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Item type:Publication, Hear My Voice: Understanding How Community Health Workers in the Peruvian Amazon Expanded Their Roles to Mitigate the Impact of the COVID-19 Pandemic Through Community-Based Participatory Research(BMJ Publishing Group, 2023-10-13)The COVID-19 pandemic led to the collapse of the Peruvian health system, disrupting healthcare access for indigenous communities in the Amazon. Our study analysed how community health workers (CHWs) from indigenous communities in the Peruvian Amazon expanded their roles to mitigate the effects of the COVID-19 pandemic. Methods Fourteen CHWs from Loreto, Peru, participated in a community-based participatory research project using Photovoice, a technique encouraging vulnerable groups to take photos and develop stories illustrating their lived experiences. Participants were recruited from Mamás del Río, a local university-based programme, through purposive sampling. CHWs were asked to photograph how the pandemic affected their lives and work. Participants met four times over 5 months to share photos and develop action items. Data were organised into key themes using thematic analysis. CHWs shared photo galleries with policy-makers in Loreto and Lima. Results CHWs produced 36 photos with 33 texts highlighting their roles during COVID-19. Three core themes emerged: the (1) collapse of health infrastructure, (2) use of medicinal plants versus pharmaceuticals and (3) community adaptations and struggles. The leadership of CHWs emerged as a cross-cutting theme as CHWs supported COVID-19 efforts without government training or resources. CHWs asked policy-makers for formal integration into the health system, standardisation of training and management of community pharmacies. Conclusion CHWs demonstrated their leadership and expanded their roles during the pandemic with little to no training from the government. Global investment in robust CHW programmes can fortify healthcare delivery.4 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Navigating strategies for intercultural maternal and newborn care in Latin America and the Caribbean: a scoping review(Oxford University Press, 2026-06-01)In Latin America and the Caribbean (LAC), women from racial and ethnic minority groups experience disproportionately worse maternal health outcomes. In addition to facing barriers to accessing maternity services, they often receive culturally inappropriate care. To address these inequities, a range of intercultural approaches to maternal and newborn care has been implemented across the region. However, the extent and nature of these initiatives over the past decade remain underexplored. We conducted a scoping review to identify, categorize, and describe strategies for promoting intercultural maternal and newborn care in LAC. We searched nine databases and grey literature for studies published in English, Spanish, or Portuguese between 2013 and 2024. This review identified 75 studies and 16 strategy categories across 13 countries. Most studies addressed Indigenous populations and employed qualitative methods. Strategies were grouped into four cross-cutting domains: (i) healthcare adaptations and workforce capacity building, (ii) intercultural communication and knowledge exchange, (iii) community engagement, and (iv) institutional support and governance. The identified strategies engaged stakeholders at the community, facility, and system levels. Based on these findings, we developed a framework for interculturality in maternal and newborn care. Our analysis indicates that sustainable implementation depends on addressing structural barriers and integrating intercultural principles into health system planning, service delivery, policy, and governance. The proposed framework can inform research, policymaking, and development of intercultural maternal and newborn care initiatives in LAC and other culturally diverse settings. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 265 Migration and health research in turbulent times: navigating and strengthening evidence and politics, for improved evidence-based policy across regions(Oxford University Press, 2025-12-01)WKS 27: Impact of a changing political environment on research on migration and health in Europe and Latin America: Challenges and opportunities, B305 (FCSH), September 5, 2025, 09:00 - 10:00 Amidst rising political polarization and widespread funding cuts, migration and health research is increasingly constrained, with growing implications for evidence-informed policymaking. This round table convenes experts from the European and Latin American Regional Hubs of Lancet Migration, a global initiative launched following the 2018 UCL–Lancet Commission on Migration and Health and from WHO Health and Migration to reflect on how best to jointly respond to these challenges. The session aims to foster dialogue on how researchers can respond to today's complex geopolitical realities and safeguard the integrity and impact of migration health research. Guided by the WHO Research Agenda on health, migration and displacement and its implementation, the discussion will explore global, regional and national experiences and strategies for adapting to shifting priorities, and the role of research agenda setting in a constrained funding environment. Panellists will examine the role of researchers and policy makers in prioritising the topic of health and migration in politically unstable environments, the use of evidence and opportunities for translation by policymakers, and the ethical tensions surrounding objectivity and independence in research. This session underscores that evidence dissemination and translation into policy in migration and health is under threat. It calls for collective action by global academics and policy makers to anticipate and respond to evolving political and financial pressures to continue to prioritise this topic. By sharing cross-regional and global insights and strengthening networks, the round table seeks to equip researchers with tools to remain effective and resilient in their work—despite mounting external constraints.2