ABSTRACT
[EXTRACTO] La evidencia que surge de este número especial destaca las necesidades específicas de las personas migrantes latinoamericanas respecto a la respuesta de los sistemas de salud a la salud sexual y reproductiva y las enfermedades infecciosas. Si bien hay políticas relacionadas con la salud de las personas migrantes y refugiadas, y se observan esfuerzos para fortalecer los sistemas de salud en los países de acogida, las personas migrantes de América Latina aún enfrentan una gran cantidad de dificultades al recurrir a los sistemas de salud para atender sus necesidades de SDSR. La pandemia de COVID-19 exacerbó aún más estos desafíos. Se necesitan políticas de SDSR que puedan llevarse a la práctica para poder responder adecuadamente a las necesidades de las personas migrantes.
Subject(s)
COVID-19 , Human Migration , Transients and Migrants , Migrant-Receiving Society , Reproductive Rights , Sexual Health , Venezuela , Central AmericaABSTRACT
[EXTRACT] The evidence emerging from this special issue highlights the specific needs of Latin American migrants with regards to health system response to sexual and reproductive health and infectious diseases. While policies relating to the health of ref- ugees and migrants and efforts to strengthen health systems in host countries exist, migrants in Latin America still face a myr- iad of challenges when navigating health systems in addressing their SRHR needs. The COVID-19 pandemic further exacer- bated these challenges. Specific SRHR actionable policies are needed to ensure the needs of migrants are fully met.
Subject(s)
COVID-19 , Human Migration , Transients and Migrants , Migrant-Receiving Society , Reproductive Rights , Sexual Health , Venezuela , Central AmericaABSTRACT
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Subject(s)
Humans , Male , Female , Universal Access to Health Care Services , Reproductive Rights , Venezuela , Health Systems , Central America , Emigrants and Immigrants , Reproductive Health , Sexual HealthABSTRACT
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Subject(s)
Humans , Reproductive Health Services/organization & administration , National Health Systems , Emigrants and Immigrants , Right to Health , Venezuela , Central AmericaABSTRACT
[Extract]. La incorporación de la investigación se realiza como una parte integrada y sistemática de la toma de decisiones y la formulación y ejecución de políticas en materia de salud. Implica una colaboración continua entre los encargados de las decisiones, los investigadores y las comunidades. La incorpo-ración de la investigación se centra en los cambios a nivel de los sistemas y arroja luz sobre los factores específicos de cada contexto que influyen en los programas, las políticas y las deci-siones sobre sistemas relacionados con la salud en el mundo real. En consecuencia, mejora el sentido de apropiación y la ejecución.
Subject(s)
Research , Decision Making , Social Programs , Health PolicyABSTRACT
[Extract]. Embedded research is carried out as an integrated and systematic part of health decision and policy making and implementation. It means continuous collaboration between decision makers, researchers, and communities. Embedded research focuses on systems-level challenges and illuminates context-specific factors for real-world health programs, policy and system decisions. It improves ownership and implementa-tion. With this in mind, a joint initiative between the Alliance for Health Policy and Systems Research (Alliance HPSR), the Pan American Health Organization (PAHO), and the World Health Organization (WHO) Special Programme for Research and Training in Tropical Diseases (TDR) issued an open call for researchers and policy and decision makers to identify chal-lenges requiring embedded research to accelerate progress towards the SDGs in the Latin American and Caribbean (LAC) region and provided technical cooperation throughout the pro-cess. Following an open call for applications and reviewing more than 200 research proposals, 13 teams from 11 low- and middle-income countries in the LAC region were selected from Argentina, Bolivia, Brazil, Colombia, Dominican Republic, Ecuador, Guatemala, Guyana, Haiti, Paraguay, and Peru.
Subject(s)
Research , Use of Scientific Information for Health Decision Making , Decision Making , Policy Making , Health Plan Implementation , Health Programs and Plans , Health Systems , Sustainable Development , Latin America , Caribbean RegionABSTRACT
BACKGROUND: The fast growth of global health initiatives (GHIs) has raised concerns regarding achievement of coherence and synergy among distinct, complementary and sometimes competing activities. Herein, we propose an approach to compare GHIs with regard to their main purpose and operational aspects, using the Special Programme for Research and Training in Tropical Diseases (TDR/WHO) as a case study. The overall goal is to identify synergies and optimize efforts to provide solutions to reduce the burden of diseases. METHODS: Twenty-six long-established GHIs were identified from among initiatives previously associated/partnered with TDR/WHO. All GHIs had working streams that would benefit from linking to the capacity building or implementation research focus of TDR. Individual profiles were created using a common template to collect information on relevant parameters. For analytical purposes, GHIs were simultaneously clustered in five and eight groups according to their 'intended outcome' and 'operational framework', respectively. A set of specific questions was defined to assess coherence/alignment against a TDR reference profile by attributing a score, which was subsequently averaged per GHI cluster. GHI alignment scores for intended outcome were plotted against scores for operational framework; based on the analysis of coherence/alignment with TDR functions and operations, a risk level (high, medium or low) of engagement was attributed to each GHI. RESULTS: The process allowed a bi-dimensional ranking of GHIs with regards to how adequately they fit with or match TDR features and perspectives. Overall, more consistence was observed with regard to the GHIs' main goals and expected outcomes than with their operational aspects, reflecting the diversity of GHI business models. Analysis of coherence indicated an increasing common trend for enhancing the engagement of developing country stakeholders, building research capacity and optimization of knowledge management platforms in support of improved access to healthcare. CONCLUSIONS: The process used offers a broader approach that could be adapted by other GHIs to build coherence and synergy with peer organizations and helps highlight the potential contribution of each GHI in the new era of sustainable development goals. Emerging opportunities and new trends suggest that engagement between GHIs should be selective and tailored to ensure efficient collaborations.