DSpace Colección :http://repositorio.cedes.org/handle/123456789/23482026-06-04T10:08:14Z2026-06-04T10:08:14ZHealthcare inequalities and interculturality in Northern Argentina: A mixed-methods analysisMaceira, DanielPastrana, DavidUlivarri, PaulaSuarez, Patriciahttp://repositorio.cedes.org/handle/123456789/48502026-06-04T04:40:46Z2026-05-28T00:00:00ZTítulo : Healthcare inequalities and interculturality in Northern Argentina: A mixed-methods analysis
Autor : Maceira, Daniel; Pastrana, David; Ulivarri, Paula; Suarez, Patricia
Resumen : [ABSTRACT]: Introduction: Health indicators among Latin America's Indigenous peoples remain lower than national averages, making them one of the most disadvantaged socioeconomic groups. This study characterizes the functioning of the health system in the province of Salta (Argentina) and analyzes the priorities and potential spaces for consensus among key actors regarding perinatal health.
Methods: A multiple-choice questionnaire was administered to 609 pregnant women attending primary healthcare centers and hospitals in the province of Salta. Descriptive statistics from its analysis were complemented by twenty in-depth interviews with provincial government officials and Indigenous territorial authorities.
Results: Significant disparities were found in travel time to health services between Indigenous and non-Indigenous women. Among Indigenous women, only 20% reported having given birth in a delivery room during their most recent pregnancy. Differences were also observed among Indigenous groups regarding the health services provided, including support during childbirth; choice of birthing position; and the possibility of incorporating traditional practices. Furthermore, Indigenous communities understood health as closely linked to access to land, housing, recognition of rights, and mutual respect, whereas government officials tended to frame health strategies primarily around the development of integrated health service networks.
Conclusion: Beyond formal declarations, the intercultural health approach has not been effectively implemented in the Salta health system. However, areas of convergence exist between institutional actors and Indigenous communities, particularly regarding the strengthening of primary healthcare strategies and the promotion of coordination mechanisms between formal health regulations and Indigenous cultural knowledge.
Descripción : Fil: Maceira D. Economics Department Sciences, University of Buenos Aires, Argentina; Center for the Study of State and Society (CEDES), Buenos Aires, Argentina; National Council for Scientific and Technical Research (CONICET), Buenos Aires, Argentina2026-05-28T00:00:00ZHealth care provider perceptions of facilitators and barriers to human papillomavirus vaccination delivery in five countriesMorgan, KarenDe Sanjose, SilviaSmith, Jennifer SRamos, SilvinaKim, Chan JooRichter, Karin LGurbani, ArshyaIslam, Jessica YVielot, Nadja Ahttp://repositorio.cedes.org/handle/123456789/48492026-06-03T15:48:46Z2021-08-01T00:00:00ZTítulo : Health care provider perceptions of facilitators and barriers to human papillomavirus vaccination delivery in five countries
Autor : Morgan, Karen; De Sanjose, Silvia; Smith, Jennifer S; Ramos, Silvina; Kim, Chan Joo; Richter, Karin L; Gurbani, Arshya; Islam, Jessica Y; Vielot, Nadja A
Resumen : [ABSTRACT]: Background
National human papillomavirus (HPV) vaccination programs could reduce global cervical cancer morbidity and mortality with support from health care providers. We assessed providers' perceptions of HPV vaccination in 5 countries.
Methods
We identified providers from 5 countries where national HPV vaccination programs were at various stages of implementation: Argentina, Malaysia, South Africa, South Korea, and Spain. Providers authorized to administer adolescent vaccines completed an in-depth survey, reporting perceptions of barriers and facilitators to initiating and completing HPV vaccination, and logistical challenges to HPV vaccination.
Results
Among 151 providers, common barriers to HPV vaccination initiation across all countries were parents' lack of awareness (39%), concerns about vaccine safety or efficacy (33%), and cost to patients (30%). Vaccination education campaign (70%) was the most commonly cited facilitator of HPV vaccination initiation. Common barriers to series completion included no reminder system or dosing schedule (37%), loss to follow-up or forgetting appointment (29%), and cost to patients (25%). Cited facilitators to completing the vaccine series were education campaigns (45%), affordable vaccination (32%), and reminder/recall systems (22%). Among all countries, high cost of vaccination was the most common logistical challenge to offering vaccination to adolescents (33%).
Conclusions
Incorporating provider insights into future HPV vaccination programs could accelerate vaccine delivery to increase HPV vaccination rates globally.
Descripción : Fil: Ramos S. Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina2021-08-01T00:00:00ZA health systems resilience research agenda: moving from concept to practicede Savigny, DonCanila, CarmelitaSuarez, PatriciaSaulnier, Dell DWernli, DidierPeytremann-Bridevaux, IsabelleWyss, KasparBlanchet, KarlRidde, ValeryDal Zennaro, LiviaGarcia, FernandoStern, BarbaraTeddy, GinaCobos Muñoz, DanielTediosi, FabrizioKwamie, AkuPoroes, CamilleGrimm, Pauline YongeunMaceira, DanielDurski, Kara NMarten, RobertSeematter, Laurencehttp://repositorio.cedes.org/handle/123456789/48482026-05-29T04:20:44Z2021-08-01T00:00:00ZTítulo : A health systems resilience research agenda: moving from concept to practice
Autor : de Savigny, Don; Canila, Carmelita; Suarez, Patricia; Saulnier, Dell D; Wernli, Didier; Peytremann-Bridevaux, Isabelle; Wyss, Kaspar; Blanchet, Karl; Ridde, Valery; Dal Zennaro, Livia; Garcia, Fernando; Stern, Barbara; Teddy, Gina; Cobos Muñoz, Daniel; Tediosi, Fabrizio; Kwamie, Aku; Poroes, Camille; Grimm, Pauline Yongeun; Maceira, Daniel; Durski, Kara N; Marten, Robert; Seematter, Laurence
Resumen : [ABSTRACT]: Health system resilience, known as the ability for health systems to absorb, adapt or transform to maintain essential functions when stressed or shocked, has quickly gained popularity following shocks like COVID-19. The concept is relatively new in health policy and systems research and the existing research remains mostly theoretical. Research to date has viewed resilience as an outcome that can be measured through performance outcomes, as an ability of complex adaptive systems that is derived from dynamic behaviour and interactions, or as both. However, there is little congruence on the theory and the existing frameworks have not been widely used, which as diluted the research applications for health system resilience. A global group of health system researchers were convened in March 2021 to discuss and identify priorities for health system resilience research and implementation based on lessons from COVID-19 and other health emergencies. Five research priority areas were identified: (1) measuring and managing systems dynamic performance, (2) the linkages between societal resilience and health system resilience, (3) the effect of governance on the capacity for resilience, (4) creating legitimacy and (5) the influence of the private sector on health system resilience. A key to filling these research gaps will be longitudinal and comparative case studies that use cocreation and coproduction approaches that go beyond researchers to include policy-makers, practitioners and the public.
Descripción : Fil: Maceira D. Center for the Study of State and Society (CEDES), Buenos Aires, Argentina.2021-08-01T00:00:00Z“Me sentí enfermar”: percepciones y comprensión de las mujeres del resultado positivo de un test de virus del papiloma humano en Jujuy, ArgentinaSzwarc, LucilaArrossi, SilvinaPaolino, MelisaSánchez Antelo, Victoriahttp://repositorio.cedes.org/handle/123456789/48472026-05-29T04:20:39Z2021-08-23T00:00:00ZTítulo : “Me sentí enfermar”: percepciones y comprensión de las mujeres del resultado positivo de un test de virus del papiloma humano en Jujuy, Argentina
Autor : Szwarc, Lucila; Arrossi, Silvina; Paolino, Melisa; Sánchez Antelo, Victoria
Resumen : [RESUMEN]: Con el objetivo de analizar las percepciones y clasificar las modalidades de
comprensión sobre un resultado positivo del test de virus del papiloma humano (VPH+),
en 2016 realizamos 38 entrevistas en profundidad a mujeres con diagnóstico de VPH+
(prueba de Papanicolaou normal y anormal), realizado en el sistema público de salud de
Jujuy. Se elaboró una tipología que delimita perfiles de mujeres en función del tipo de
comprensión del resultado: 1) comprensión; 2) no-comprensión, a) subestimación, b) sobreestimación, y c) confusión. Entre aquellas que no comprendían, las entrevistadas que
confundían el resultado relataron percepciones contradictorias con relación al VPH y su
gravedad; quienes lo subestimaban tendían a mencionar ausencia de síntomas y a expresar escasa preocupación; mientras que aquellas que lo sobreestimaban se consideraban
enfermas y expresaban preocupación, relato de una ruptura biográfica y dolores físicos.
Los hallazgos confirman la necesidad de mejorar los mecanismos de entrega e información sobre los resultados para disminuir el impacto psicosocial en las mujeres y aumentar
la adherencia al seguimiento sugerido.
Descripción : Fil: Fil: Szwarc L. Centro de Estudios de Estado y Sociedad/Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina2021-08-23T00:00:00Z