Background: Neurological disorders are the leading cause of disability and the second leading cause of death worldwide. Teleneurology (TN) allows neurology to be applied when the doctor and patient are not present in the same place, and sometimes not at the same time. In February 2021, the Spanish Ministry of Health requested a health technology assessment report on the implementation of TN as a complement to face-to-face neurological care. Methods: A scoping review was conducted to answer the question on the ethical, legal, social, organisational, patient (ELSI) and environmental impact of TN. The assessment of these aspects was carried out by adapting the EUnetHTA Core Model 3.0 framework, the criteria established by the Spanish Network of Health Technology Assessment Agencies and the analysis criteria of the European Validate (VALues In Doing Assessments of healthcare TEchnologies) project. Key stakeholders were invited to discuss their concerns about TN in an online meeting. Subsequently, the following electronic databases were consulted from 2016 to 10 June 2021: MEDLINE and EMBASE. Results: 79 studies met the inclusion criteria. This scoping review includes 37 studies related to acceptability and equity, 15 studies developed during COVID and 1 study on environmental aspects. Overall, the reported results reaffirm the necessary complementarity of TN with the usual face-to-face care. Conclusions: This need for complementarity relates to factors such as acceptability, feasibility, risk of dehumanisation and aspects related to privacy and the confidentiality of sensitive data.

This article discusses current challenges in the field of global health and the World Health Organization’s (WHO) strategies to address them. It highlights the importance of measuring the health impacts of global recession and globalization and the need for human-centered approaches to sustainable development. Emphasis is placed on commitment to health equity and the use of strategic partnerships for health at global, national, and local levels. Improving the health and well-being of populations, as well as public health equity, are core principles of the 2030 Agenda for the Sustainable Development Goals (SDGs). These principles are expressed in SDG 3, which promotes universal access to health services and systems and recognizes global health as a basic human right. It highlights the importance of strategic partnerships to combat emerging health crises, improve public health indices, and address the burden of chronic disease. These partnerships are contemplated in SDG 17 and are manifested in different modalities, such as network governance, cross-sector collaboration, public–private partnership, and social participation. This diversity of alliances has played an important role in scaling up and strengthening universal health systems around the world, including in Latin America and the Caribbean. The text concludes by presenting the essential characteristics of these inter-organizational and inter-institutional alliances in the field of global health.

This paper describes and compares the integration of cross‐sector actors' participation into the governance of two local health councils, one located in Salvador de Bahia (Brazil) and the other in the Canary Islands (Spain). Based on the cross‐national comparative research conducted as part of a doctoral thesis, a qualitative design based on secondary data analysis was proposed on the three stages of the organisational integration process of participation. We used information from individual semi‐structured interviews (n = 70), situational observation, focus groups, literature review, and field notes to understand participatory processes of networking between multiple cross‐sector actors and to show how such processes might be associated with innovative practices. For these innovations to be successfully implemented, stakeholders need to acquire adequate competencies in cross‐sector collaboration, enabling them to learn about new organisational practices and to adapt the network of actors to the often unpredictable influences of contextual factors.

Background: During 2020 and 2021, over 50.2 million individuals were forced to leave their homes to escape the impacts of climate-related disasters, unable to practice social isolation or self-quarantine. A considerable proportion of them reside in densely populated areas with a lack of basic services such as water and sanitation and limited access to essential healthcare. This study aimed to estimate the internal displacements during 2020 and 2021 due to climate-related events, and review the evidence for proposing policy recommendations. Methods: Data from the Internal Displacement Monitoring Centre were used for assessing internal displacement by disasters during 2020 and 2021. In addition, the authors conducted a bibliographic review to analyse the responses to internal displacements in climate-related disasters. Results: There were 883 severe storms and 1567 flood events resulting in 50.2 million internal displacements globally. Through the documents reviewed, the legal framework, the vulnerabilities and current challenges of internally displaced persons, and the response policy recommendations were analysed. Conclusions: The increased awareness of displacement and migration, particularly driven by climate-related factors, aligns with international agreements emphasising coordinated action. This recognition becomes even more critical in the context of the convergence of climate-related displacements and the potential for future pandemics.

The rise and spread of antibiotic-resistant bacteria have become a global health problem. At the community level, bacterial resistance has been linked to antibiotic misuse practices. These practices are related to social factors such as education level, poverty, ethnicity, and use of traditional medicine. Through a survey, this study aims to analyse the knowledge, attitudes, and practices (KAP) of antimicrobial use, in an indigenous community in the south of Oaxaca, Mexico. It was observed that the population had a low socioeconomic profile, poor access to healthcare services, low academic level, little knowledge of antibiotics, the use of traditional medicine, and proper attitudes and practices regarding antibiotics use. Therefore, social factors are related to bacterial resistance only if they make the population prone to the use of antimicrobials. Lack of medical access and cultural factors drives this population to use ancestral alternatives such traditional medicine to treat conditions that in other contexts could be treated with antibiotics. This is an example of how the population can reduce the consumption of antimicrobials in infections if they have a reliable alternative that improves their symptoms.

Le 3^e symposium de la Conférence lusofrancophone de la santé (COLUFRAS) L’amélioration continue de la performance des systèmes et des services de santé : un enjeu incontournable s’est tenu à Campo Grande dans l’État du Mato Grosso do Sul, au Brésil, du 29 novembre au 1^er décembre 2010. Ce symposium a permis de réunir des responsables gouvernementaux, des professionnels de la santé, des chercheurs, des membres du milieu universitaire, des gestionnaires de la santé des secteurs public, privé et philanthropique, ainsi que des membres d’une organisation non gouvernementale (ONG) et d’organismes internationaux des pays lusophones et francophones des Amériques, d’Europe et d’Afrique, afin de trouver ensemble des réponses opérationnelles pour engager les systèmes et les organisations de santé des pays participants sur une trajectoire d’amélioration continue de la performance. La pertinence du thème du symposium découle de la tension, exacerbée par la crise financière et économique de 2008, ...