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    Addressing the challenges and constraints of social protection policies for Peruvian women domestic workers: The ANITA project study protocol
    (BMJ Publishing Group, 2025-03-06)
    INTRODUCTION: Domestic workers (DWs) are vulnerable to precarious or informal working conditions with limited access to social protection policies such as employer-paid health insurance or retirement pensions. This study aims to examine the working conditions, health status and access to healthcare for women DWs in Peru and propose recommendations to improve their access to social protection policies. METHODS AND ANALYSIS: The project uses a participatory action research approach by engaging three committees: a DW co-researcher committee, an advisory committee and a steering committee. The first two include former or current DWs, while the third includes policymakers and academics. We use a sequential mixed-methods design organised in four phases: (1) secondary data analysis (n=4216): using two Peruvian national surveys to characterise working conditions, health status and access to healthcare; (2) face-to-face survey (n=448): with DWs in three cities, using respondent-driven sampling to further characterise working and health conditions and to identify factors that influence knowledge of and access to social protection policies; (3) qualitative interviews (n=30-46): with DWs, leaders of DW organisations, employers and policymakers to gather different perspectives on the facilitators and barriers to access to social protection policies; and (4) deliberative dialogues (n=14-26): with DW, leaders of DW organisations, employers, policymakers and academics to identify key barriers to the implementation of social protection policies and to develop recommendations for overcoming these barriers. ETHICS AND DISSEMINATION: Phase 1 and Phase 2 received ethical clearance from Universidad Peruana Cayetano Heredia in Peru and Unity Health Toronto in Canada. Phase 3 and Phase 4 received ethical clearance from PRISMA Charitable Association in Peru and Unity Health Toronto in Canada. To mobilise knowledge, in collaboration with the committees, we will co-generate policy briefs and audiovisual materials to disseminate the results from this project to different audiences and sectors.
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    Adolescents' relationships with family and friends: A social connectedness approach to the Peruvian experience during the COVID-19 pandemic
    (SAGE Publishing, 2025-12-01)
    Connections with caregivers and friends undergo significant changes during adolescence, which are crucial for the formation of psychosocial identity and overall well-being. This study examines the importance of social connectedness among Peruvian adolescents, emphasizing the need to consider both the quantity and quality of these relationships. Social connectedness was explored among 32 adolescents, between 15 and 17 years of age, who were participants in the project “Being an adolescent in Peru”. This was done through in-depth interviews, taking into account factors such as region, academic performance and gender. The results were presented in two themes: expectations and evaluations of relationships in adolescents. This for each of the domains: family and friends. Moreover, while adolescents value their relationships with caregivers, the COVID-19 pandemic increased physical proximity but diminished the quality of these bonds. With respect to peer relationships, the pandemic limited interactions to a virtual, superficial, and infrequent level. The return to in-person interactions was positively perceived, particularly in relation to friends relationships, emphasizing the importance of interaction quality. These findings highlight the complexity of relationships in times of crisis and underscore the need to differentiate between the quantity and quality of interactions to promote healthy development and well-being.
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