3. Producción
Browse
3 results
Search Results
- Some of the metrics are blocked by yourconsent settings
Item type:Publication, No early advantage? The effects of preschool entry-age policies on child development in Peru(Pontificia Universidad Católica del Perú. Departamento de Economía, 2025-09)School entry cutoff policies establish the minimum age required to start school at a given date, Determining whether a child is in a classroom with younger or older peers, which can affect their development. Existing research, particularly from high-income countries, shows that younger students face disadvantages in several areas, but little is known about the effects in low- and middle-income countries and for preschool children. We leverage the discontinuity created by government-imposed school entry cutoffs to measure the impact of late enrollment on child nutrition and early childhood development outcomes. Using data from Peru’s Demographic and Health Surveys and a fuzzy regression discontinuity design, we show that the laxly enforced preschool entry age policies significantly increase the probability of late enrollment, but on average they do not affect child health or early childhood development. Nonetheless, we find that these insignificant effects hide differential impacts for boys and girls, and poor children. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Standards for Psychosocial Care in Pediatric Cancer: Adapted Proposal for Latin American and Caribbean Countries(Pan American Health Organization, 2023-01-01)To highlight the objectives, achievements, challenges, and next steps for the World Health Organization's Global Initiative for Childhood Cancer (GICC) framework, a project designed to improve psychosocial care (PSC) in pediatric cancer centers across Latin America and the Caribbean (LAC). Methods: The project was launched in Peru, the first GICC focal country, in November 2020. The diagnosis phase included a survey and a semistructured interview with health professionals to assess PSC practices in institutions, and a needs assessment survey for caregivers. In the second phase, a strategic plan was developed to address the identified needs, including the adaptation of PSC standards, the establishment of multicenter working groups, the expansion of the proposal, and the development of materials. Results: The study found that PSC was not being adequately provided in accordance with international standards. Six adapted standards were proposed and validated, and more than 50 regional health professionals participated in online activities to support the project. The implementation process is currently ongoing, with the establishment of five multidisciplinary working groups, one regional committee, and the production of 16 technical outputs. Conclusion: This project represents a substantial step forward to improve PSC for pediatric patients with cancer and their families in LAC countries. The establishment of working groups and evidence-based interventions strengthen the proposal and its implementation. Development of health policies that include PSC according to standards is needed to achieve sustainable results in the quality of life of children with cancer and their families. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Collaboration for Success: The Global Initiative for Childhood Cancer in Latin America(Pan American Health Organization, 2023-01-01)The Global Initiative for Childhood Cancer (GICC) aims to increase the cure rate for children with cancer globally by improving healthcare access and quality. The Pan American Health Organization (PAHO), St. Jude Children’s Research Hospital (St. Jude), and collaborators have joined efforts to improve outcomes of children with cancer in Latin America and the Caribbean (LAC) using the CureAll framework. In this article, we describe the process of developing regional resources aimed at accelerating the GICC implementation in LAC. In March 2021, PAHO formed regional working groups to develop core projects aligned with CureAll pillars and enablers. Seven working groups emerged from regional dialogues: early detection, nursing, psychosocial, nutrition, supportive care, treatment abandonment, and palliative care. PAHO arranged regular online meetings under the mentorship and support of St. Jude regional/transversal programs and international mentors. Between April and December 2021, 202 multidisciplinary experts attended 43 online meetings to promote the dialogue between stakeholders to improve childhood cancer outcomes. Fourteen technical outputs were produced: four regional snapshots, four technical documents, two virtual courses, one set of epidemiological country profiles, one educational content series for parents/caregivers, and two communication campaigns. The ongoing dialogue and commitment of PAHO, St. Jude, LAC working committees, and international collaborators are essential foundations to successfully accelerate GICC implementation. This is achievable through the development of materials of regional and global relevance. Further research and evaluation are needed to determine the impact of these strategies and resources on childhood cancer outcomes in LAC and other regions.