RESUMO
El estudio de la sistematización de experiencias y aprendizajes, detalla los principales resultados sobre: sinergia entre las capacitaciones, documentos técnicos, pasantías y reuniones técnicas; contribución de las asesorías, visitas técnicas y controles de calidad al fortalecimiento de los LRN; fortalecimiento de la red de laboratorios de Las Américas; cumplimiento de los compromisos derivados de la subvención; diseño y gestión de la subvención; lecciones aprendidas de la subvención; retos para la red de laboratorios; anexos
RESUMO
A study of Systematization of experiences and learning derived from the implementation of the project has been recently developed, highlighting that all technical teams in the 20 countries have benefited from training and updating tools to shorten diagnostic times and deliver results with greater quality, even having a cascading improvement effect for the network of each country, since knowledge and practices have been shared with establishments of other levels of complexity in which samples are also processed and cases are received. The report resulting from the Systematization study presents a series of challenges that merit follow-up, and a review of the state of progress within it and the potential for sustainability, as an input for the continuity of actions on the issue of TB beyond the GF regional grant. That analysis constitutes the center of this document
Assuntos
Diagnóstico da Situação de SaúdeRESUMO
A study of Systematization of experiences and learning derived from the implementation of the project has been recently developed, highlighting that all technical teams in the 20 countries have benefited from training and updating tools to shorten diagnostic times and deliver results with greater quality, even having a cascading improvement effect for the network of each country, since knowledge and practices have been shared with establishments of other levels of complexity in which samples are also processed and cases are received.
Assuntos
Tuberculose , Desenvolvimento TecnológicoRESUMO
La relatoría contiene la recopilación de las exposiciones de la reunión de ministros y secretarios de Salud "Contribución de la Integración Regional en las Américas hacia la meta: Fin a la TB". las intervenciones están transcritas, como una oportunidad de ampliar los debates; así mismo, recoge una serie de consideraciones en la perspectiva de mirar hacia adelante, articular y ajustar permanentemente el sentido del quehacer. La relatoría no es una fotografía inmóvil de un hito, es un cauce continuo de compromisos e iniciativas que obligan a pensar y actuar juntos
Assuntos
Colaboração Intersetorial , Laboratórios , Resumo de ReuniãoRESUMO
OBJECTIVES: To estimate the rate of neonatal mortality and to describe neonatal deaths in 2011 in hospitals of the Ministry of Health at Huanuco and Ucayali (Peru). MATERIALS AND METHODS: Cross-sectional study from September to November 2012 in Huanuco and Ucayali. Records of neonatal deaths in 2011 were reviewed from provincial municipalities, regional health directorates and four referral hospitals. To calculate mortality rates, we used the most reliable information sources by region. Reviewing 185 medical records in hospitals allowed us to describe the root causes of neonatal deaths. RESULTS: In 2011, 10,886 live births and 158 neonatal deaths were reported in Huanuco, with a rate of 14.5 deaths per 1000 live births. In Ucayali, 11,441 live births and 138 neonatal deaths were reported, with a rate of 12.1 deaths per 1000 live births. Most hospital neonatal deaths occurred in the first 7 days of life (87%), in preterm infants (73.9%) and with low birth weight (67%). The most common underlying causes of neonatal deaths were infection (31.4%), congenital malformation (22.2%) and prematurity (18.9%). CONCLUSIONS: Neonatal mortality rate in the studied regions was higher than the national average. The results suggest the need for effective and comprehensive interventions during pregnancy, childbirth and the early postnatal period; this last period is the most vulnerable in the neonate.
Assuntos
Mortalidade Infantil , Prontuários Médicos , Vigilância da População , Sistema de Registros , Causas de Morte , Estudos Transversais , Humanos , Lactente , Recém-Nascido , Peru/epidemiologiaRESUMO
Objetivos. Estimar la tasa de mortalidad neonatal y describir las defunciones neonatales ocurridas en el 2011 en hospitales del Ministerio de Salud de las regiones Huánuco y Ucayali, Perú. Materiales y métodos. Estudio transversal realizado de septiembre a noviembre de 2012 en Huánuco y Ucayali. Se revisaron los registros de las defunciones neonatales ocurridas en el 2011 en municipalidades provinciales, direcciones regionales de salud y cuatro hospitales de referencia. Para el cálculo de las tasas de mortalidad se utilizaron las fuentes de información más confiables por región. La revisión de 185 historias clínicas en los hospitales permitió describir las causas básicas de las muertes neonatales. Resultados. En el 2011 se reportaron en Huánuco 10 886 recién nacidos vivos y 158 muertes neonatales, con una tasa de 14,5 muertes por 1000 nacidos vivos. En Ucayali, se reportaron 11 441 recién nacidos vivos y 138 muertes neonatales, con una tasa de 12,1 muertes por 1000 nacidos vivos. La mayoría de muertes neonatales hospitalarias ocurrieron en los primeros 7 días de vida (87%), en neonatos prematuros (73,9%) y con bajo peso al nacimiento (67%). Las causas básicas más frecuentes en las muertes neonatales fueron: infección (31,4%), malformación congénita (22,2%) y prematuridad (18,9%). Conclusiones. La tasa de mortalidad neonatal en las regiones estudiadas fue superior a la media nacional. Los resultados sugieren la necesidad de intervenciones efectivas e integrales durante el embarazo, parto y periodo posnatal temprano; siendo este último periodo el de mayor vulnerabilidad en el neonato...
Objectives. To estimate the rate of neonatal mortality and to describe neonatal deaths in 2011 in hospitals of the Ministry of Health at Huanuco and Ucayali (Peru). Materials and methods. Cross-sectional study from September to November 2012 in Huanuco and Ucayali. Records of neonatal deaths in 2011 were reviewed from provincial municipalities, regional health directorates and four referral hospitals. To calculate mortality rates, we used the most reliable information sources by region. Reviewing 185 medical records in hospitals allowed us to describe the root causes of neonatal deaths. Results. In 2011, 10,886 live births and 158 neonatal deaths were reported in Huanuco, with a rate of 14.5 deaths per 1000 live births. In Ucayali, 11,441 live births and 138 neonatal deaths were reported, with a rate of 12.1 deaths per 1000 live births. Most hospital neonatal deaths occurred in the first 7 days of life (87%), in preterm infants (73.9%) and with low birth weight (67%). The most common underlying causes of neonatal deaths were infection (31.4%), congenital malformation (22.2%) and prematurity (18.9%). Conclusions. Neonatal mortality rate in the studied regions was higher than the national average. The results suggest the need for effective and comprehensive interventions during pregnancy, childbirth and the early postnatal period; this last period is the most vulnerable in the neonate...
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Causas de Morte , Mortalidade Infantil , Prontuários Médicos , Saúde Materno-Infantil , Estudos Observacionais como Assunto , Estudos Transversais , PeruRESUMO
Este documento de política andina de evaluación de tecnologías sanitarias (PAETS), se enmarca en tres ejes estratégicos: 1. El fortalecimiento del rol rector de la autoridad sanitaria de los países andinos mediante la ETS, que constituye la valiosa fuente de información para la toma de decisiones de las mencionadas autoridades sanitarias; 2. La implementación de la ETS en la Subregión Andina, utilizando diferentes estrategias; creando las Unidades de ETS en cada uno de los países con sus respectivas redes locales, nacionales, subregionales y regionales; 3. La transversalidad en la PAETS