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Item type:Publication, Peruvian efforts to contain COVID-19 fail to protect vulnerable population groups(Elsevier, 2020-11-01)Peru is arguably providing a robust governmental response in the initial stages of the COVID-19 outbreak, with early lockdown measures and the implementation of relatively ambitious economic safety nets to protect families and enterprises. Despite this initial optimism, structural deficiencies in the public health system, high informality in the labor market, the new wave of migrants from Venezuela and the extremely diverse cultural characteristics of many areas exacerbate the number of potentially highly vulnerable groups that may be left out of these safety nets unless additional efforts are enforced to improve social coverage. In this discussion we aim to identify some of these groups, highlighting the main challenges they face during the outbreak and proposing certain mitigation measures to balance the social policy response. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Succumbing to the COVID-19 pandemic—healthcare workers not satisfied and intend to leave their jobs(Springer Science+Business Media, 2021-01-07)Healthcare workers are under such a tremendous amount of pressure during the COVID-19 pandemic that many have become concerned about their jobs and even intend to leave them. It is paramount for healthcare workers to feel satisfied with their jobs and lives during a pandemic. This study aims to examine the predictors of job satisfaction, life satisfaction, and turnover intention of healthcare workers during the COVID-19 pandemic. Between 10 and 30 April 2020, 240 healthcare workers in Bolivia completed a cross-sectional online survey, which assessed their job satisfaction, life satisfaction, and turnover intention in the ongoing COVID-19 pandemic. The results revealed that their number of office days predicted job satisfaction, life satisfaction, and turnover intention, but the relationships varied by their age. For example, healthcare workers’ office days negatively predicted job satisfaction for the young (e.g., at 25 years old: b = − 0.21; 95% CI: − 0.36 to − 0.60) but positively predicted job satisfaction for the old (e.g., at 65 years old: b = 0.25; 95% CI: 0.06 to 0.44). These findings provide evidence to enable healthcare organizations to identify staff concerned about job satisfaction, life satisfaction, and turnover intention to enable early actions so that these staffs can remain motivated to fight the prolonged COVID-19 pandemic. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Making the situation of TLGBI people around cancer visible: Observations from the Andean region(Springer International Publishing, 2022-01-01)This article seeks to provide some analytical elements to diagnose the current situation of cancer in the TLGBI population of the Andean region: Bolivia, Colombia, Ecuador, and Peru. In a context where the precariousness in cancer care and response do not allow people in vulnerable situations to access quality care, a main problem is the lack of official records/ data and data from research centers. Thus, the paper systematizes the bibliography around TLGBI health status displaying the gaps in several areas of its study, to problematize the management around cancer. To this end, the article has the following structure: (1) it presents a bibliographical analysis to identify the main thematic trends in the field of study, (2) it analyzes the characteristics of public management in health from a TLGBI perspective through the review of laws and protocols, (3) it studies the place of HIV/AIDS public policy in the management of TLGBI health, and (4) it provides some elements to understand the current status of the cancer situation in the analyzed community. In this sense, it makes the gaps related to cancer visible. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Drawings as tools to (re)imagine space in interdisciplinary global health research(Frontiers Media S.A., 2022-12-05)Understanding the role of space in infectious diseases' dynamics in urban contexts is key to developing effective mitigation strategies. Urbanism, a discipline that both studies and acts upon the city, commonly uses drawings to analyze spatial patterns and their variables. This paper revisits drawings as analytical and integrative tools for interdisciplinary research. We introduce the use of drawings in two interdisciplinary projects conducted in the field of global public health: first, a study about the heterogeneous burden of tuberculosis and COVID-19 in Lima, Peru, and second, a study about urban malaria in Jimma, Ethiopia. In both cases, drawings such as maps, plans, and sections were used to analyze spatial factors present in the urban context at different scales: from the scale of the territory, the city, and the district, to the neighborhood and the household. We discuss the methodological approaches taken in both cases, considering the nature of the diseases being investigated as well as the natural and social context in which the studies took place. We contend that the use of drawings helps to reimagine space in public health research by adding a multidimensional perspective to spatial variables and contexts. The processes and products of drawing can help to (a) identify systemic relations within the spatial context, (b) facilitate integration of quantitative and qualitative data, and (c) guide the formulation of policy recommendations, informing public and urban health planning. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Ensuring sexual and reproductive healthcare services amidst a pandemic: Experiences from health workers in Lima, Peru(Public Library of Science, 2024-06-28)Nowadays there is an emerging interest on health system resilience capacity during emergencies as the one created by the COVID-19 Pandemic. This article contributes to this emerging field of studies by analysing the impact of the state´s policy responses COVID-19 (as lockdowns) on the Peruvian health system, specifically on the delivery of non-covid services, sexual and reproductive health services, and describe the strategies deployed by health workers to adapt to the COVID-19 crisis in Peru, a country that have been dramatically impacted by the pandemic. The article, based on the analysis of depth interviews with 11 health workers and one health supervisor working at sexual and reproductive health services at public health services Lima during 2020 and 2021, describe how pre-existing conditions of the health system (as poor infrastructure and deficit of human resources) magnified the negative effects of the measures taken to control de pandemic, undermining the “resilience” of the health system. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, When Scaling Up Isn't Enough: The Impacts of Peru's Mental Health Care Reform on Adolescents(National Institutes of Health, 2025-12-01)In the last 15 years, coalitions of individuals and institutions worldwide have been calling for global policies to close the treatment gap for people living with mental disorders. This paper seeks to contribute to the literature on the effects of the diffusion of these global mental health polices by exploring their implementation and impact in Peru. Aligned with the Movement for Global Mental Health, Peru has carried out a mental health reform aimed at scaling up mental health care in public facilities. Using the human rights-based framework of availability, accessibility, acceptability, and quality, this paper examines the reform's effects on a population prioritized by global and Peruvian policies: adolescents. The analysis, based on qualitative research, illustrates how the reform's overemphasis on scaling up access to pharmaceutical treatment neglects critical issues such as health system capacity, the availability of trained human resources, the need for intercultural approaches tailored to adolescents, and information systems that adequately monitor policy impact. The analysis also highlights how a reform that promotes pharmacological treatment creates risks of abuse by private actors involved in the marketing of psychiatric medications.2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Community-Engaged Health Communication Strategies During the COVID 19 Pandemic: Experiences From Southern Andean Peru(SAGE Publishing, 2026-04-01)This study examines the work of a collective of community-based Indigenous health rights activists in southern Peru who, at the height of the pandemic, designed, recorded, and disseminated seven Quechua language and culturally tailored Public Service Anno1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Application of Statistical Methods for the Characterization of Radon Distribution in Indoor Environments: A Case Study in Lima, Peru(Multidisciplinary Digital Publishing Institute (MDPI), 2025-01-01)This study evaluates the effectiveness of advanced statistical and geospatial methods for analyzing radon concentration distributions in indoor environments, using the district of San Martín de Porres, Lima, Peru, as a case study. Radon levels were monitored using LR-115 nuclear track detectors over three distinct measurement periods between 2015 and 2016, with 86 households participating. Detectors were randomly placed in various rooms within each household. Normality tests (Shapiro–Wilk, Anderson–Darling, and Kolmogorov–Smirnov) were applied to assess the fit of radon concentrations to a log-normal distribution. Additionally, analysis of variance (ANOVA) was used to evaluate the influence of environmental and structural factors on radon variability. Non-normally distributed data were normalized using a Box–Cox transformation to improve statistical assumptions, enabling subsequent geostatistical analyses. Geospatial interpolation methods, specifically Inverse Distance Weighting (IDW) and Kriging, were employed to map radon concentrations. The results revealed significant temporal variability in radon concentrations, with geometric means of 146.4 Bq·m−3, 162.3 Bq·m−3, and 150.8 Bq·m−3, respectively, across the three periods. Up to 9.5% of the monitored households recorded radon levels exceeding the safety threshold of 200 Bq·m−3. Among the interpolation methods, Kriging provided a more accurate spatial representation of radon concentration variability compared to IDW, allowing for the precise identification of high-risk areas. This study provides a framework for using advanced statistical and geospatial techniques in environmental risk assessment.1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Análisis de la implementación del componente de determinantes de la salud en el programa de tuberculosis: un estudio de caso en el primer nivel de atención de Lima Centro (2020-2023)(2025-05-08)This study analyzes the Tuberculosis Budget Program at the primary care level in Lima Centro (2020-2023), given its relevance in public health and social inequalities. Aligned with the 2030 SDGs and under the ESNPCT, the program aims to reduce the incidence of both drug-susceptible and multidrug-resistant tuberculosis. Despite implemented actions within a vulnerable context, concerns from users and stakeholders were identified, highlighting technical gaps despite the existing legal framework. The gap in nutritional support amid food insecurity is a concern. The MINSA, local government, and professionals are urged to create management spaces with user participation to improve the quality of care, strengthening post-pandemic strategies to decrease tuberculosis incidence and mortality.3
