IOSR-JHSS   Volume-30 ~ Issue-3 ~ March 2025

Abstract: Resumo: Este ensaio acadêmico visa analisar a influência da descentralização na efetividade das decisões de saúde dentro do Sistema Único de Saúde (SUS), abordando sua aplicação prática e funcional na gestão da saúde pública brasileira. A descentralização tem sido um princípio fundamental do SUS, sendo responsável por transferir a gestão da saúde das esferas federal e estadual para os municípios, visando maior autonomia e maior adaptação às necessidades locais. Este trabalho propõe refletir sobre os desafios e vantagens dessa descentralização......

Key Words: Descentralização, Efetividade, SUS, Gestão de Saúde, Saúde Pública

[1]. Ase, I. (2006). La descentralización de servicios de salud en Córdoba (Argentina): Entre la confianza democrática y el desencanto neoliberal. *Salud Colectiva, 2*, 199-218.
[2]. Asfaw, A., Frohberg, K., James, K. S., & Jütting, J. (2007). Fiscal decentralization and health outcomes: Empirical evidence from rural India. *Journal of Developing Areas, 41*, 17-35.
[3]. Campos, G. W. S. (2006). Efeitos paradoxais da descentralização no Sistema Único de Saúde do Brasil. In S. Fleury (Ed.), *Democracia, descentralização e desenvolvimento: Brasil & Espanha* (pp. 417-442). Editora FGV.
[4]. Campos, G. W. S. (2007). A clínica ampliada e compartilhada, a gestão democrática e redes de atenção como referenciais teórico-operacionais para a reforma do hospital. *Ciência & Saúde Coletiva, 12*, 849-859.

Abstract: Resumo: A saúde mental de crianças e adolescentes no Brasil enfrenta diversos desafios, incluindo o estigma social, a falta de recursos especializados e a precariedade no acesso a serviços de saúde mental. Este ensaio propõe uma análise crítica das condições atuais do atendimento à saúde mental infantojuvenil no país, abordando as principais dificuldades enfrentadas pela população jovem e apresentando sugestões para melhorar as intervenções no sistema de saúde. A partir de uma revisão bibliográfica e análise de dados oficiais, o estudo discute as lacunas na formação dos profissionais da saúde, o impacto da violência e da exclusão social, e o papel das políticas.......

Key Words: Saúde mental, crianças, adolescentes, políticas públicas, intervenções psicossociais

[1]. Albuquerque, R. C. R. (2008). Casas do meio do caminho: Um relato da experiência de Recife na busca da atenção integral à saúde dos usuários de álcool, fumo e outras drogas (Dissertação de Mestrado em Saúde Pública). Fundação Oswaldo Cruz, Recife.
[2]. Arbex, D. (2013). *Holocausto brasileiro*. Geração Editorial.
[3]. Brasil. (1928). *Coleção das Leis da República dos Estados Unidos do Brasil de 1927, vol. 1. Decreto-lei n. 17.943 A, de 12 de outubro de 1927. Código de Menores*. Imprensa Nacional.
[4]. Brasil. Ministério da Saúde. (1987). Relatório final da I Conferência Nacional de Saúde Mental. Brasília.
[5]. Brasil. (1990). Lei nº 8.080, de 19 de setembro de 1990. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências. *Diário Oficial da União*, Poder Executivo, Brasília.

Abstract: Resumo: Este ensaio acadêmico visa abordar os determinantes sociais da saúde e como esses fatores contribuem para as disparidades no acesso aos cuidados em saúde, influenciando as condições de saúde das populações. A análise será feita a partir de uma revisão da literatura, considerando aspectos econômicos, sociais, culturais e ambientais que afetam a saúde das pessoas, com foco especial nas populações mais vulneráveis. Discutem-se também as políticas públicas de saúde e a importância de estratégias de intervenção que visem reduzir as desigualdades no acesso aos serviços de saúde. Este estudo procura evidenciar a necessidade de abordagens integradas e mais equitativas para a promoção da saúde.

Key Words: Determinantes sociais, saúde, disparidades, acesso, cuidados em saúde

[1]. Antunes, R. (2002). *Os sentidos do trabalho: Ensaios sobre a afirmação e a negação do trabalho*. Boitempo.
[2]. Breilh, J. (2013). La determinación social de la salud como herramienta de transformación hacia una nueva salud pública (salud colectiva). *Revista Fac. Nac. Salud Pública, 31*(supl. 1), 13-27. https://revistas.udea.edu.co/index.php/fnsp/article/view/16637/14425
[3]. Berlinguer, G. (1988). *Uma reforma para saúde*. In G. Berlinguer, S. M. Fleury Teixeira & G. W. S. Campos (Orgs.), *Reforma sanitária: Itália e Brasil* (pp. 37-54). Hucitec/Cebes.
[4]. Buss, P. M., & Pellegrini Filho, A. (2007). A saúde e seus determinantes. *Physis: Revista de Saúde Coletiva, 17*(1), 77-93. https://doi.org/10.1590/S0103-73312007000100006
[5]. Campos, G. W. S. (2009). Clínica e saúde coletiva compartilhadas: Teoria Paidéia e reformulação ampliada do trabalho em saúde. In G. W. S. Campos, M. C. S. Minayo, M. Akerman, M. Drumond Junior, & Y. M. Carvalho (Orgs.), *Tratado de saúde coletiva* (pp. 41-80). Hucitec

Abstract:Resumo: O artigo discute a importância crescente da telessaúde no contexto da saúde pública, especialmente no Brasil, como uma ferramenta que amplia o acesso a cuidados médicos, especialmente em regiões remotas e carentes de infraestrutura. A telessaúde, que envolve o uso de tecnologias de comunicação e informação para a prestação de serviços médicos à distância, vai além das consultas virtuais, abrangendo também o monitoramento remoto de pacientes, o acompanhamento de doenças crônicas e a promoção de educação em saúde. A pesquisa destaca os benefícios da telessaúde, como a melhoria do acesso ao atendimento, a redução de custos com deslocamento, a gestão eficiente.....

Key Words: Telessaúde, Saúde pública, Tecnologia, Infraestrutura digital, Telemedicina, Inclusão digital

[1]. Cunha, A. B. M., Aquino, E. M. L., & Pescarini, J. M. (2021). Telemedicine: Challenges to implementation in Brazil. *Cadernos de Saúde Pública, 37*, e00220020. https://doi.org/10.1590/0102-311X00220020
[2]. Ercole, F. F., Melo, L. S., & Alcoforado, C. L. G. C. (2014). Revisão integrativa versus revisão sistemática. *Revista Mineira de Enfermagem*.
[3]. Fontes, L. A., & Reis, A. A. D. S. (2019). Telemedicine in Brazil: An integrative review. *Revista de Saúde Pública, 53*, 53. https://doi.org/10.11606/S1518-8787.2019053001190
[4]. Goldbaum, M., Peres, H. H. C., Alecrim, A. S., & Kuschnir, M. C. C. (2019). Telemedicine in Brazil: Past, present, and future. *Pan American Journal of Public Health, 43*, e57. https://doi.org/10.26633/RPSP.2019.57
[5]. Matusitz, J., & Breen, G. M. (2007). Telemedicine: Its effects on health communication. *Health Communication, 21*(1), 73-83. https://doi.org/10.1080/10410230701498223.

Abstract: After long decades and admirable efforts have been taken by the government for changing the scenario of the prevailing education system in India in the form of NEP 2020.The sole encouraging change that took place in the realm of education in India during COVID-19 was the establishment of this policy, which has the potential to completely revamp India's existing educational structure. The rules of nature are always susceptible to change; nevertheless, but this shift had been long overdue for more than 35 years. The last time a comparable change occurred in the field.....

Key Words: NEP 2020, Structure, Merits, Obstacles, Suggestions

[1] Badyal, S., & Sharma, N. (2022). NATIONAL EDUCATION POLICY (NEP2020): REFLECTIONS, CHALLENGES AND THE WAY FORWARD. Scholarly Research Journal For Humanity Science & English Language, 10(50), 12481–12491. Https://Doi.Org/10.21922/Srjhsel.V10i50.10174
[2] Chaudhary, M. (2024). The Changing Dynamics Of Indian Education For Holistic And Multidisciplinary Development: A Literary Review Of NEP 2020.
[3] Garg, S. (2021). Towards An Atma Nirbhar India - Laying The Foundation Of A Globalized India Through The New Education Policy (NEP) 2020. Journal Global Values, 12(2), 251–257. Https://Doi.Org/10.31995/Jgv.2021.V12i02.032
[4] GAUR December). A Roadmap For India's New Education Policy (NEP) 2020. YMER, 21(12), 632–637. Https://Doi.Org/10.37896/YMER21.12/57. (2022,
[5] Govt. Of India (2020).National Education Policy 2020..

Abstract:Aim: This research paper aims to study the innovative narrative techniques employed by Chitra Banerjee Divakaruni in her novels 'Palace of Illusions' and 'The Forest of Enchantments,' focusing on how she navigates traditional literary forms while incorporating indigenous storytelling techniques. These retellings of the Indian epics Mahabharata and Ramayana respectively serve as rich examples of how contemporary authors engage with ancient narratives, infusing them with fresh perspectives and voices. Methodology.......

Keywords: Traditional literary forms, Indigenous storytelling techniques, Indian epics, Narrative structure, Cultural reinterpretation

[1]. Divakaruni, Chitra Banerjee. 2018. The Palace of Illusions: A Novel. Picador India.
[2]. Divakaruni, Chitra Banerjee. 2021. The Forest of Enchantments. HarperCollins India.
[3]. Shukla, Reshu. 2024. "Unveiling the Untold: A Retelling of Sita in Modern Literature with a Special Focus on Chitra Banerjee Divakaruni's Feminist Rendition in The Forest of Enchantments." Creative Saplings 2(11): 41–54. https://doi.org/10.56062/gtrs.2024.2.11.516.
[4]. Sumathi, P. N. 2013. "Diaspora and its Impact in the Select Novels of Chitra Banerjee Divakaruni." Shanlax International Journal of English 1(3).
[5]. Soundarya, S. S. 2018. "Magical Realism and Myth in Divakaruni's Novels." International Journal of English Literature and Social Sciences 3(5): 266-219.

Abstract: Background: Many governments have yet to establish consumer protection laws, despite the financial services sector's expansion. This necessitates providing financial services clients with fundamental protections in order to boost their confidence and promote the adoption of new products. The prevalence of uninformed customers who rely on financial institutions has led to a rise in the misuse of consumer confidence. Banks and its marketers are increasingly engaging in abusive practices, such as imposing exorbitant charges on clients' accounts without......

Key words: dispute resolution, consumer protection, commercial banks

[1]. Adams, P & Hunt. S., 2013. "Encouraging Consumers to Claim Redress: Evidence from a field trial." Occasional Paper No. 2. United Kingdom: Financial Conduct Authority
[2]. Armstrong, F., 2013 "Financial Services and Consumer Protection after the Crisis'' International Journal of Bank Marketing 29(2)
[3]. Bertrand, M. & Adair, M., 2014. Information Disclosure, Cognitive Biases and Payday Borrowing. University of Chicago Booth School of Business Research Paper No. 10-01. Chicago: University of Chicago
[4]. Billett, M.T., Flannery, M.J. and Garfinkel, J.A. 2006. 'Are bank loans special? Evidence on the post-announcement performance of bank borrowers', Journal of Financial and Quantitative Analysis, 41(4), pp. 733–751.
[5]. Brix, L. and McKee, K., 2010. Consumer protection regulation in low-access environments: opportunities to promote responsible finance: Reglamentacion para la proteccion del consumidor en entornos de bajo nivel de acceso: oportunidades para fomentar el financiamiento responsible.

Abstract: This study has analysed the socioeconomic and living conditions and livelihood generation of sex workers in the Cachar district of Assam using secondary data. It has examined how sex work has provided a source of income for many individuals, especially those from marginalized backgrounds. The research has explored various aspects, including income levels, living standards, social stigma, and challenges faced by sex workers. It has been found that many......

Keywords: Sex work, socioeconomic conditions, livelihood, middlemen, exploitation.

[1]. Agustín, L. M. (2007). Sex at the margins: Migration, labour markets and the rescue industry. Zed Books.
[2]. Chakraborty, P. (2017). Sex work, migration, and border economies: A case study of Cachar district in Assam. Journal of Border Studies, 32(3), 245–263.
[3]. Choudhury, R., & Dutta, S. (2020). Cultural stigma and healthcare access among sex workers in Assam. Health and Society, 15(2), 110–128.
[4]. Dandona, R., Dandona, L., Kumar, G. A., Gutierrez, J. P., McPherson, S., Bertozzi, S. M., & Kahn, J. G. (2006). Demography and sex work characteristics of female sex workers in India. BMC International Health and Human Rights, 6(1), 5.
[5]. Empower Foundation. (2016). Sex workers' rights and economic security: The role of collective organizations. Bangkok: Empower Foundation Press.

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Abstract: Background: The rehabilitation of patients with neurological injuries is a field that faces significant challenges due to the complexity of the conditions and the need for personalized therapeutic approaches. Neurological injuries, such as those resulting from stroke, traumatic brain injury, and neurodegenerative diseases, can cause motor, cognitive, and sensory deficits that directly affect patients' quality of life. Assistive robots represent a significant innovation in.....

Keywords: Assistive robots. Neurological rehabilitation. Rehabilitation technology. Neurological injuries. Robotic devices

[1]. Garlet AB, Plentz RDM, Blauth AHEG, Righi TT, Righi NC, Schardong J. Reabilitação robótica em pacientes com AVC: protocolo de ensaio clínico randomizado. Fisioter Pesqui [Internet]. 2021Oct;28(4):483–90. Available from: https://doi.org/10.1590/1809-2950/21020028042021.
[2]. Costa AEM, Venção SPR, Macêdo JLC de. Gait training with robotic assistance after traumatic brain: a systematic review. RSD [Internet]. 2022;11(16):e115111637725.
[3]. Banyai AD, Brișan C. Robotics in Physical Rehabilitation: Systematic Review. Healthcare (Basel). 2024;12(17):1720. doi: 10.3390/healthcare12171720.
[4]. Salgado-Gomes-Sagaz F, Zorrilla-Muñoz V, Garcia-Aracil N. Rehabilitation Technologies by Integrating Exoskeletons, Aquatic Therapy, and Quantum Computing for Enhanced Patient Outcomes. Sensors (Basel). 2024;24(23):7765. doi: 10.3390/s24237765.
[5]. Gassert R, Dietz V. Rehabilitation robots for the treatment of sensorimotor deficits: a neurophysiological perspective. Journal of NeuroEngineering and Rehabilitation. 2018;15:46. doi: 10.1186/s12984-018-0383-x..

Abstract: Introduction: Alcoholism is one of the ancient and complex habits of disorders known in the history of mankind. The impact of alcoholism is not only seems to be on the individual per se but there is large level of impact on their families as well as on children as well. There is a general consensus that, children of alcoholics constitute a "High risk" population, and most of the studies have been concerned with one of the two offspring outcomes – the development of alcoholism per se and the development of general psychosocial difficulties is childhood and adulthood......

Keywords: Children of alcoholics, Emotional Maturity, Parenting, Psychosocial intervention.

[1]. Anderson E, Quast W. Young children in alcoholic families: A mental health needs assessment and a prevention strategy. J Prim Prev. 1983;3:174–87. [PubMed] [Google Scholar]
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[3]. Cork, R. (1969). The forgotten children. Ontario: General Publishing. [Google Scholar]
[4]. Dasgupta, Amitava (2011). The Science of Drinking: How Alcohol Affects Your Body and Mind. Rowman & Littlefield. p. 3. ISBN 978-1-4422-0409-6.
[5]. Davies PT, Cummings EM, Winter MA. Pathways between profiles of family functioning, child security in the interparental subsystem, and child psychological problems. Development and Psychopathology. 2004;16:525–550.

Abstract: The Research Study is entitled Socio-Anthropological Perspectives in the Growth of System of Education at the Sundarbans in West Bengal.The researcher wanted to analyze in depth in his research paper how various small groups of scheduled castes,tribes and other communities started living there.The researcher discussed in depth how the education system progressed and the educational structure was developed, especially paving the way for literacy, as soon as he started living there. Researcher through special in-depth prepared this research paper. The basic aim and important aim of this study is to find out how the education system of Sundarbans originated and developed.For the study........

[1]. Ascoli. F.D, "Annual Progress Report of Forest Administration for 186S8-1869", Calcutta, 1869.
[2]. Ascoli. F.D, "A Revenue History of the Sundarbans (1870-1920)", Calcutta 1921, West Bengal Secretariat Book Depot.
[3]. Beveridge. H, "The Districts of Backergunj", Its History and Statistics, London, Trubner, 1876.
[4]. Curtis.S.J, "Working plan for the forests of the Sundarban division (1931-51)", vol., Calcutta, Bengal forest department 1933.
[5]. De,Barun, "West Bengal district gazetteers 24 parganas", Calcutta, March, 1994. [6] Farrington.H.A, "Third walking plan for the Sundarban division", West Bengal secretariat place, 1960 .

Abstract: Performance appraisal plays a crucial role in evaluating and enhancing the productivity and effectiveness of faculty members in private universities. This paper examines the various performance appraisal methods used in private universities in West Bengal, their impact on faculty motivation, and challenges associated with the process. A mixed-method research approach involving surveys and interviews with faculty members and administrators was employed to gather insights. The study also incorporates statistical analysis to provide empirical evidence supporting the findings. The study aims to provide recommendations for improving the appraisal system to ensure fairness and professional growth.

[1]. (Include relevant books, journal articles, and policy documents used in the study.)
[2]. Aguinis, H. (2019).Performance Management (4th ed.). Pearson Education.
[3]. Balyan, R. K., & Malhotra, M. (2020). "Performance Appraisal System in Indian Higher Education: An Analytical Study." International Journal of Educational Research and Development, 10(2), 75-89.
[4]. Chattopadhyay, S. (2019). "Challenges of Higher Education in West Bengal: A Critical Analysis." Economic and Political Weekly, 54(12), 43-50.
[5]. Government of India (2022).All India Survey on Higher Education (AISHE) Report 2021-22. Ministry of Education.