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Colombia health policy

Laura Florence Harris, John Koku Awoonor-Williams, Caitlin Gerdts, Laura Gil Urbano, Ana Cristina González Vélez, Jodi Halpern, Ndola Prata, Peter Baffoe
BACKGROUND AND OBJECTIVE: Conscientious objection to abortion, clinicians' refusal to perform legal abortions because of their religious or moral beliefs, has been the subject of increasing debate among bioethicists, policymakers, and public health advocates in recent years. Conscientious objection policies are intended to balance reproductive rights and clinicians' beliefs. However, in practice, clinician objection can act as a barrier to abortion access-impinging on reproductive rights, and increasing unsafe abortion and related morbidity and mortality...
2016: PloS One
Lucila Rey-Ares, Akram Hernández-Vázquez, Osvaldo Ulises Garay, Andres Pichon Riviere, Sebastián García Martí, Ramiro Gilardino, Hermilo Cabra, Federico Augustovski
OBJECTIVES: To describe and compare the requirements for medical devices licensing and reimbursement in four Latin-American countries. METHODS: We conducted a literature search in major databases, and generic Internet engines, and interviewed key informants. RESULTS: We included all publications describing regulation and/or coverage and enriched them with key informant's interviews. We found that licensing processes are similar. The decision-making process for coverage is not formally different than the one used for drugs...
October 12, 2016: Expert Review of Medical Devices
Lauren Arnesen, Pablo Durán, Juan Silva, Luisa Brumana
Objective To consolidate available information from the Latin American and Caribbean (LAC) region on 1) national incidence of retinopathy of prematurity (ROP) and 2) national-level government inputs on ROP (existing national policies, guidelines, programs, and financing for ROP prevention, detection, and treatment, including ROP screening) in 2014. Methods In March and April 2015, a multi-country online survey was distributed to 56 medical and public health experts working on ROP in LAC countries. Respondents were instructed to provide quantitative and qualitative information representative of the national situation in 2014 for ROP incidence and national-level government inputs (existing national policies, guidelines, programs, and financing for ROP prevention, detection, and treatment, including ROP screening) in their country...
June 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Hector Eduardo Castro Jaramillo, Ornella Moreno-Mattar, Diana Osorio-Cuevas
BACKGROUND: Health technology assessment (HTA) examines the consequences of the application of health technologies and is aimed at better informing decision-makers. Over the past 30 years, different countries have implemented HTA organizations. Colombia established by law its own HTA agency (IETS) in 2011 which started operations in November 2012. The aim of this study was to assess the feasibility of conducting and using HTA to inform decision-making in this context. Through a qualitative approach, ten "drivers" emerged with the ability to help or hinder HTA development in this context: availability and quality of data, implementation strategy, cultural aspects, local capacity, financial support, policy/political support, globalization, stakeholder pressure, health system context, and usefulness perception...
October 3, 2016: International Journal of Technology Assessment in Health Care
Dioselina Peláez, Blanca Lisseth Guzmán, Johanna Rodríguez, Felipe Acero, Gerardo Nava
INTRODUCTION: Since drinking water can be a vehicle for the transmission of pathogens, the detection of enteric viruses in these water samples is essential to establish the appropriate measures to control and prevent associated diseases.  OBJECTIVE: To analyze the results obtained for enteric viruses in water samples for human consumption received at the Colombian Instituto Nacional de Salud and establish their association with the data on water quality in Colombian municipalities...
2016: Biomédica: Revista del Instituto Nacional de Salud
Adriana Díaz Del Castillo, Silvia Alejandra González, Ana Paola Ríos, Diana C Páez, Andrea Torres, María Paula Díaz, Michael Pratt, Olga L Sarmiento
Multi-sectoral strategies to promote active recreation and physical activity in public spaces are crucial to building a "culture of health". However, studies on the sustainability and scalability of these strategies are limited. This paper identifies the factors related to the sustainability and scaling up of two community-based programs offering physical activity classes in public spaces in Colombia: Bogotá's Recreovía and Colombia's "Healthy Habits and Lifestyles Program-HEVS". Both programs have been sustained for more than 10years, and have benefited 1455 communities...
August 26, 2016: Preventive Medicine
João L Carapinha
OBJECTIVE: To compare the pharmacoeconomic guidelines in South Africa (SA) with other middle- and high-income countries. METHODS: A comparative review of key features of the pharmacoeconomic guidelines in SA was undertaken using the Comparative Table of Pharmacoeconomic Guidelines developed by the International Society of Pharmacoeconomics and Outcomes Research, and published country-level pharmacoeconomics guidelines. A random sample of guidelines in high- and middle-income countries were analyzed if data on all key features were available...
August 26, 2016: Journal of Medical Economics
Claudia de la Cruz, André V E de Carvalho, Gladys L Dorantes, Angela M Londoño Garcia, Cesar Gonzalez, Matías Maskin, Nancy Podoswa, Jan S Redfern, Fernando Valenzuela, Joelle van der Walt, Ricardo Romiti
Latin American countries view biosimilar agents as an effective approach to curtail health-care expenditures while maintaining the safety and efficacy profile of their branded innovator comparators. To understand the complexities of the regulatory landscape and key therapeutic issues for use of biosimilars to treat moderate to severe psoriasis in Latin America, the International Psoriasis Council convened dermatology experts from Argentina, Brazil, Chile, Colombia and Mexico in October 2015 to review the definition, approval, marketing and future of biosimilars in each country and develop a consensus statement...
July 27, 2016: Journal of Dermatology
Martial L Ndeffo-Mbah, Alyssa S Parpia, Alison P Galvani
Background: Because of the risk for Zika virus infection in the Americas and the links between infection and microcephaly, other serious neurologic conditions, and fetal death, health ministries across the region have advised women to delay pregnancy. However, the effectiveness of this policy in reducing prenatal Zika virus infection has yet to be quantified. Objective: To evaluate the effectiveness of pregnancy-delay policies on the incidence and prevalence of prenatal Zika virus infection...
October 18, 2016: Annals of Internal Medicine
Isabel Garcia de Quevedo, Felipe Lobelo, Loren Cadena, Madalena Soares, Michael Pratt
Non-communicable diseases (NCDs) are the leading causes of death worldwide, with higher rates of premature mortality in low- and middle-income countries (LMICs). This places a high economic burden on these countries, which usually have limited capacity to address this public health problem. We developed a guided self-assessment tool for describing national capacity for NCD prevention and control. The purpose of this tool was to assist countries in identifying key opportunities and gaps in NCD capacity. It was piloted in three countries between 2012 and 2013: Mozambique, Colombia, and the Dominican Republic...
June 30, 2016: Global Health Promotion
Santiago Alzate-Urrea, Andres A Agudelo-Suarez, James Y Monsalve-Orrego, Flor E Londono-Candanoza, Geidy Del C Chinome-Florez, Aida L Julio-Perez, Luisa F Arias-Durango, Karen M Perez-Torres
INTRODUCTION: We aim to understand the perception about discrimination within the LGBT population when accessing oral health services, from their perspective as well as that of the oral health professional. METHODS: A qualitative study from a phenomenological perspective was conducted by means of 37 in-depth interwiews (19 in health service providers and 18 in LGBT members). The script used in the interview included questions related to discrimination in social spaces, quality of life and its relationship with health, access to general and oral health care and proposals and strategies...
2016: Global Journal of Health Science
Lucas Higuera, Sergio Iván Prada
BACKGROUND: Copayments, deductibles, and coinsurance, are elements of health-care systems to make prices salient for the insured. Individuals may respond differently to cost sharing, according to the type of care they seek; dental care, as a combination of both acute and elective care, is an ideal setting to study the effects of cost-sharing mechanisms on utilization. OBJECTIVE: To test how coinsurance affects dental-care utilization in a middle-income country context...
October 2016: Applied Health Economics and Health Policy
Jorge A Alfaro-Murillo, Alyssa S Parpia, Meagan C Fitzpatrick, Jules A Tamagnan, Jan Medlock, Martial L Ndeffo-Mbah, Durland Fish, María L Ávila-Agüero, Rodrigo Marín, Albert I Ko, Alison P Galvani
BACKGROUND: As Zika virus continues to spread, decisions regarding resource allocations to control the outbreak underscore the need for a tool to weigh policies according to their cost and the health burden they could avert. For example, to combat the current Zika outbreak the US President requested the allocation of $1.8 billion from Congress in February 2016. METHODOLOGY/PRINCIPAL FINDINGS: Illustrated through an interactive tool, we evaluated how the number of Zika cases averted, the period during pregnancy in which Zika infection poses a risk of microcephaly, and probabilities of microcephaly and Guillain-Barré Syndrome (GBS) impact the cost at which an intervention is cost-effective...
May 2016: PLoS Neglected Tropical Diseases
Marcela Lonngi, María Camila Aguilar, Hernán Andrés Ríos, Cristhian H Aristizábal-Duque, Francisco José Rodríguez, Alejandra de-la-Torre
PURPOSE: To describe the clinical features of uveitis in children treated at two ophthalmologic centers in Bogotá, Colombia, in a 13 year-period. METHODS: Retrospective observational clinical record review of pediatric children with diagnosis of uveitis. RESULTS: In total, 310 children were evaluated, 51.9% were female, mean age of 10.1 years. Posterior uveitis was the most common location (58.7%), of insidious onset (87.4%) and chronic course (78...
August 2016: Ocular Immunology and Inflammation
Pablo E Chaparro-Narváez, Mary Lopez-Perez, Lina Marcela Rengifo, Julio Padilla, Sócrates Herrera, Myriam Arévalo-Herrera
BACKGROUND: During the last decade, Colombia presented a significant decrease in malaria clinical cases and associated mortality. However, there is a lack of reliable information about the prevalence and characteristics of complicated malaria cases as well as its association with different Plasmodium species. A description of the epidemiological and clinical aspects of complicated malaria in Colombia is presented here. METHODS: A descriptive study was conducted using data collected between 2007 and 2013 by the Public Health Surveillance System (SIVIGILA)...
2016: Malaria Journal
Becky L Tsang, Ralfh Moreno, Nazila Dabestani, Helena Pachón, Rebecca Spohrer, Peiman Milani
BACKGROUND: Fortification of cereal grains with at least iron or folic acid is legislated in 85 countries worldwide. Relative to wheat and maize flour, rice fortification is relatively new and provides an opportunity to deliver essential micronutrients to populations that consume rice as a dietary staple. OBJECTIVE: To describe miller and public sector experiences and perspectives on rice fortification with micronutrients in Colombia and offer recommendations for policy makers...
May 5, 2016: Food and Nutrition Bulletin
M C Jaramillo-Mejía, D Chernichovsky, J D Martínez-Blanco, J J Jiménez-Moleón
OBJECTIVE: The goal of this study was to inform public health policy which can reduce Colombia's estimated infant mortality rate (IMR), 17.78 deaths for 1000 live births (2011), by lowering preventable first day mortality (PFDM). STUDY DESIGN: This study combined a time series analysis, using a linear regression method, for the period 2001-2012 with a cross-sectional analysis, using odds ratios and bi-variate methods, for the year 2012 to study first day mortality (FDM) and PFDM classified by biological, socio-economic, and medical correlates...
September 2016: Public Health
Michael Vlassoff, Susheela Singh, Tsuyoshi Onda
Over the last five years, comprehensive national surveys of the cost of post-abortion care (PAC) to national health systems have been undertaken in Ethiopia, Uganda, Rwanda and Colombia using a specially developed costing methodology-the Post-abortion Care Costing Methodology (PACCM). The objective of this study is to expand the research findings of these four studies, making use of their extensive datasets. These studies offer the most complete and consistent estimates of the cost of PAC to date, and comparing their findings not only provides generalizable implications for health policies and programs, but also allows an assessment of the PACCM methodology...
October 2016: Health Policy and Planning
Raúl Castro Rodríguez, Gabriel Carrasquilla, Alexandra Porras, Katia Galera-Gelvez, Juan Guillermo Lopez Yescas, Jorge A Rueda-Gallardo
Data on the burden of dengue and its economic costs can help guide health policy decisions. However, little reliable information is available for Colombia. We therefore calculated the burden of the disease, expressed in disability-adjusted life years (DALYs), for two scenarios: endemic years (average number of cases in non-epidemic years 2011 and 2012) and an epidemic year (2010, when the highest number of dengue cases was reported in the study period). We also estimated the total economic cost of the disease (U...
May 4, 2016: American Journal of Tropical Medicine and Hygiene
Eliana María Taborda Zapata, Laura Elisa Montoya González, Natalia María Gómez Sierra, Laura María Arteaga Morales, Oscar Andrés Correa Rico
INTRODUCTION: Schizophrenia is a complex disease for which pharmacological management is an insufficient therapeutic measure to ensure adaptation to the community and restoring the quality of life of the patient, with a multidimensional management and community interventions being necessary. METHODOLOGY: Case report. RESULTS: This case report illustrates a multidisciplinary treatment response, based on a community care model for mental health from Envigado, Colombia...
January 2016: Revista Colombiana de Psiquiatría
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