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Revista Panamericana de Salud Pública, Pan American Journal of Public Health

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https://www.readbyqxmd.com/read/28628185/epidemiology-and-prevention-of-influenza-in-children-in-argentina-and-brazil
#1
(no author information available yet)
A group of influenza experts from Argentina and Brazil got together to discuss the burden of influenza in children, review current vaccine coverage rates in both countries, analyze vaccine effectiveness, and discuss strategies to improve prevention. Active surveillance of respiratory viruses is carried out nationwide in both countries. Years 2014 and 2015 were mild influenza seasons; influenza virus type A/H3N2 prevailed, whereas type B represented less than 30% of isolates. Trivalent inactivated influenza vaccine is included in National Immunization Programs for 1) children 6 months to 2 years old in Argentina; 2) children 6 months to 5 years old in Brazil; and 3) all high-risk individuals...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614488/social-inequalities-in-maternal-mortality-among-the-provinces-of-ecuador
#2
Antonio Sanhueza, Jakeline Calle Roldán, Paulina Ríos-Quituizaca, Maria Cecilia Acuña, Isabel Espinosa
Objective: This study set out to describe the association between the maternal mortality ratio (MMR) estimates and a set of socioeconomic indicators and compute the MMR inequalities among the provinces of Ecuador. Methods: A cross-sectional ecological study was conducted, using data for 2014 from the country's 24 provinces. The MMR estimate was calculated for each province, as well as the association and its strength between MMR and specific socioeconomic indicators...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614487/actual-and-predicted-prevalence-of-alcohol-consumption-during-pregnancy-in-latin-america-and-the-caribbean-systematic-literature-review-and-meta-analysis
#3
Shannon Lange, Charlotte Probst, Navrose Heer, Michael Roerecke, Jürgen Rehm, Maristela G Monteiro, Kevin Shield, Claire de Oliveira, Svetlana Popova
Objective: To estimate the prevalence of alcohol consumption during pregnancy among the general population of Latin America and the Caribbean, by country, in 2012. Methods: Three steps were taken: a comprehensive, systematic literature search; meta-analyses, assuming a random-effects model for countries with published studies; and regression modelling (data prediction) for countries with either no published studies or too few to obtain an estimate. Results: Based on 24 existing studies, the pooled prevalence of alcohol consumption during pregnancy among the general population was estimated for Brazil (15...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614486/monitoring-modifiable-risk-factors-for-breast-cancer-an-obligation-for-health-professionals
#4
Verónica Guerra Guerrero, Antonieta Fazzi Baez, Carmen Gloria Cofré González, Carmen Gloria Miño González
SYNOPSIS Worldwide, breast cancer is the most common disease in women and constitutes the second leading cause of cancer death in this population. The factors that contribute to the risk of occurrence are divided into nonmodifiable and modifiable factors. Although there are interventions in primary care to prevent the disease, these measures have not produced the desired changes in women's health. This article reviews the major modifiable risk factors for breast cancer and describes how these factors can affect the incidence of cancer in women...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614485/-adolescents-access-to-contraception-perceptions-of-health-workers-in-huechuraba-chile
#5
Giovanna Rojas Ramírez, Pamela Eguiguren Bravo, María Isabel Matamala Vivaldi, Irma Palma Manríquez, Thelma Gálvez Pérez
Objective: Identify difficulties in adolescents' access to contraceptive care and information, based on perceptions and experiences of health workers in Huechuraba, in the Metropolitan Region of Chile. Methods: This qualitative, descriptive study incorporated principles of participatory action research, involving health care teams in the survey and data analysis, and generating proposals for improvement. Seventeen (17) semi-structured individual interviews and one group interview were conducted with professionals and technical personnel involved in adolescent care in the commune's health centers...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614484/embedding-research-to-improve-program-implementation-in-latin-america-and-the-caribbean
#6
Nhan Tran, Etienne V Langlois, Ludovic Reveiz, Ilona Varallyay, Vanessa Elias, Arielle Mancuso, Francisco Becerra-Posada, Abdul Ghaffar
In the last 10 years, implementation research has come to play a critical role in improving the implementation of already-proven health interventions by promoting the systematic uptake of research findings and other evidence-based strategies into routine practice. The Alliance for Health Policy and Systems Research and the Pan American Health Organization implemented a program of embedded implementation research to support health programs in Latin America and the Caribbean (LAC) in 2014-2015. A total of 234 applications were received from 28 countries in the Americas...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614483/-public-health-impact-of-a-remote-diagnosis-system-implemented-in-regional-and-district-hospitals-in-paraguay
#7
Pedro Galván, Miguel Velázquez, Gualberto Benítez, José Ortellado, Ronald Rivas, Antonio Barrios, Enrique Hilario
Objective: Determine the viability of a remote diagnosis system implemented to provide health care to remote and scattered populations in Paraguay. Methods: The study was conducted in all regional and general hospitals in Paraguay, and in the main district hospitals in the country's 18 health regions. Clinical data, tomographic images, sonography, and electrocardiograms (ECGs) of patients who needed a diagnosis by a specialized physician were entered into the system...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614482/-time-trend-analysis-of-diabetes-mellitus-mortality-in-argentina-1990-2013
#8
Hernán Hernández, Guillermo Macías
Objectives: To describe the time trend of mortality attributable to diabetes mellitus (DM) in Argentina in the years 1990-2013, by age and sex. Methods: Crude, age-specific, and age-adjusted rates of DM mortality in Argentina were calculated for the period 1990-2013. Mortality data were obtained from the Statistical Report on Deaths issued by the Department of Statistics and Health Information. An analysis of this trend was carried out through joinpoint regression models...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614481/persistent-arthralgia-and-related-risks-factors-in-laboratory-confirmed-cases-of-chikungunya-virus-infection-in-mexico
#9
Efrén Murillo-Zamora, Oliver Mendoza-Cano, Benjamín Trujillo-Hernández, Ramón Alberto Sánchez-Piña, José Guzmán-Esquivel
Objective: To estimate the cumulative incidence of persistent arthralgia at 6 months from acute Chikungunya virus (CHIKV) infection and to evaluate the association of clinical markers with the risk of long-term arthralgia. Methods: This multicenter retrospective cohort study was conducted in the Mexican state of Colima. A total of 136 individuals aged 15 years and older with serologically confirmed CHIKV infection were enrolled. Participants were interviewed at 6 months from the onset of symptoms, and self-reported persistent arthralgia (PA) was the main binary outcome...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614480/-child-development-in-poor-areas-of-peru
#10
Adrián Alberto Díaz, Jorge Bacallao Gallestey, Rocío Vargas-Machuca, Roxana Aguilar Velarde
Objectives: The objective of the study was to demonstrate the influence of several socioeconomic factors on the motor and language development of children under 5 from the baseline study conducted within the framework of the Joint Program for Children, Food Security, and Nutrition, implemented by five United Nations agencies across 65 districts in the departments of Loreto, Ayacucho, Huancavelica, and Apurímac, Peru. Methods: Dichotomous logistic regression models were used to estimate the likelihood of achievement of motor and language milestones, while polynomial regression models were used to estimate the last milestone achieved and the number of milestones achieved...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614479/knowledge-of-and-attitudes-toward-heel-prick-screening-for-sickle-cell-disease-in-saint-lucia
#11
Sonia Alexander, Sharon Belmar-George, Alisha Eugene, Vanessa Elias
Objectives: In the Caribbean country of Saint Lucia, umbilical-cord-blood screening for sickle cell disease (SCD) was the testing method that health care workers (HCWs) on the maternity wards of the hospitals preferred until the new heel prick (HP) testing method was introduced in the country in 2014. This SCD study sought to assess HCWs' knowledge of and attitude toward HP screening and also determine new mothers' favorability toward HP screening. Methods: A total of 70 HCWs and 132 new mothers answered survey questionnaires in three hospitals...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614478/-a-participatory-model-for-addressing-violence-against-women-in-la-araucan%C3%A3-a-chile
#12
Lucy Mirtha Ketterer Romero, Cecilia Mayorga Muñoz, Marcelo Carrasco Henríquez, Abel Soto Higueras, Ana Tragolaf Ancalaf, Luis Nitrihual, Carlos Del Valle
Violence against women is considered a public health problem that affects women worldwide. Recently, the Directing Council of the Pan American Health Organization declared its serious socioeconomic impact in the Region of the Americas and committed to undertaking actions in the health services to address this problem. Within that framework, this paper describes the steps of a participatory action research (PAR) approach that is being implemented in the Wenteche Territory of the La Araucanía region of Chile, which aims to strengthen community bonds, rekindle opportunities for dialogue with and among the people of the territory, foster social participation and democracy in the generation of pertinent, participatory knowledge regarding this problem, and obtain information to support design of an intervention model adapted to local characteristics...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614477/-clinical-practice-guidelines-qualitative-study-of-their-implementation-in-the-chilean-health-system
#13
Paloma Herrera, Valentina Fajreldin, María Francisca Rodríguez, Patricia Kraemer, Carolina Mendoza, Ignacio Pineda, Pamela Burdiles, Marco Cornejo, Julio Villanueva, María Dolores Tohá, Alonso Carrasco-Labra
Objective: Characterize the implementation process, barriers, and facilitators of evidence-based recommendations in the context of developing clinical practice guidelines (CPGs) generated by the Ministry of Health of Chile, in order to make proposals to optimize the process. Methods: Qualitative "action-oriented research" study. Nineteen semi-structured interviews were conducted and nine discussion groups were organized at various levels of the Chilean public health system...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614476/integrated-community-case-management-iccm-of-childhood-infection-saves-lives-in-hard-to-reach-communities-in-nicaragua
#14
Dixmer Rivera, Rashed Shah, Tanya Guenther, Meredith Adamo, Jeanne Koepsell, Carmen Maria Reyes, Mary McInerney, David R Marsh
Objective: To describe Nicaragua's integrated community case management (iCCM) program for hard-to-reach, rural communities and to evaluate its impact using monitoring data, including annual, census-based infant mortality data. Method: This observational study measured the strength of iCCM implementation and estimated trends in infant mortality during 2007-2013 in 120 remote Nicaraguan communities where brigadistas ("health brigadiers") offered iCCM services to children 2-59 months old...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614475/-positioning-ecuador-in-the-global-health-agenda-as-a-result-of-sector-reform
#15
Cristina Luna, Carlos Andrés Emanuele, Daniel De La Torre
Objective: Analyze strategies implemented by Ecuador's Ministry of Public Health (MPH) to position the country in the global health agenda during the period 2011-2015 as a result of health sector reform. Method: Documentary review and interviews with stakeholders in national and international agencies with respect to positioning in the global health sphere during the study period. Results: It was observed that the reform process produced a new framework to manage international health relations...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614474/-food-labeling-in-ecuador-implementation-results-and-pending-actions
#16
Adrián Alberto Díaz, Paula Mariana Veliz, Gabriela Rivas-Mariño, Carina Vance Mafla, Luz María Martínez Altamirano, Cecilia Vaca Jones
Noncommunicable diseases are the world's leading cause of death, responsible for 38 million deaths in 2012. This epidemic is primarily associated with smoking, excessive alcohol consumption, sedentary lifestyle, and changes in dietary patterns, characterized by diets high in sugar and saturated fat, typical of processed foods and sugar-sweetened beverages, plus low intake of fruits and vegetables. Ecuador is no exception to this epidemiological profile or to changes in eating patterns. Thus, Ecuador's government designed and implemented an action plan aimed at changing the obesogenic environment, which includes six strategic lines...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614473/-active-community-case-finding-for-uptake-of-pregnant-and-postpartum-women-in-ecuador
#17
Jakeline Calle Roldán, Cecilia Acuña, Paulina Ríos
Objective: Document and analyze Ecuador's experience using active community case-finding for uptake of pregnant and postpartum women in Ecuador. Methods: A cross-sectional descriptive study was conducted of information obtained on active community case-finding of pregnant and postpartum women in the catchment areas of 200 primary care facilities of Ecuador's Ministry of Public Health. Results: Visits were made to 460 451 homes in 20 provinces; 15 622 pregnant women and 4 014 postpartum women were identified...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614472/-human-resources-for-health-in-ecuador-s-new-model-of-care
#18
Verónica Espinosa, Daniel de la Torre, Cecilia Acuña, Cristina Cadena
Objective: Describe strategies implemented by Ecuador's Ministry of Public Health (MPH) to strengthen human resources for health leadership and respond to the new model of care, as a part of the reform process in the period 2012-2015. Methods: A documentary review was carried out of primary and secondary sources on development of human resources for health before and after the reform. Results: In the study period, Ecuador developed a new institutional and regulatory framework for developing human resources for health to respond to the requirements of a model of care based on primary health care...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614471/-payment-mechanisms-and-financial-resources-management-for-consolidation-of-ecuador-s-health-system
#19
Tatiana Villacrés, Ana Cristina Mena
Objective: Analyze the proposal by the Ministry of Public Health to reform the public financing model in Ecuador with regard to pooling of funds and payment mechanisms. Method: A literature review was done of the financing model, the current legal framework, and the budgetary bases in Pubmed, SciELO, LILACS Ecuador, and regional LILACS using the key words health financing, health financing systems, capitation, pooling of funds, health system reform Ecuador, health system Ecuador, and health payment mechanisms...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614470/-health-technology-assessment-in-ecuador-s-ministry-of-public-health-as-a-tool-for-drug-purchasing-from-2012-to-2015
#20
Luciana Armijos, Santiago Escalante, Tatiana Villacrés
Objective: Learn how the Ministry of Public Health (MSP, the Spanish acronym) of Ecuador uses health technology assessment (HTA) in decision-making on the purchase of drugs that are not on the National List of Essential Medicines (NLEM). Methods: Information from databases of the Health Intelligence Directorate (DIS, the Spanish acronym) and the National Directorate of Drugs and Medical Devices (DNMDM, the Spanish acronym), was used to compare decisions made by both entities, to learn about the use and consistency of HTA reports in decisions on purchasing drugs not included in the NLEM...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
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