and SDG 15 (Terrestrial Life). We find that higher crop productivity and redesign of agro-ecosystems to increase on-farm tree cover could significantly limit these losses. Alternatively, the growing demand for ASF could be satisfied with imports, which would allow for reducing the trade-offs locally. However, this would result in at least partially only displacing ecosystem service losses to the exporting countries.

BackgroundGlobal progress in the United Nations’ Sustainable Development Goals (SDGs) requires significant national and international research efforts and collaboration. The current study aimed to provide policymakers, academics, and researchers with a snapshot of global SDGs-related research activity.MethodThis was a cross-sectional descriptive bibliometric study. SciVerse Scopus was used to retrieve SDGs-related research publications for the period from 2015 to 2019.ResultsIn total, 18,696 documents were found. The Sustainability journal ranked first (n = 1008; 5.4%) in the number of SDGs-related publications. The World Health Organization was the most active institution in publishing SDGs-related documents (n = 581; 1.3%). Most of the retrieved documents belonged to SDG 17 (partnership) followed by SDG 13 (climate action), and SDG 12 (responsible consumption and production), while SDG 7 (affordable and clean energy) had the least number of publications. The European region (n = 9756; 52.2%) had the highest research contribution while the Eastern Mediterranean region (n = 1052; 5.6%) had the least contribution. After exclusion of SDG 17, the SDG 3 (good health and well-being) was the top researched SDG for the African region, the Eastern Mediterranean regions, and the South-Eastern Asian region. For the region of the Americas, European region, and the Western Pacific region, the SDG 13 (climate action) was the most researched. The SDG 7 (affordable and clean energy) was the least researched in the African region, the region of the Americas, the European region, and the South-East Asian region. In the Eastern Mediterranean region, SDG 10 (reduced inequality) was the least researched while in the Western Pacific region, SDG 5 (gender inequality) was the least researched. The most researched targets of SDG 3 were targets 7 (sexual and reproductive health services) and 8 (universal health coverage) while the least researched targets were 5 (substance use disorders) and 9 (death from hazardous materials). International research collaboration within SDG 3 between high- and low-income countries was inadequate.ConclusionThe analysis presented in the current study are useful for researchers, institutes, governments, funding agencies, and policy-makers. Countries in Africa, the Middle East, and South-East Asia need to increase their funding and research collaboration in the field of SDGs.