The role of national programmes and public health associations in influencing health systems
Bibliographic record
Abstract
A forum entitled "Dialogue on national health systems" was held during the 2 nd International Conference; it brought together participants from Brazil, France, Switzerland, Canada, in which case the Canadian representation was principally from Quebec.A symposium of Francophone public health associations was also held in a parallel track.The theme of the Forum primarily focused on "the conditions for the integration of health promotion and prevention in health systems", whilst the symposium was formulated around the "role of public health associations in health promotion: partners, experts, or counterbalances?"In fact, these two events comprised a display of what is at stake in terms of the current debates and the challenges to be faced with regard to the capacities and skills of public health actors to be able to influence health systems to improve the health of populations.Nearly 20 years later, this target is still engrained in the bussling activity around the implementation of the Ottawa Charter (WHO, 1986), which identified the reorientation of health services among the action strategies to promote health.The forum convened public health professionals and bureaucrats, academics and representatives from private foundations who were involved in health promotion.For them, this influence is filtered through the planning strategies which allow for the integration of prevention and health promotion in health systems.These strategies are applied and implemented mostly from within the health system.On the other hand, the symposium accentuated the role of nongovernmental organisations, such as public health organisations who find themselves at the cross-roads of networks involving institutional, political and academic actors.These associations perceive themselves as being outside of the health system, allowing them to keep a safe distance and a critical perspective.However, this can raise ambiguities and difficulties which we will address later on within this paper.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.069 | 0.119 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.006 | 0.008 |
| Scholarly communication | 0.008 | 0.006 |
| Open science | 0.002 | 0.011 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.014 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".