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Colombia health policy

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https://www.readbyqxmd.com/read/29128768/contaminated-land-in-colombia-a-critical-review-of-current-status-and-future-approach-for-the-management-of-contaminated-sites
#1
REVIEW
Victor Andres Arias Espana, Alfonso R Rodriguez Pinilla, Paul Bardos, Ravi Naidu
Environmental contaminants can have negative effects on human health and land, air and water resources. Consequently, there have been significant advances in regulation for protecting the environment in developed countries including the development of remediation frameworks and guidelines. On the other hand, fewer studies have been reported on the risks and health effects of contaminants in developing regions and there is scarce information regarding contaminated land assessment and environmental remediation...
November 9, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29084220/a-multi-country-study-of-the-economic-burden-of-dengue-fever-vietnam-thailand-and-colombia
#2
Jung-Seok Lee, Vittal Mogasale, Jacqueline K Lim, Mabel Carabali, Kang-Sung Lee, Chukiat Sirivichayakul, Duc Anh Dang, Diana Cristina Palencia-Florez, Thi Hien Anh Nguyen, Arthorn Riewpaiboon, Pornthep Chanthavanich, Luis Villar, Brian A Maskery, Andrew Farlow
BACKGROUND: Dengue fever is a major public health concern in many parts of the tropics and subtropics. The first dengue vaccine has already been licensed in six countries. Given the growing interests in the effective use of the vaccine, it is critical to understand the economic burden of dengue fever to guide decision-makers in setting health policy priorities. METHODS/PRINCIPAL FINDINGS: A standardized cost-of-illness study was conducted in three dengue endemic countries: Vietnam, Thailand, and Colombia...
October 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29029068/considering-health-equity-when-moving-from-evidence-based-guideline-recommendations-to-implementation-a-case-study-from-an-upper-middle-income-country-on-the-grade-approach
#3
Javier Eslava-Schmalbach, Paola Mosquera, Juan Pablo Alzate, Kevin Pottie, Vivian Welch, Elie A Akl, Janet Jull, Eddy Lang, Srinivasa Vittal Katikireddi, Rachel Morton, Lehana Thabane, Bev Shea, Airton T Stein, Jasvinder Singh, Ivan D Florez, Gordon Guyatt, Holger Schünemann, Peter Tugwell
The availability of evidence-based guidelines does not ensure their implementation and use in clinical practice or policy making. Inequities in health have been defined as those inequalities within or between populations that are avoidable, unnecessary and also unjust and unfair. Evidence-based clinical practice and public health guidelines ('guidelines') can be used to target health inequities experienced by disadvantaged populations, although guidelines may unintentionally increase health inequities. For this reason, there is a need for evidence-based clinical practice and public health guidelines to intentionally target health inequities experienced by disadvantaged populations...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28968019/-educating-health-workers-is-key-in-congenital-syphilis-elimination-in-colombia
#4
Juan Pablo Garcés, Luisa Consuelo Rubiano, Yenifer Orobio, Martha Castaño, Elizabeth Benavides, Adriana Cruz
INTRODUCTION: Colombia promotes the diagnosis and treatment of gestational syphilis in a single visit using rapid diagnostic tests to prevent mother-to-child transmission. Additionally, integrated health programs pursue the coordinated prevention of mother-to-child transmission of syphilis/HIV. OBJECTIVE: To identify knowledge gaps among health workers in the prevention of mother-to-child transmission of syphilis/HIV and to provide recommendations to support these programs...
September 1, 2017: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/28886023/geographic-patterns-and-environmental-factors-associated-with-human-yellow-fever-presence-in-the-americas
#5
Patricia Najera Hamrick, Sylvain Aldighieri, Gustavo Machado, Deise Galan Leonel, Luz Maria Vilca, Sonia Uriona, Maria Cristina Schneider
BACKGROUND: In the Americas, yellow fever virus transmission is a latent threat due to the proximity between urban and wild environments. Although yellow fever has nearly vanished from North and Central America, there are still 13 countries in the Americas considered endemic by the World Health Organization. Human cases usually occur as a result of the exposure to sylvatic yellow fever in tropical forested environments; but urban outbreaks reported during the last decade demonstrate that the risk in this environment still exists...
September 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28829235/taking-innovative-vector-control-interventions-in-urban-latin-america-to-scale-lessons-learnt-from-multi-country-implementation-research
#6
Juliana Quintero, Tatiana García-Betancourt, Andrea Caprara, Cesar Basso, Elsa Garcia da Rosa, Pablo Manrique-Saide, Giovanini Coelho, Gustavo Sánchez-Tejeda, Felipe Dzul-Manzanilla, Diego Alejandro García, Gabriel Carrasquilla, Eduardo Alfonso-Sierra, Cyntia Monteiro Vasconcelos Motta, Johannes Sommerfeld, Axel Kroeger
Prior to the current public health emergency following the emergence of chikungunya and Zika Virus Disease in the Americas during 2014 and 2015, multi-country research investigated between 2011 and 2013 the efficacy of novel Aedes aegypti intervention packages through cluster randomised controlled trials in four Latin-American cities: Fortaleza (Brazil); Girardot (Colombia), Acapulco (Mexico) and Salto (Uruguay). Results from the trials led to a scaling up effort of the interventions at city levels. Scaling up refers to deliberate efforts to increase the impact of successfully tested health interventions to benefit more people and foster policy and program development in a sustainable way...
September 2017: Pathogens and Global Health
https://www.readbyqxmd.com/read/28816610/tobacco-control-law-implementation-in-a-middle-income-country-transnational-tobacco-control-network-overcoming-tobacco-industry-opposition-in-colombia
#7
Randy Uang, Eric Crosbie, Stanton A Glantz
The objective of this paper is to examine the implementation of Colombia's tobacco control law. Methods involved are triangulated government legislation, news sources, and interviews with policy-makers and health advocates in Colombia. Colombia, a middle-income country, passed a tobacco control law in 2009 that included a prohibition on tobacco advertising, promotion, and sponsorship; and required pictorial health warning labels, ingredients disclosure, and a prohibition on individual cigarette sales. Tobacco companies challenged the implementation through litigation, tested government enforcement of advertising provisions and regulations on ingredients disclosure, and lobbied local governments to deprioritise policy responses to single cigarette sales...
August 17, 2017: Global Public Health
https://www.readbyqxmd.com/read/28767813/-new-changes-old-systems-health-policies-in-mexico-and-colombia-in-the-21st-century
#8
Monica Uribe-Gómez
Recent years have witnessed discussion on the need for changes in the health systems of Latin America. This initiative, spearheaded once again by the World Bank as Universal Health Coverage, focuses on strategies for protection against financial risks and unified access to essential services and medicines. Although the World Bank approaches have been incorporated in different ways by the region's countries since the 1980s, there have also been important breaks with this trend, for example in Argentina, Brazil, Uruguay, and Ecuador, which have sought at different times to implement policies and programs emphasizing non-market-driven values...
July 27, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28753108/reducing-causes-of-inequity-policies-focused-on-social-determinants-of-health-during-generational-transitions-in-colombia
#9
Juan Carlos Rivillas, Fabian Dario Colonia
Health inequalities often result from social inequities, and those, in turn, are generated by social determinants of health (SDoH). Hence, to reduce health inequalities, it is necessary to consider all health-related determinants. Disadvantages arise even before birth, and they tend to accumulate throughout an individual's life. Thus, policy actions intended to overcome these health inequalities should take place before birth and continue throughout life. This review aimed to describe the first steps of that Colombia has taken to reduce health inequalities during generational transitions through an inter-sectorial coordination upon SDoH...
2017: Global Health Action
https://www.readbyqxmd.com/read/28724026/-level-of-implementation-of-the-program-for-safety-and-health-at-work-in-antioquia-colombia
#10
Ninfa Del Carmen Vega-Monsalve
This study describes the level of implementation of the Program for Safety and Health at Work in companies located in the Department of Antioquia, Colombia, and associated factors. A cross-sectional survey included 73 companies with more than 50 workers each and implementation of the program. A total of 65 interviews were held, in addition to 73 checklists and process reviews. The companies showed suboptimal compliance with the management model for workplace safety and health proposed by the International Labor Organization (ILO)...
July 13, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28676055/malaria-in-brazil-colombia-peru-and-venezuela-current-challenges-in-malaria-control-and-elimination
#11
REVIEW
Judith Recht, André M Siqueira, Wuelton M Monteiro, Sonia M Herrera, Sócrates Herrera, Marcus V G Lacerda
In spite of significant progress towards malaria control and elimination achieved in South America in the 2000s, this mosquito-transmitted tropical disease remains an important public health concern in the region. Most malaria cases in South America come from Amazon rain forest areas in northern countries, where more than half of malaria is caused by Plasmodium vivax, while Plasmodium falciparum malaria incidence has decreased in recent years. This review discusses current malaria data, policies and challenges in four South American Amazon countries: Brazil, Colombia, Peru and the Bolivarian Republic of Venezuela...
July 4, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28614484/embedding-research-to-improve-program-implementation-in-latin-america-and-the-caribbean
#12
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/28562713/smokefree-implementation-in-colombia-monitoring-outside-funding-and-business-support
#13
Randy Uang, Eric Crosbie, Stanton A Glantz
Objective: To analyze successful national smokefree policy implementation in Colombia, a middle income country. Materials and methods: Key informants at the national and local levels were interviewed and news sources and government ministry resolutions were reviewed. Results: Colombia's Ministry of Health coordinated local implementation practices, which were strongest in larger cities with supportive leadership. Nongovernmental organizations provided technical assistance and highlighted noncompliance...
March 2017: Salud Pública de México
https://www.readbyqxmd.com/read/28559676/closing-the-gap-between-formal-and-material-health-care-coverage-in-colombia
#14
Everaldo Lamprea, Johnattan García
This paper explores Colombia's road toward universal health care coverage. Using a policy-based approach, we show how, in Colombia, the legal expansion of health coverage is not sufficient and requires the development of appropriate and effective institutions. We distinguish between formal and material health coverage in order to underscore that, despite the rapid legal expansion of health care coverage, a considerable number of Colombians-especially those living in poor regions of the country-still lack material access to health care services...
December 2016: Health and Human Rights
https://www.readbyqxmd.com/read/28486584/comparison-of-health-examination-survey-methods-in-brazil-chile-colombia-mexico-england-scotland-and-the-united-states
#15
COMPARATIVE STUDY
Jennifer S Mindell, Alison Moody, Andres I Vecino-Ortiz, Tania Alfaro, Patricia Frenz, Shaun Scholes, Silvia A Gonzalez, Paula Margozzini, Cesar de Oliveira, Luz Maria Sanchez Romero, Andres Alvarado, Sebastián Cabrera, Olga L Sarmiento, Camilo A Triana, Simón Barquera
Comparability of population surveys across countries is key to appraising trends in population health. Achieving this requires deep understanding of the methods used in these surveys to examine the extent to which the measurements are comparable. In this study, we obtained detailed protocols of 8 nationally representative surveys from 2007-2013 from Brazil, Chile, Colombia, Mexico, the United Kingdom (England and Scotland), and the United States-countries that that differ in economic and inequity indicators...
September 15, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28483176/-sexual-abuse-and-neglect-situations-as-risk-factors-for-adolescent-pregnancy
#16
Miguel Restrepo Martínez, Laura Trujillo Numa, Diana Restrepo Bernal, Yolanda Torres de Galvis, Gloria Sierra
BACKGROUND: In Colombia, one out of five women between the ages of 15 and 19 years have been pregnant. Almost two-thirds (64%) of these pregnancies were unplanned. OBJECTIVES: To examine the socio-demographic, psychosocial and clinical risk factors associated with adolescent pregnancy. METHODS: An analytical prevalence study was performed using secondary data from the First Demographic Study of Mental Health in Medellin, Colombia. Female adolescents between 13 and 19 years of age were included in the study...
April 2017: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/28453120/physical-activity-in-a-rural-community-in-colombia
#17
Álvaro Mondragón-Cardona, Francisco J Bonilla-Escobar, Verónica Álzate-Carvajal, Johana C Rojas-Mirquez, Carlos E Jiménez-Canizales, Daniel Tobón-García, Francisco Vásquez, Juan D Jaramillo-Sánchez
Objective: To characterize physical activity profiles in a rural community in the southwest of Colombia and to identify knowledge gaps on this issue in the country. Methods: Cross-sectional study conducted in a rural area in Puerto Caldas, Pereira, Risaralda. The population of the study was obtained by convenience sampling from people participating in the activities of the Second Multidisciplinary Camp for Research and Services (CUMIS, for its acronym in Spanish), which was organized by the Colombian Association of Medical Students' Scientific Societies (ASCEMCOL, for its acronym in Spanish)...
September 2016: Revista de Salud Pública
https://www.readbyqxmd.com/read/28453111/-inequalities-in-the-continuity-of-outpatient-care-to-displaced-population-in-colombia-2012-2013
#18
Giana M Henríquez-Mendoza
Objective: To establish inequalities in the continuity of outpatient care to displaced population diagnosed with depression. Methods: A cross-sectional study, based on clinical records, was performed during the period between June 1, 2012 and June 30, 2013, on population diagnosed with depression and reduced to displaced population. The odds ratio was used to associate the type of population with the outpatient care control by professionals, adjusted by sex, age, affiliation and region...
September 2016: Revista de Salud Pública
https://www.readbyqxmd.com/read/28453110/-on-health-research-as-public-policy-in-colombia-assessment-and-perspectives
#19
Fabio A Escobar-Díaz, Carlos A Agudelo-Calderón
This essay presents some elements of analysis for thinking about health research in Colombia as a public policy, something which was formed starting in 1990 with the establishment of Science and Technology regulations. A set of institutional adjustments was carried out which led to the creation of the National Program of Health Science and Technology and the National Council of Health Science and Technology. In addition, it led to the institutionalization of calls for research proposals as a mechanism for selecting research projects and assigning resources in accordance with the needs and priorities of the National System of Science and Technology...
June 2016: Revista de Salud Pública
https://www.readbyqxmd.com/read/28453065/-identification-of-capacities-in-environmental-health-from-environmental-authorities-in-colombia
#20
Carlos A Agudelo-Calderón, Juan C García-Ubaque, Rocío Robledo-Martínez, Cesar A García-Ubaque, Martha L Vaca-Bohórquez
Objectives To diagnose the capabilities that environmental authorities and the Ministry of Environment and Sustainable Development have to assume their role in environmental health, based on the capacity model of the United Nations Program for Development UNDP. Method Document review, interviews on key issues and a commented survey were conducted. 84 entities were selected for a tailored survey; complete information was obtained from 76 institutions. Results The valuation of environment favorability was within the acceptable and unfavorable categories; knowledge management capabilities were found to be precarious and assessment of functional capabilities ranged between appropriate and acceptable...
August 2016: Revista de Salud Pública
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