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Elzo

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Hello

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Firmino

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Félix

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Mercy from WP2 Ecuador

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compare results of population surveys in Brazil and Ecuador, according to inequality indicators

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compare results of population surveys in Brazil and Ecuador, according to inequality indicators

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Dandara (facilitator) + David Lopes, Denise Pimenta, Ana Moncayo, Betul Rojeab, Maria Yury, Felix Neves, Joanna Guimaraes

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Dandara (facilitator) + David Lopes, Denise Pimenta, Ana Moncayo, Betul Rojeab, Maria Yury, Felix Neves, Joanna Guimaraes

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Human resources (all conditions): How human resources affect accessibility and quality of primary care.

Tuberculosis. Gap: Lack of international funding

Quality of healthcare assistance for preschool children (puericulture)

Breastfeeding practices and predictors, as well its effect on development and health. Especially in children with low birthweight etc.

Birth and maternal outcomes (prematurity, low birth weight, morbidity & mortality) and its relationship with climate change and focusing in vulnerable groups.

Arboviroses in response to climate change - arbovirus is increasing and expanding.

Infectious diseases (especially respiratory diseases) in children <2 years and vulnerable (e.g., migrants); Gap: Data availability?

Noncommunicable diseases and its risk factors in indigenous groups. Gap: data is scarce, disagregating data by ethnicity and living in indigenous communities. Solutions: more resources (SIASI)

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How the health system affects infant mortality

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How the health system affects infant mortality

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explore how introduction and removal of health policy in Brazil affects health outcomes

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explore how introduction and removal of health policy in Brazil affects health outcomes

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understanding the components of the health system that can mitigate the effects of climate change (extreme natural events can affect the delivery of health care; how the changes in the health system affect the health outcomes)

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understanding the components of the health system that can mitigate the effects of climate change (extreme natural events can affect the delivery of health care; how the changes in the health system affect the health outcomes)

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Urbanicity on health and the use of data to understand this

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Urbanicity on health and the use of data to understand this

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Dynamics of supply physicians programs in PHC (More Doctors Program and Doctors for the Brazil ) on different outcomes in Brazil

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Dynamics of supply physicians programs in PHC (More Doctors Program and Doctors for the Brazil ) on different outcomes in Brazil

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How to use synthetic populations to understand the effects of health policy

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How to use synthetic populations to understand the effects of health policy

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Changes in PHC financing schemes in Brazil and its effects on Health System performance and health outcomes

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Changes in PHC financing schemes in Brazil and its effects on Health System performance and health outcomes

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Dandara - experience with Bolsa Familia impact on maternal and child health outcomes (childhood and maternal mortality). Interest in heterogeneous effects of social policies;

Ana Moncayo - experience with Bono de Desarollo Humano and child mortality;

Betul Rojeab - policies focused on drug use prevention and gender violence in Ecuador;

Maria Yury - how Bolsa Familia impacts the transmission of STDs (Syphilis in particular, but also HIV-AIDS) and quality of prenatal care;

Denise Pimenta - as an anthropologist, her interests are focused on the impact of social in traditional communities and also the ethical use of personal data for research + public engagement;

Felix Neves - interested in the impact of social policies on the health of quilombolas communities in Brazil;

David Lopes - interested in how people can access and understand information published by scientists;

Joanna Guimaraes - how social policies can help mitigate the detrimental effects of living in poor areas and also mediate the impact of environmental/climate events (especially in vulnerable populations);

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How different types of secondary data is used in research

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ensuring equitable access to health care - policy might be universal but in practice how equitable is it?

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ensuring equitable access to health care - policy might be universal but in practice how equitable is it?

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Open access/Improved access of information for all researchers

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Research gap: legal, ethic, procedures (technological infrastructure), experience/skills, quality of information

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Possibility for the funding mentioned by Jon for LAA - weather events and health systems

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Possibility for the funding mentioned by Jon for LAA - weather events and health systems

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The sustainability group decided to merge with the enviroment group

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Gaps for climate change - what characteristics are necessary for resilience? Identify "hot spots"  and use exemplar cases for lessons learned.

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Gaps for climate change - what characteristics are necessary for resilience? Identify "hot spots"  and use exemplar cases for lessons learned.

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IP5: Workshop how to manage data (merge databases, considerations, etc)

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Lack of interdisciplinary work - social scientists and classic epidemiology not always connect and share knowledge on different aspects of the study of social policies;

How the communication about social policy happens - sometimes it doesn't reach the population that should benefit from these policies. Public engagement strategies can help empower communities in seeing themselves as the rightful 'owners' of these resources;

How can we evaluate the general knowledge about social policies in the vulnerable communities as this has a great impact in how they feel motivated to participate and advocate for the permanence and maintenance of such policies;

Example: how people felt more or less safe with the COVID vaccines and the SUS in Brazil had a lot to do with how well they knew the Health System and their rights in the first place;

Not a lot of research has been done on this topic

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Same as point c. - we all agree that public knowledge and engagement is a relevant research topic;

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next steps - workshop to discuss how to take the extreme natural events forward. Wider than SEDHI, look to other NIHR Unit partners. Lot of international interest and opportunities for funding, but not necessarily on this specific issue.

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next steps - workshop to discuss how to take the extreme natural events forward. Wider than SEDHI, look to other NIHR Unit partners. Lot of international interest and opportunities for funding, but not necessarily on this specific issue.

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IP3 + IP5 workshop on garbage code (improvement on mortality data system)

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Data license usage

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Expand analysis methodologies for estimates in small areas

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1. Effects of climate change on arboviruses, NCD and child and maternal health in vulnerabilizadas/minoritised groups (e.g., indigenous, migrants etc)

2. Quality of healthcare, its predictors (health professionals, et al) and impacts of health outcomes.

(e.g. health profess ->quality -> health outcomes)

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Capacity building for anonymization and pseudonymization techniques

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Julia Pescarini, Naia Ortelan, Lais Cardoso, Natalia Romero, Adriana Mendoza, Pilar Quispe, Eduarda Anjos, Ligia Kerr, Karl Kendall.

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There's a lack of knowledge within the research community about the local production of social policies and this impacts what and how we communicate about their impacts - excess use of international terminology that 'blocks' the communication with the communities and the local stakeholders. Too much ATT/ATE and not enough local knowledge and discussion of these policies in the territories (i.e. the history of these policies, the barriers of access, the people's rights and how they can apply and benefit from these programs);

It is imperative that our methodological and theoretical choices (as SEDHI) prioritize the evidence produced by Brazilian and Ecuadorian scientists and legislators - keep a robust and consistent approach of bridging what is of international interest and what the local communities want to/need to know about the social policies;

When working with social policies, the SEDHI Unit must find a balance between what's of international interest and what's relevant to the local communities and researchers. Less ATT/ATE and more meaningful interpretations of how social policy can promote equity and empower vulnerable populations of their rights.

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Grant writting?

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We ran out of time... :(

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I can well see how sporadic things like fire can be related to health but more general things like increased temperature must be difficult. A null result may describe a real effect obscured by improved nutrition for example

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Generally speaking, it is more helpful to think about future research in terms of opportunities, rather than gaps. A couple of highly promising opportunities have already been mentioned, e.g. the 100m cohort, so we should think about how we can use those to best effect.

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a future workshop on climate, environment and health  very interdisciplinary is a great idea

maybe with some specific case studies

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Lancet series on primary care - led by Richard Lifford and contributions from SEDHI members

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New climate data platform in Brazil will provide lots of opportunities

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Training needs for early career researchers in environmental data and using it to link to health data.

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Wellcome project team will work closely with WP2. Further integration between WP2 and WELLCOME team.

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Include policy experts to know how to assess policy. Maybe a seminar on how to conduct a policy evaluation.

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Retrospective studies, potentially using El Niño etc. on health outcomes. To explore whether this could understand what may happen in the future.

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Imperical research from observational data may be a key way to move forward.

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Need to look for abrupt changes rather than small progressive changes

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Could modelling support the longer term effect of heating on various health outcomes. New born/maternal health. Long term effects of environmental disruption (flooding etc.).

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How to link longitudinal climate data with health outcomes to infer causality.

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Progress, need to share skills and resources for investigating climate impact on health outcomes. Urgent and timely research area.

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Birmingham has expertise in geospatial mathematical modelling.