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Vanderburgh County Health Report 2013

Vanderburgh County Health Report 2013

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Vanderburgh County Health Report 2013

Section A

The Institute of Medicine (IOM) in 1988 reported an assessment of the public health system of the United States. The report was called The Future of Public Health. It described the network agencies of public health at the county, state and national levels as much disorganized. This called for a national debate of the national public health status. While questioning the capacity of public health systems to offer essential services to people, the report sought the establishment of a comprehensive framework that delineates the main functions of public health – assessment, assurance, and policy development. Despite the accuracy with which health policy academicians understood the IOM framework, the language of the text was difficult for policymakers to apply. President Clinton formed a federal working-group in 1994 to review and add to the framework. Working under the Center for Disease Control and Prevention (CDC), the group sought the explanation of public health, the clarification of the functions of public health within the healthcare system at large, and the provision of accountability by health outcomes to public health performance. Consequent upon these efforts, the Essential Services of Public Health was published in late 1994 (US Center for Disease Control and Prevention, 2015). This paper seeks to analyze and assess the annual health report of Vanderburgh County 2013 for compliance with the Essential Services of Public Health.

Essential Service 1

The first essential service to consider is monitoring health status to determine community health problems. This essential service is all about public health surveillance. The healthcare system should provide continuous, systematic gathering, analysis and interpretation of data related to health. The service includes a number of public health activities: Firstly, threats to health should be identified and health service needs assessed accordingly. Secondly, there should be timely collection, analysis, and report of information about access, costs, outcomes, and utilization of personal health services. Thirdly, attention should be paid to crucial statistics and health statuses of particular groups that are more vulnerable than the rest of the population. In addition, there should be collaboration with private providers in managing integrated information systems.

Vanderburgh’s Communicable Disease (CD) Division is mandated to assess, investigate and promote sound prevention, surveillance, treatment and education methods to prevent the spread of communicable diseases. During the first quarter of 2013, CD staff took part in several conference calls and educational sessions about the Affordable Care Act. The staff also trained in readiness for the shift to electronic health recording system (EHR) for immunization, TB, and specialty clinics. The Division issued a public health alert for Tdap to encourage parents and caretakers of children under one year to get vaccination. This encouragement was also aimed at pregnant women at specific appropriate stages. These initiatives are in line with the identification and proper assessment of threats under the first essential service.

The Vital Records Division primarily registers vital events (deaths and births) within Vanderburgh. Statistics collected at this division are useful to ascertaining major health trends, identifying health problems and needs, evaluating the effectiveness of various health efforts, and health policy formulation. The Division managed to integrate its records to an online certificate system solely administered by the Indiana State Department of Health. This enabled the Division to file death certificates electronically. By 2010, funeral homes were already using the certificate system. The Finance Division also reports revenue and expenditure to give the public a clear picture of health expenses and the resulting health costs that have to pass to the public.

Vanderburgh healthcare system is administered across the county uniformly without realizing that certain places are more vulnerable than others. For instance, the initiatives of the Environmental Health Division were rolled out uniformly across the county. At one point the Division realized that bed bugs were a nuisance to Vanderburgh residents, especially those in rainy areas and poorly drained areas. Instead of focusing on the most vulnerable areas, the Division liaised with stakeholders from all over Vanderburgh, including landlords, community health organizations, and tenants regarding the best practices in prevention and elimination of bed bug infestations. It could be argued, however, that the Environmental Division and the healthcare system at large prefers to give the entire county equal attention to prevent chances of disease spread from one region to another. This move also showed that Vanderburgh health system collaborates with stakeholders in addressing various health challenges.

Essential Service 2

This service requires that there should be diagnosis and investigation of health problems and hazards within the community. A number of activities are carried out in ensuring that this service is implemented properly. Firstly, an epidemiologic identification should be done of emerging health threats. Secondly, the public health laboratory should be in a position to use modern technology in carrying out quick screening and conducting tests in large numbers. Thirdly, there should be active programs for infectious disease epidemiology. Finally, the health system should have an adequate technical capacity to investigate disease outbreaks, chronic disease and injury epidemiologically.

The primary goals of Vanderburgh’s Laboratory Division is to provide specimen testing of the highest quality to assist in diagnosing and preventing diseases within the community. In addition, the Division aims at promoting the health of the public by educating everyone in areas of safe water standards and lead poisoning. The County’s laboratory has received certification from the Health Care Financing Administration for Clinical Laboratory Amendments (CLIA) among other certifications for quality. This shows that the delivery of health s top-notch in the County.

The Division has been at the forefront in scaling up the number of tests to boost chances of detecting and preventing disease outbreaks. In 2013, for instance, the Division tested 542 samples of drinking water. It educated homeowners with wells and other water sources on drinking water safety. It tested wells freely to residents whose wells were flooded. Safe swimming pool water has also been the focus of the Laboratory Division. 3633 pools were tested in 2003 for bacteriological safety. These initiatives are synchronized with those of the Environmental Department to achieve common goals of eradicating disease and keeping the environment healthy.

Essential Service 3

This essential service is about informing, educating, and empowering people about health issues. It is similar to most social marketing and health promotion efforts conducted by various health systems all over the world. Various activities are involved in this essential health service. Firstly, there should be social marketing with targeted media public communication such as toll-free lines for obtaining health information. Secondly, the system should provide health information resources that can be accessed at community levels such as mobile health screening conducted freely. Thirdly, the system should collaborate actively with personal healthcare providers for purposes of reinforcing health programs and messages passed through promotional activities. Finally, the system should conduct education programs jointly with churches, schools, and worksites. These could incorporate stress reduction seminars, health fairs, and parenting support groups aimed at enhancing mental health.

The Environmental Division is was reported to have held its annual spring training for installers of sewage systems. During this training, 28 installers attended. The attendees were awarded credits for continuing their education. In addition, the Division trained public pool operators about pool sanitation and water chemistry. It consulted widely through electronic media, print media and interviews to gain in-depth understanding of the subject. Such training sessions are part of the overall promotional initiatives of Vanderburgh.

The Communicable Disease Division was not left behind in the promotional initiatives. Its staff took part in many conference calls and sessions of education on the Affordable Care Act as they trained in readiness for the electronic health recording. The Division also conducted web-based training with Nightingale Notes and CHAMP programs. Most clerks attended the CD clinics to benefit from these noble programs. The Division issued provider and public healthcare alerts for Tdap for purposes of encouraging parents and caretakers of children under one alongside pregnant women to obtain vaccination for Tdap at appropriate intervals. The Division also provided a telephone booth at Homeless Connect. It provided counseling and information on Hepatitis, TB, and STDs to 97 people during that period. Still in March the same year, the Division’s nurse epidemiologist carried out three training courses for smallpox vaccinator with the aim of meeting the set goal of training 180 LPNs and RNs. The report indicated that 166 smallpox vaccinators have undergone training since 2011.

The Health Promotion Division strives to provide essential education programs and services, which meet the needs of the public. The programs are also intended to educate all residents of Vanderburgh to equip them with the requisite knowledge, skills and tools to better their health and alleviate risk factors. The goal of the Division is to come up with free programs in line with the goals and objectives of the Healthy People 2020. These goals and objectives target five key areas, including physical activity, tobacco use, cancer education, nutrition and weight, educational and community-based programs.

The Division combined Health Education and Chronic Disease Program, which proved quite beneficial to the entire community. It decided to call itself Health Promotion for purposes of emphasizing the promotion of better health through good life choices such as increased physical activity and better nutrition. Diabetes has been its main area of concern. Vanderburgh Health Department rolled out the Nightingale Notes through the electronic recording system in all programs and clinics. The new system facilitates the collection and maintenance of client information by staff. Moreover, it produces HIPAA compliant health reports to facilitate future health services and programs.

The Division provided top class outreach opportunities in 2013, which enabled the community to take part in its lifestyle behavior programs. It continues to implement programs to address two priorities in Indiana – reduce obesity and adult smoking. The Stop Smoking Program offers free nicotine patches to all participants subject to approval from the healthcare provider of the participant. The Weight Loss program gives useful information and supports participants to help them meet their weight loss targets. The Division collaborates with local physicians, businesses, and clinics to spread the opportunities. Some of these programs include Wellness Screenings, Handwashing, Stress Management, Cancer Information, Community Health Fairs, Yoga, STD education classes, Guest Speakers and many more. In 2013 alone, the Division reached 16,097 residents through its Health Education programs.

Essential Service 4

This essential service is concerned with the mobilization of community partnerships to identify and solve health problems. Activities here represent an extensive approach to community health whereby professionals and community sectors collaborate in entirety to plan, implement, observe, evaluate, modify, and repeat processes as necessary. Several activities are involved here. Firstly, the system should convene and facilitate community groups and associations such as those deemed to be health-related to carry out defined screening, preventive, support, and rehabilitation programs. Secondly, the system should have skilled coalition-building capacity to tap full range human and material resources when delivering community health services.

The Health Department continuously leads the community partners in the review process by providing the coordinator and a number of committee members. Title V grant is among the part-time Public Health Nurses (PNHs) funded by the Maternal Child Health. It abstracted data and hosted meetings twice every year. The Case Review Team conducts reviews for case summaries, highlights issues, and recommends various changes in the community whenever necessary. In the team are a variety of representative drawn from the nurses, genetic counselors, university professors, coroners, physicians, bereavement counselors and others in the community. Most of the infant and fetal deaths reported in Warwick and Vanderburgh counties were reviewed to incorporate two local hospitals, which offer obstetrical services.

Full time PNHs with Bachelor degrees of nursing alongside community health workers went to client homes to execute the key health functions of assessment, assurance, and policy development. The nurses assisted residents within the county of all ages in accessing resources to promote and maintain their highest health levels. The home visits paid particular attention to demonstrating to individuals and families the various ways of improving their lifestyles depending on the needs of the clients. They did this through teaching and providing educational information on a wide range of topics such as parenting skills, pregnancy, wellness, lifestyle changes, normal growth and safety.

Essential Service 5

This essential service is about developing policies and plans that support individual and community health efforts. Accountability is at the heart of public health programs because most of these are funded partially by Federal dollars. For this reason, public health programs document their progress towards any positive changes in health status indicators or health behaviors. Data of this nature can be tabled before policymakers to ascertain a program’s value or effectiveness. Such data can then be resourceful in program modification and continued planning. Activities here are very important. Firstly, there should be leadership development across all levels of the system. Secondly, there should be systematic community level planning for health improvement. Thirdly, measurable health objectives should be developed and tracked as part of strategies for progressive quality improvement. In addition, joint evaluations should be conducted with the medical healthcare system to define policy concerning treatment and prevention services. Lastly, codes, regulations and legislation should be developed to guide public health practice.

Vanderburgh Health Department did not demonstrate compliance with this essential service in entirety. However, its vital records and financial statements showed some higher level of accountability for the public funds spent. These records could help the County formulate key policies to govern various health programs. On the other hand, the County had distinct measurable health objectives that could be achieved easily through calculated and well-managed approaches. For instance, the Vision 2020 Healthy People objective could form a terrain through which the County capitalizes on opportunities and resources to deliver quality health services to the public.

Section B

The Vanderburgh Health Department has proven to observe most of the essential services as recommended by the IOM. However, certain obvious obstacle prevented the Department from achieving its clear set goals. These include, among other things, the failure to utilize partnerships with other Counties and agencies to achieve quicker results. Moreover, the Department had fewer staff to implement various programs on large scale. Certain programs took long to complete and were implemented in a smaller geographical or population coverage.

To surmount these challenges, the Department needs to factor in certain recommendations. Staffing is key to the delivery of healthcare services at all levels (Mando & Saleh, 2014). Good staffing could be the difference between deteriorated services and world-class services. The Department should employ more staff to boost the implementation of its programs. Nurses, physicians, and counselors should be employed in large numbers. Although this would mean an increased wage burden, the kind of services offered will improve a great deal and public satisfaction will be heightened. Moreover, the workload will be spread among many workers hence eliminating fatigue and stress that cause poor performance among staff.

The Department should also capitalize on partnerships with other Departments and agencies. Partnerships have been proven to help healthcare providers pull their skills and expertise together, which bring about positive results. Through partnerships, the Department can learn new ways of solving problems. It can also sail through difficult financial times by spending the collective monetary resource of the partnership. Moreover, partnerships bring new ideas of health practice such as vaccination, treatment methods, and various equipment.

Conclusion

The Essential Services as put forth by the Institute of Medicine have continued to revolutionize healthcare provision in America. Health Departments have utilized most of the provisions, especially the public health providers out of fear of negative consequences that may arise. This paper has analyzed and assessed the applicability of five essential service principles to the Vanderburgh Health Department. Findings have revealed that the Department adheres to most of the provisions of the report save for a few areas that have posed challenges. These challenges have been identified as absence of partnerships and staffing shortages. Recommendations have been put forward to the effect that partnerships should be formed to boost knowledge and practice base. On the other hand, an expansion of staff has been found to benefit the Department a great deal, because programs will be implemented faster in a stress-freer way. Vanderburgh and other US Health Departments should maximize on the essential services if healthcare delivery in the US is to transform.

References

Mando, J. and Saleh, G. (2014). Overcoming the Challenges in Public Health. Retrieved 4

February 2015 from HYPERLINK “http://www.lean.org/LeanPost/Posting.cfm?LeanPostId=136” http://www.lean.org/LeanPost/Posting.cfm?LeanPostId=136

United States Centers for Disease Control and Prevention (2015). The 10 Essential Public Health

Services. Retrieved 4 February 2015 from HYPERLINK “https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0CDUQFjAB&url=http%3A%2F%2Fwww.cdc.gov%2Fnphpsp%2Fdocuments%2Fessential-phs.pdf&ei=jiHSVMOYOcGeywPPo4GACw&usg=AFQjCNF–pnnhGzM21jknpcM2lbvmU566A&sig2=zYuXEt3fTkrclw3pTK3krQ” https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0CDUQFjAB&url=http%3A%2F%2Fwww.cdc.gov%2Fnphpsp%2Fdocuments%2Fessential-phs.pdf&ei=jiHSVMOYOcGeywPPo4GACw&usg=AFQjCNF–pnnhGzM21jknpcM2lbvmU566A&sig2=zYuXEt3fTkrclw3pTK3krQ

Vanderburgh County (2015). Vanderburgh County Health Department Annual Report. Retrieved

4 February 2015 from HYPERLINK “http://www.evansville.in.gov/index.aspx?page=2041” http://www.evansville.in.gov/index.aspx?page=2041

Vampire Film Genre

Vampire Film Genre

The essay examines and compares three films provided specifically; Modern day vampires in the twilight, Bram Stokers Dracula and the Interview with a vampire. After a careful analysis, it was realized that the last two films have the three basic conventions of sexuality, religion, and materialism. The essay, therefore, analyses the conventions in each of the three films and clearly argues that the Twilight breaks from these conventions.

The fact that vampires drink human blood from the neck is not new to people across the globe. In addition, people believe that cannibalism is also prevalent in some groups of individuals in the world. In this case, individuals are not astonished to watch the films directly connected to such acts. Vampires are creatures, who in most cases take up the form of human beings and maintain their immortality by obtaining blood from human beings. Most individuals believe that the creatures are stupendous and, therefore, have exceptional powers over the human beings.

The vampires are believed to remain in coffins and tombs and the fact that they are highly sexual. However, they do feed on both sexes. In today’s world, there exist various cults, and, in fact, these are people who take blood out of the human bodies in the view that such acts will generate power in the life of such people.

The Dracula by Bram Stokers is still celebrated over the recent decades. The film revolves around a cruel vampire that hides during the day but emerges at night in search for blood. This makes the viewer understand evil as so strange in nature and, in fact, very charming in nature. In line with this, the audience comes to understand how the horrors can be evil and powerful. This is clearly depicted when the phantom beings, are blood thirsty, and just appear in the night in the hunt to kill yet another, ordinary human being, to quench their thirst for blood.

The three conventions as outlined above have been used end to end in the film. The Dracula repeatedly shows the convention of sexuality. In order to justify this, women are seen with blood stained night dresses thereby depicting loss of virginity. In the film, some characters represent sexuality including Mina and Lucy. In line with this, old men are seen attracted to the females including Van who has love to Lucy but not sexual love for her. In fact, the theme of sexuality is shown throughout the film by all the female characters. To top it all, the Dracula portrays a supernatural power towards women, with an attraction towards women he comes across (Dev).

Secondly, the convention of religion is depicted in the film to a considerable extent. The theme of anti-Christianity is used over and over in the Bram Stoker’s Dracula. To validate this statement, the Dracula, the main character in the film, depicts anti- Christ behavior. In the film, Bram uses various behaviors that are against the Christian beliefs and values. This is seen as so, by the way, the Dracula abuses Christian beliefs and values (Stoker).

The film also portrays the theme of materialism. This is after being produced in the Victorian age back in the year 1897 when the rich or the elites felt better off in comparison to the poor people. Besides, the film portrays a society that draws a clear line between the rich and the poor where the poor continue with their daily miseries.

The interview with a vampire is about Louis who ends up being a vampire and starts off vampire like life. He makes Claudia a vampire by trapping her inside the body of a small child. Both Claudia and Louis travel to Europe where they meet Armand who introduces them into a large group of vampires. Later on the film introduces Lestat who depicts the theme of attraction but not sex. However, the film portrays various themes including that for immortality, passion and power.

Louis narrates how he unwillingly makes Claudia a vampire. Unlike other films on vampires, Ann Rice does not include the theme of passion to a greater extent as portrayed in the Bram’s Dracula, but only depicts how the vampires are wrong in depriving off the blood from human beings. As Louis narrates, he drinks blood from no any other part of the body but the neck. In line with this, theme of sexuality has not been portrayed in the film, The Interview with a Vampire (Flick).

Just like the Bram Stoker’s Dracula, the theme of religion is used by the protagonist in the film, Louis. The protagonist’s reconstruction shows that there is a relationship between God and vampires. However, there are no anti-Christ behaviors in the film as compared to Stoker’s Dracula (Flick).

The theme of materialism is depicted in the film when one of the vampires by the name, Lestat wants Louis’s property. In virtually all walks of life, anxious individuals are present in the society, and this is exactly in the vampires’ film by Ann (Flick).

Indeed, up to date vampires are well renowned by almost everyone in the modern society. In fact, modern day vampires are just ordinary people who believe that they have non- human spirit in their body. The vampire culture comprises of a large variety of beings, but most of these beings do drink blood from the human body.

In the modern day vampires, in the twilight, the three basic conventions are not as rampant as in the two films discussed above. However, in some vampires’ films, they are still used end to end. In line with this, most of today’s vampires’ films do portray the theme of death. It is known that the other two films do instill fear into people. However, the modern day vampires in twilight are used as a form of teaching to the people. To endorse the statement, the theme of death is used to elucidate the history of vampires. In line with this, death could be used to demonstrate the importance of change in human beings. In fact, in most cultures, people believe that it is possible for people to change into other forms after their deaths.

Besides, there are other themes largely portrayed in today’s twilight including moral problems, friendship and love. In line with this, theme of sexuality is almost in twilight films. This is brought about due to the presence of women who are always seductive in nature. In the twilight, the vampires do not necessarily hunt individuals but rather, vampires are just normal individuals even in marriages who conduct their daily routines in extra ordinary ways. However, these relationships eventually cause death.

In fact, it would be fair to suggest that modern day vampires’ films do not bring about the three basic conventions directly. In line with this, these films are meant to inform the various communities across the globe instead of instilling fear. Further, the themes in the films are used to convey the message that, in fact, human beings are capable of transforming to supernatural beings that are eternal and possess vast power over the human beings. As a result of this, the vampires have the capacity to deprive off blood unknowingly from the human beings.

In conclusion, it would be fair to suggest that the first two vampire’s films share virtually all elements. In the Bram’s Dracula, the three basic conventions of sexuality, religion and materialism are depicted. This is in line with the conventions found in the film, Interview with a Vampire, by Ann. However, the twilight breaks from these basic conventions. From the above deliberations, it would be reasonable to consider that all vampires’ films are horrific and do instill fear to the audience. However, the modern films have a different approach since they are educative to the audience. The similarity among the three films is that the theme of death is used end to end where the vampires suck blood from human beings. It is also crystal clear that they do suck the blood from the neck and rarely from other parts of the body.

Works Cited

Dev. Bram Stoker Dracula and Sexuality. 02 07 2010. Web. 02 07 2012.

Flick. Twilighter’s thoughts on Interview with a vampire. 29 07 2010. Web. 02 07 2012.

Stoker, Bram. The Original Number One Horror Classic. USA: SoHo Publishers, 2010. Print.

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Values Of The Brazilian Culture, The Core Assumptions That Influence The Behavior Of The Australian People Doing Business In

Values Of The Brazilian Culture, The Core Assumptions That Influence The Behavior Of The Australian People Doing Business In Brazil

Executive summary

This report is dedicated to presenting values of the Brazilian culture, the core assumptions that influence the behavior of the Australian people doing business in Brazil. Examples are given in order to illustrate how those values reflect in the business world. As a presentation of all Brazilian values would be very demanding in terms of time, a selection was made with those that are particularly important for intercultural business.

Table of contents

Executive summary

Table of contents

Introduction

Economic overview

Social factors

Environmental factors

Political/Legal factors

Conclusion

Recommendation

Reference

Appendix

Introduction

Brazil is the largest national economy in HYPERLINK “http://en.wikipedia.org/wiki/Latin_America” o “Latin America”Latin America, the HYPERLINK “http://en.wikipedia.org/wiki/List_of_countries_by_GDP_%28nominal%29” o “List of countries by GDP (nominal)”world’s eighth largest economy at market exchange rates and the HYPERLINK “http://en.wikipedia.org/wiki/List_of_countries_by_GDP_%28PPP%29” o “List of countries by GDP (PPP)”seventh largest in HYPERLINK “http://en.wikipedia.org/wiki/Purchasing_power_parity” o “Purchasing power parity”purchasing power parity (PPP), according to the HYPERLINK “http://en.wikipedia.org/wiki/International_Monetary_Fund” o “International Monetary Fund”International Monetary Fund and the HYPERLINK “http://en.wikipedia.org/wiki/World_Bank” o “World Bank”World Bank. Brazil has a HYPERLINK “http://en.wikipedia.org/wiki/Mixed_economy” o “Mixed economy”Mixed economy with abundant natural resources and the Brazilian economy has been predicted to become one of the five largest in the world in the decades to come. Brazil is also a political and economic leader in Latin America. (Wagley, Charles. An Introduction to Brazil, 1971) In general, current Brazilian foreign policy reflects HYPERLINK “http://en.wikipedia.org/wiki/Multilateralism” o “Multilateralism”multilateralism, peaceful dispute settlement, and non-intervention in the affairs of other countries. The Brazilian Constitution also determines that the country shall seek the HYPERLINK “http://en.wikipedia.org/wiki/Economy” o “Economy”economic, HYPERLINK “http://en.wikipedia.org/wiki/Politics” o “Politics”political, HYPERLINK “http://en.wikipedia.org/wiki/Social” o “Social”social and HYPERLINK “http://en.wikipedia.org/wiki/Culture” o “Culture”cultural HYPERLINK “http://en.wikipedia.org/wiki/Economic_integration” o “Economic integration”integration of the nations of Latin America. We will provide more details in terms of the key national, political, legal, environmental, and economics factors, and link each factor to the business opportunities, which may affect the successful operation of a possible joint venture in Brazil.

Economy overview:

The economy of Brazil is the world’s HYPERLINK “http://en.wikipedia.org/wiki/List_of_countries_by_GDP_%28nominal%29” o “List of countries by GDP (nominal)”seventh largest by nominal HYPERLINK “http://en.wikipedia.org/wiki/Gross_domestic_product” o “Gross domestic product”GDP and HYPERLINK “http://en.wikipedia.org/wiki/List_of_countries_by_GDP_%28PPP%29” o “List of countries by GDP (PPP)”eighth largest by HYPERLINK “http://en.wikipedia.org/wiki/Purchasing_power_parity” o “Purchasing power parity”purchasing power parity. HYPERLINK “http://en.wikipedia.org/wiki/Brazil” o “Brazil”Brazil has moderately HYPERLINK “http://en.wikipedia.org/wiki/Free_market” o “Free market”free markets and an inward-oriented economy. Its economy is the largest in HYPERLINK “http://en.wikipedia.org/wiki/Latin_America” o “Latin America”Latin American nations and the second largest in the western hemisphere. Brazil is one of the HYPERLINK “http://en.wikipedia.org/wiki/Economic_growth” o “Economic growth”fastest-growing major economies in the world with an average annual GDP growth rate of over 5 percent. In HYPERLINK “http://en.wikipedia.org/wiki/Brazilian_real” o “Brazilian real”Brazilian reais, its GDP was estimated at R$ 3.143 trillion in 2009. The Brazilian economy has been predicted to become one of the five largest economies in the world in the decades to come. HYPERLINK “http://en.wikipedia.org/wiki/Economy_of_Brazil” l “cite_note-15″http://en.wikipedia.org/wiki/Economy_of_Brazil – cite_note-15(Baer, Werner,“The Brazilian Economy”,2001)

Components of the economy

The service sector is the largest component of GDP at 66.8 percent, followed by the industrial sector at 29.7 percent (2007 est.). Agriculture represents 3.5 percent of GDP (2008 est.). Brazilian labor force is estimated at 100.77 million of which 10 percent is occupied in agriculture, 19 percent in the industry sector and 71 percent in the service sector. (Baer, Werner,“The Brazilian Economy”,2001)

The market elements of the Brazilian economy relied on the production of HYPERLINK “http://en.wikipedia.org/wiki/Primary_products” o “Primary products”primary products for HYPERLINK “http://en.wikipedia.org/wiki/Export” o “Export”exports. Within the HYPERLINK “http://en.wikipedia.org/wiki/Portuguese_Empire” o “Portuguese Empire”Portuguese Empire, Brazil was a colony subjected to an imperial HYPERLINK “http://en.wikipedia.org/wiki/Mercantile” o “Mercantile”mercantile policy, which had three main large-scale economic production cycles – HYPERLINK “http://en.wikipedia.org/wiki/Sugar” o “Sugar”sugar, HYPERLINK “http://en.wikipedia.org/wiki/Gold” o “Gold”gold and, from the early 19th century on, HYPERLINK “http://en.wikipedia.org/wiki/Coffee” o “Coffee”coffee.

Brazil’s economy is diverse, encompassing HYPERLINK “http://en.wikipedia.org/wiki/Agriculture” o “Agriculture”agriculture, HYPERLINK “http://en.wikipedia.org/wiki/Industry” o “Industry”industry, and many services. The recent economic strength has been due in part to a global boom in HYPERLINK “http://en.wikipedia.org/wiki/Commodity” o “Commodity”commodities prices with exports from HYPERLINK “http://en.wikipedia.org/wiki/Beef” o “Beef”beef to HYPERLINK “http://en.wikipedia.org/wiki/Soybean” o “Soybean”soybeans soaring. HYPERLINK “http://en.wikipedia.org/wiki/Agriculture_in_Brazil” o “Agriculture in Brazil”Agriculture and allied sectors like HYPERLINK “http://en.wikipedia.org/wiki/Forestry” o “Forestry”forestry, HYPERLINK “http://en.wikipedia.org/wiki/Logging” o “Logging”logging and HYPERLINK “http://en.wikipedia.org/wiki/Fishing” o “Fishing”fishing accounted for 5.1% (Baer, Werner,“The Brazilian Economy”,2001)of the HYPERLINK “http://en.wikipedia.org/wiki/Gross_domestic_product” o “Gross domestic product”gross domestic product in 2007, a performance that puts HYPERLINK “http://en.wikipedia.org/wiki/Agribusiness” o “Agribusiness”agribusiness in a position of distinction in terms of Brazil’s HYPERLINK “http://en.wikipedia.org/wiki/Balance_of_trade” o “Balance of trade”trade balance, in spite of HYPERLINK “http://en.wikipedia.org/wiki/Trade_barrier” o “Trade barrier”trade barriers and subsidizing policies adopted by the HYPERLINK “http://en.wikipedia.org/wiki/Developed_country” o “Developed country”developed countries.

Brazil is one of the ten largest markets in the world, producing tens of millions of tons of steel, 26 million tons of cement, 3.5 million television sets, and 3 million refrigerators. In addition, about 70 million cubic meters of HYPERLINK “http://en.wikipedia.org/wiki/Petroleum” o “Petroleum”petroleum were being processed annually into fuels, lubricants, propane gas, and a wide range of hundred petrochemicals. Furthermore, Brazil has at least 161,500 kilometres of paved roads and more than 93 Gig watts of installed electric power capacity. (Baer, Werner,“The Brazilian Economy”,2001)

Social factors

Brazil is the biggest country in South America. Its population is 183 million people; they are very diverse, because of their influential ancestors from Africa, Europe, Asia, and Native Indians. Brazilians are concerned about their position in a social class, because no class interacts with another social class unless it is in a professional way. Their social classifications are according to race, education, and income.

· Race

Individuals that have dark skin are more likely to be of a lower class than someone with lighter skin who is considered to be a part of higher society. Brazilians working in jobs that require “working with their cocks” art crafts, landscaping, construction, etc is considered to be of a lower class. This mind-set comes from past centuries where Indians and Africans that used to make artesian to survive. On the other hand, middle class workers are called “collar and tie” because they are expecting to work in offices and not with their hand.

· Education

Brazilians are also categorized by the level of education they have acquired. An individual can also be considered of high society based upon their extended vocabulary, since most Brazilians of a lower class converse with a lot of slang. The condition of the country’s economic status, decides the level of education kids will receive. For example, individuals with higher income can put his or her own kid in a private school, compared to those who cannot afford private school, go to a public school or don’t go at all.

· Income

Brazil, like all South American countries have certain sectors or neighborhoods that divide the social class. Since living in the city is very expensive, the families that live there are considered to be middle to high class. Hence, people living in the suburbs or farms are categories as low middle or low class. Brazil is “the most unequal distributor of income in the nation except for South Africa” The income a wealthy person receives is three times more than the income of a poor person. This is a big problem in Brazil because the richer keeps getting richer and the poor keeps getting poorer. Brazil also has social welfare but it doesn’t help the lower class people enough, because of the increasing population and low circulation of money

Environmental factors:

Nature resource:

Brazil is second only to Australia as a producer of natural resources and leads the world in biofuel production. It is fully self sufficient of petroleum-producing regions such as the Middle East and produces all its own fuel from sugar cane. Billions of dollars continue to be pumped into the ethanol sector, where Brazil’s experience and technical expertise is an important advantage. Record commodity prices make its natural resources, which include oil, soya beans and the world’s biggest iron ore mine, more valuable than ever. As world demand grows, in the first 11 months of 2007 Brazil attracted $3bn into its mining sector, almost six times as much as in 2006. More than 85% of Brazil´s energy comes from renewable sources, mostly hydro-electrical isolating Brazil from international energy shocks. Brazil is home to more than one third of the world’s fresh water reserves.

Environment Position

Brazil has taken many steps to curb pollution and be environmentally friendly. The problem is implementation of the legislation or agreements. Brazil actually has a huge amount of laws and measures on the books, but has not been able to enforce those laws on a consistent basis.  To put it simply, many good environmental laws exist, but they exist simply in the books and are rarely if never enforced. “The purpose of the law was to preserve, improve and recover environmental quality, to ensure conditions for socioeconomic development in compliance with the interest of national security, and to protect the dignity of human life”. (Kirchhoff, 2006, p.2)  One of the biggest issues Brazil faces is how to handle the Amazon River basin region. Despite these environmental measures, at its current rate of deforestation, the Amazon rainforest is estimated to be reduced by 40% over the next twenty years. Other environmental issue that Brazil faces is air and water pollution.  The author remembers trucks belching their thick diesel smoke on every street of every city.  In the gigantic city of Sao Paulo, many people have developed respiratory problems as a result of this air pollution.  The city of Sao Paulo only allows certain cars with a license plate number ending on that corresponding day of the week to drive certain days.  Other measures are in place to try and reduce air pollution, but it is still a major problem.  Brazil also suffers from widespread pollution of their water systems caused by unregulated discharge of untreated urban wastewater.

Cultural issues:

Hofstede model:

Description for Brazil’s Hofstede model

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Brazil’s highest Hofstede Dimension is Uncertainty Avoidance (UAI) is 76,indicating the society’s low level of tolerance for uncertainty, in an effort to minimize or reduce this level of uncertainty, strict rule, laws, polices, and regulations are adopted and implemented. The ultimate or avoid the expected. As a result of this high uncertainty avoidance characteristic, the society does not readily accept change is very risk adverse.

Brazil has a slightly higher Individualism (IDV) rank of 38 compared to the Latin American population. However, virtually all the Latin countries are considered to be collectivist societies as compared to individualist cultures. This is manifest in a close long-term commitment to the member ‘group’, be that a family, extended family, or extended relationship.

Considering factors that different from Australia style by using Kluckhohn-Strodtbeck Framework model

Etiquette: personal space & body language

Brazilians have less sense of personal space than Australian and are not bothered being packed together in crowded public places. They are physically expressive and convey emotional information through touch. While in some societies touching has sexual overtones, Brazilians equate it with friendship and a show of concern. Women tend to touch more than men and greet others with kisses on both cheeks, but men also welcome each other with hearty pats on the back and bear hugs. Such informality extends to conversation. (Joseph A. “The Brazilians”, 1996)

Brazilians usually address teachers, doctors, priests, and other professionals using their title followed by their first name—Professor João, Doutora Maxine or Presidente Henrique. Still, body language and terms of address vary with an individual’s social standing. A domestic servant will greet her employer with a limp handshake, head slightly bowed and eyes lowered, and address her using the respectful “you” ( a senhora ), rather than the familiar “you” ( voceê ); the mistress of the house, by contrast always addresses her servants as você. University graduates or, at times, evens those who appear to be well educated, are addressed as doutor or doutora (doctor).

Ethnic Relations:

Unlike in Australia, in Brazil there is no “one drop” rule—the custom that defines anyone with any known or suspected African ancestry as “black.” The Brazilian system of racial classification is both more complex and more in keeping with biological reality. First, Brazil has never had two discrete racial categories—black and white—and Brazilians recognize and have words for a wide variety of racial types. Moreover, how individuals are classified racially does not depend solely on their physical appearance, their skin color, hair type, and facial features or on those of their relatives. Social class, education, and manner of dress all come into play in assigning someone to a racial category. As Brazilians put it, “money whitens”—that is, the higher the social class, the lighter the racial category to which an individual belongs. A well dressed, well educated woman with dark skin and Negroid features might be referred to as a moreno (roughly, brunette), while an illiterate sharecropper with light skin might be assigned to a darker racial category than his physical appearance alone would warrant.

Lifestyle:

As Brazil urbanizes and industrializes, the leisurely family-centered meal at midday is being replaced by lunch, smaller meals usually consumed in restaurants, including ones featuring buffets that sell food by the kilo and such ubiquitous fast-food eateries as McDonalds. The poor, who cannot afford restaurants, are likely to eat the noon meal at home, to buy snacks sold on the street, or to carry food with them to work in stacked lunch buckets. In rural areas itinerant farm laborers who are paid by the day and who carry such buckets have been dubbed bóias-frias, “cold lunches.” Meals may be accompanied by soft drinks— including guaraná, made from a fruit that grows in the Amazon—beer, or bottled water. (Summ, G. Harvey. Brazilian Mosaic: Portraits of a Diverse People and Culture, 1995)

Food Customs at Ceremonial Occasions:

While the principle foods consumed in Brazil are fairly uniform across the country, there are regional specialties, many of which are eaten on festive occasions. In the northeastern state of Bahia ingredients of African origin—palm oil ( dendê ), dried shrimp, peanuts, malagueta peppers—are the basis of regional cuisine in such dishes as vatapá (seafood stew) and acarajé (black-eyed pea fritters). A variety of fruit and fish native to the Amazon are featured in dishes of that region, while in southern Brazil, an area of extensive cattle ranches, meals of grilled meat (churrasco) are favored. Another southern specialty are rodizios, restaurants featuring barbecue in which waiters pass from table to table with large skewers of grilled meats and poultry.

Social Stratification:

Classes and Caste: “Brazil is no longer an underdeveloped country. It is an unjust country,” Brazilian President Fernando Henrique Cardoso proclaimed in 1994. Today Brazil, although one of the ten largest economies in the world, it still has the most unequal distribution of income of any nation except in South Africa. Moreover, inequality has been growing. In the mid-1990s, the poorest 20 percent of the population received only 3 percent of national income, while the richest 10 percent received 47 percent. Or, put in another way, the wealthiest 20 percent earn twenty-six times as much as the poorest 20 percent. It is estimated that some thirty-three million Brazilians live in poverty, including twenty million workers and ten million pensioners who receive the minimum wage of around $115 a month.(Levine, Robert M., and John J. Crocitti, eds. The Brazil Reader, 1999)

Symbols of Social Stratification: Brazilians are preoccupied with class distinctions and are quick to size up the social distance that exists between themselves and others they meet. Yardsticks of such distance are general appearance and the “correctness” of a person’s speech. The degree to which an individual’s vocabulary and grammar is considered “educated” is used as a measure of schooling and, hence, social class. And this, in turn, establishes patterns of deference and authority between two individuals should they belong to different social strata. When such patterns are ignored, the “elite” persons may harshly demand of their “lesser,” “Do you know whom you’re talking to?”—a ritualized response when someone of higher status is not accorded due deference by someone lower on the social scale.

Political/Legal Factors

As Brazil plays an important role in international business, we need to analyse the advantages and disadvantages of Brazil’s economy. Political and legal factors are important as it influence the market and site location decisions. Government regulation is significant for foreign companies doing business in Brazil.

Tariffs Barriers and Nontariff Barriers

Brazil’s import tariffs range from 0 percent to 35 percent, with an average applied tariff rate of 11.6 percent in 2010. Brazil’s average bound tariff in the WTO is significantly higher, at 31.4 percent. (SICE, 2011) For foreign companies, they may face significant uncertainty in Brazil’s market because the government has the ability to raise applied rates to bound levels in an effort to manage prices and supply. Average applied tariffs in Brazil have risen by three percentage points since 2007, and are imposed on the vast majority of imports. These tariffs are applied on automobiles, auto parts, electronics, chemicals, plastics, textiles, and apparel. So, it is not good for foreign investment in these kinds of industries. It is obvious that the Brazilian government is trying to protect the domestic producers and wants to generate more revenue. Hence, foreign companies looking into these kinds of products are not good choice.

Besides, there are other non-tariff barriers in Brazil. Brazil applies federal and state taxes and charges to imports that can effectively double the actual cost of imported products in Brazil. Some products are prohibited in Brazil including foreign blood products and all used consumer goods, such as automobiles, clothing, and tires, as well as used medical equipment and information and communications technology products. (SICE, 2011) Brazil only allows the importation of such products that Brazil cannot be produced domestically. Therefore, in these kinds of industries, the only way to occupy the Brazilian market it to export product that Brazil cannot produce. It seems that it is quite impossible for foreign companies to enter into the Brazil market.

Foreign Direct Investment

Brazil is a favourite location for foreign direct investment. From its modern origin as a colony to about the middle of the 20th century, FDI came mainly for Brazil’s abundant natural resources and huge infrastructure requirements. The main attraction has been its large, often rapidly growing, and protected internal market. In the last decade, infrastructure and financial service sectors have received enormous amounts of FDI as policies shifted to allow it. Protection for manufacturing overall is much lower than in the heyday of import substitution, but still significant. Also, in spite of overall progress, Brazil appears to be still more reliant on non-tariff measures, including licensing arrangements and outright prohibitions than other Latin American countries. (SICE, 2011)

The FDI of Brazil increased steadily. There are the very significant inflows of the earlier years, between $2 and $4 billion annually. It is obviously that Brazil is keen to promote FDI. The reason why Brazil does this is that the government wants to attract more foreign investor to help Brazil to develop their local industries.

Conclusion

In conclusion, Today Brazil has the eighth largest economy in the world. It is a major producer of such agricultural products as sugarcane, soybeans, oranges, coffee, cocoa, rice, wheat, and cotton. It is also a major supplier of beef with vast cattle ranches primarily in the southern and western regions of the country. Nevertheless, because of the tremendous growth of industry, agriculture accounts for only 13 percent of the nation’ gross domestic product. Therefore, there are numerous of business opportunities in Brazil, such as coffee industry as it has a large production of coffee, and it becomes easier and cheaper to enter the foreign market of running a coffee industry in Brazil.

Recommendation

We need these steps for entering the market

Properly setting expectations

Developing a bank of resources

Studying local market norms

Deciding upon a foreign national or expatriate as country manager

Developing a champion customer

Wisely selecting sales channel partners

Preparing itself for fraud and scandal

Incorporating lessons from competitors into its expansion plan

Reference

Baer, Werner. “The Brazilian Economy: Growth and Development” 5th. Westport, CT: Praeger Publishers, 2001,viewed 17 May 2011,<http://www.business.unr.edu/faculty/beekun/Brazil%20JBE-%20pub.pdf>

Brown, Diana Deg. “Umbanda: Religion and Politics in Urban Brazil”, 1994. Viewed 17 May 2011, HYPERLINK “http://www.everyculture.com/Bo-Co/Brazil.html”http://www.everyculture.com/Bo-Co/Brazil.html

Harrison, Phyllis. “Behaving Brazilian”, 1983, Viewed 17 May 2011<http://www.amazon.com/Behaving-Brazilian-Comparison-American Behavior/dp/0838428495 >

Lesser, Jeff. “Negotiating National Identity: Immigrants, Minorities, and the Struggle for Ethnicity in Brazil”, 1999, viewed 17 May 2011, <http://www.paperbackswap.com/Negotiating-National-Identity-Jeffrey-Lesser/book/0822322927/ >

Levine, Robert M., and John J. Crocitti, eds. “The Brazil Reader”, 1999, viewed 17 May 2011, < http://www.amazon.com/Brazil-Reader-History-Culture-Politics/dp/0822322900 >

MacMillan, Gordon, “At the End of the Rainbow? Gold, Land, and People in the Brazilian Amazon”, 1995, viewed 17 May 2011, <http://www.amazon.co.uk/End-Rainbow-Brazilian-Biodiversity-Conservation/dp/0231103557 >

Margolis, Maxine L., “Little Brazil: Brazilian Immigrants in New York City”, 1994, viewed 17 May 2011, <http://www.amazon.co.uk/Little-Brazil-Ethnography-Brazilian-Immigrants/dp/0691000565 >

Mariz, Cecilia Loreto, “Coping with Poverty: Pentecostals and Christian Base Communities in Brazil”, 1994, viewed 17 May 2011, <http://findarticles.com/p/articles/mi_hb3244/is_n2_39/ai_n28687713/ >

Mcgowan, Chris, and Ricardo Pessanha, “The Brazilian Sound: Samba, Bossa Nova, and the Popular Music of Brazil”, 1998, viewed 17 May 2011, <http://www.nextag.com/Tradition-Matters-Modern-Gaucho-1228965292/prices-html >

Oliven, Ruben. “Tradition Matters: Modern Gaucho Identity in Brazil”, 1996, viewed 17 May 2011, Page, Joseph A. “The Brazilians”, 1996, viewed 17 May 2011, <http://www.amazon.com/Brazilian-Mosaic-Portraits-American-Silhouettes/dp/0842024921 >

Summ, G. Harvey, “Brazilian Mosaic: Portraits of a Diverse People and Culture”, 1995, viewed 17 May 2011, <http://www.amazon.com/Brazilian-Mosaic-Portraits-American-Silhouettes/dp/0842024921 >

Vianna, Hermano. Samba Nation: Popular Music and National Identity in Brazil, 1999. viewed 17 May 2011, <http://www.bookbyte.com/1/1/913997-mystery-of-samba-popular-music-national-identity-brazil-by-vianna.html >

Wagley, Charles, “An Introduction to Brazil”, 1971, viewed 17 May 2011, < HYPERLINK “http://en.wikipedia.org/wiki/Economy_of_Brazil”http://en.wikipedia.org/wiki/Economy_of_Brazil>

Maxime L. Margolis, Maria Enedina Bezerra, and Jason M. Fox (2007). Culture of Brazil

N.D. Family Life and Family Values. Retrieved October 12, 2010, from HYPERLINK “http://family.jrank.org/pages/859/Brazil-Family-Life-Family-Values.html”http://family.jrank.org/pages/859/Brazil-Family-Life-Family-Values.html

FIAS, 2011, “LEGAL, POLICY AND ADMINISTRATIVE BARRIERS TO INVESTMENT IN BRAZIL”, Viewed on 17 May 2011, HYPERLINK “http://czbrcham.org/yahoo_site_admin/assets/docs/PUBBrazilReportVolII.2525055.pdf”http://czbrcham.org/yahoo_site_admin/assets/docs/PUBBrazilReportVolII.2525055.pdf

SICE, 2011, “BRAZIL” Viewed on 17 May 2011, < HYPERLINK “http://www.sice.oas.org/ctyindex/USA/USTR_Reports/2011/NTE/BRA_e.pdf”http://www.sice.oas.org/ctyindex/USA/USTR_Reports/2011/NTE/BRA_e.pdf>

POLITICAL FACTORS

The One-China policy firmly states that Taiwan is part of China. The People Republic of China (PRC) refuses to continue diplomatic relations with any nation that recognizes the Republic of China (ROC) commonly known as Taiwan, but it does not object to nations conducting economic, cultural, and other such exchanges with Taiwan that do not imply diplomatic relation. Therefore, many nations that have diplomatic relations with Beijing maintain quasi-diplomatic offices in Taipei. Similarly, the government in Taiwan maintains quasi-diplomatic offices in most nations under various names, most commonly as the Taipei Economic and Cultural Office. With this regards, many international companies having manufacturing plants in both PRC and ROC have to be cautious about stating their products’ country of origin. Some companies experienced that they are required to state, ‘Made in Taiwan, province of China’ on the product’s label.

Taiwan not only built good diplomatic relationship with the United States but it also has a very strong economic relationship with the U.S: its largest trade partner, which acts as an engine boosting its economy, attracting foreign investments, and growing entrepreneurship. Apparently, through decades of hard work and sound economic management, Taiwan has transformed itself from an underdeveloped, agricultural island to an economic power that is a leading producer of high-technology goods. For instance Taiwan has transformed itself from a recipient of the U.S. aid in the 1950s and early 1960s to an aid donor and major foreign investor, especially in Asia. Taiwan is now a creditor economy, holding the world’s fourth-largest stock of foreign exchange reserves $385.6 billion as of December 2011 (CIA World Factbook, 2012).

Taiwan is one of the best places for foreign investment partially due to its stable political situation. Taiwan is considered a law-abiding country—which means businesses are fully P.E.S.T Analysis 3

protected and treated based on rule of law. Taiwan has a good relationship with many countries in Asia. Furthermore, Taiwan could build excellent relations with foreign manufacturing companies and service industries providing a good economic opportunity for cooperation with foreign investors and for access to the Asian market. Since Taiwan and mainland China have both joined the WTO, and as China’s economy is growing, Taiwan industries/business have become more eager to explore new business opportunities in mainland China, either on their own or through joint venture with other international investors. The government has privatized and deregulated much of the economy and is seeking to improve economic ties with mainland China which would greatly improve Taiwan’s economic prospects. Hence, good diplomatic relationship with China is utmost important for Taiwan to further strengthen its economy in a global arena.

For some investors, Taiwan seems to be a risky place for doing business due to its recent domestic political events and the strained relations with People’s Republic of China (PRC) which could negatively affect their business and the market price of their common shares. President Ma Ying-jeou’s promotion of closer economic ties with China has boosted trade and reduced the risk of military conflict. The government is expected to press ahead with achieving an economic cooperation framework agreement — essentially the precursor to a free trade deal. But the issue of ties with China remains highly divisive in Taiwan and there is always the risk of new controversies.

On the other hand, there was concern over corruption in Taiwan in recent years. Taiwan is generally rated as being far freer of damaging corruption than most of its regional peers. But many corruption rankings, including the World Bank’s World Governance Indicators, suggest that there has been a significant deterioration in control of corruption in recent years. Graft is considered most common in local government, bu