Sonja Caffe

ORCID: 0000-0001-8116-0468
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About
Contact & Profiles
Research Areas
  • Food Security and Health in Diverse Populations
  • Global Maternal and Child Health
  • Syphilis Diagnosis and Treatment
  • Adolescent Sexual and Reproductive Health
  • HIV/AIDS Research and Interventions
  • Global Public Health Policies and Epidemiology
  • Child and Adolescent Health
  • Poverty, Education, and Child Welfare
  • Child Nutrition and Water Access
  • School Health and Nursing Education
  • Sex work and related issues
  • Public Health Policies and Education
  • Reproductive Health and Contraception
  • Health and Lifestyle Studies
  • Reproductive tract infections research
  • Stress and Burnout Research
  • Autopsy Techniques and Outcomes
  • Health, Nursing, Elderly Care
  • HIV Research and Treatment
  • Philosophy and Education Pedagogy
  • Suicide and Self-Harm Studies
  • Motivation and Self-Concept in Sports
  • Early Childhood Education and Development
  • HIV/AIDS Impact and Responses
  • Myasthenia Gravis and Thymoma

World Health Organization Regional Office for the Americas
2015-2024

Pan American Health Organization (Cuba)
2013-2022

World Health Organization
2016-2022

United Nations Children's Fund
2016

Adolescent fertility rates in Latin America and the Caribbean (LAC) remain unacceptably high, especially compared to region's declining total rates. The Region has experienced slowest progress of all regions world, shows major differences between countries subgroups countries. In 2013, LAC was also noted as only region with a rising trend pregnancies adolescents younger than 15 years. response lack region, PAHO/WHO, UNFPA UNICEF held technical consultation global, regional country-level...

10.1186/s12978-017-0345-y article EN cc-by Reproductive Health 2017-07-14

Adolescents in the Latin American and Caribbean region continue to experience poor reproductive health outcomes, including high rates of first birth before age 20 years. Aggregate national level data fails identify groups where progress is particularly poor. This paper explores how trends adolescent births have changed over time five countries (Bolivia, Colombia, Dominican Republic, Haiti, Peru) using disaggregated by group, wealth urban / rural residence.The study draws on Demographic...

10.1186/s12978-018-0578-4 article EN cc-by Reproductive Health 2018-08-29

BackgroundLatin America and the Caribbean present second highest adolescent fertility rate in world, only after sub-Saharan Africa, have reached third position globally incidence of motherhood adolescence. We aimed to explore trends inequities childbearing region.MethodsWe used nationally representative household surveys from Latin American countries address early (proportion women having their first livebirth before age 18 years) over generations rates (AFRs; livebirths per 1000 aged 15–19...

10.1016/s2352-4642(23)00077-9 article EN cc-by The Lancet Child & Adolescent Health 2023-05-17

In Brief Implementation of the global methodology for validation elimination mother-to-child transmission human immunodeficiency virus in Cuba demonstrated feasibility transmission, even low-resourced settings, and suitability methodology.

10.1097/olq.0000000000000528 article EN Sexually Transmitted Diseases 2016-10-19

Background Maternal syphilis has an important impact on reproductive health. In 2010, World Health Organization (WHO)/Pan American (PAHO) member countries approved the Strategy and Plan of Action for Elimination Mother-to-Child Transmission HIV Congenital Syphilis in Americas by 2015. This paper aims to describe epidemiological programmatic characteristics related maternal congenital selected Latin America Caribbean period 2010–12. Methods: The report is based a multi-country, quantitative...

10.1071/sh14191 article EN cc-by-nc-nd Sexual Health 2015-01-01

Afrodescendants are systematically affected by discrimination in the Americas and few multi-country studies addressed ethnic inequalities health wellbeing region. We aimed to investigate gaps coverage of key outcomes socioeconomic between non-Afrodescendants populations Latin American Caribbean countries. Using national household surveys (2011–2019) from ten countries, we analyzed absolute a comparison group that includes non-Indigenous individuals (henceforth non-Afrodescendants) across 17...

10.1016/j.lana.2022.100345 article EN cc-by The Lancet Regional Health - Americas 2022-08-19

In Latin America, interventions aimed at adolescents' health suffer from a shortfall of investment and lack sustainability. Nurses, as an integral part services systems, can lead the implementation development public policies to improve adolescent health.

10.1186/s12961-024-01134-6 article EN cc-by Health Research Policy and Systems 2024-07-04

Abstract Background. The Pan-American Health Organization has called for reducing (1) human immunodeficiency virus (HIV) mother-to-child transmission (MTCT) to ≤0.30 infections/1000 live births (LB), (2) HIV MTCT risk ≤2.0%, and (3) congenital syphilis (CS) incidence ≤0.50/1000 LB in the Americas by 2015. Methods. Using published Brazilian data a mathematical model, we simulated cohort of pregnant women from antenatal care (ANC) through birth. We investigated 2 scenarios: “current access”...

10.1093/ofid/ofv073 article EN cc-by-nc-nd Open Forum Infectious Diseases 2015-01-01

Abstract Objective To asses laboratory syphilis testing policies and practices among laboratories in the Americas. Methods Laboratory directors or designees from PAHO member countries were invited to participate a structured, electronically‐delivered survey between March August, 2014. Data on tests, algorithms, quality control (QC) analyzed, focusing receiving specimens antenatal clinics (ANCs). Results Surveys completed by 69 representing 30 (86%) countries. Participating included 36 (52%)...

10.1016/j.ijgo.2015.04.011 article EN cc-by-nc-nd International Journal of Gynecology & Obstetrics 2015-04-25

Comprehensive local data on adolescent health are often lacking, particularly in lower resource settings. Furthermore, there knowledge gaps around which interventions effective to support healthy behaviours. This study generates information for students from cities four middle-income countries plan, implement and subsequently evaluate a package of improve outcomes. We will conduct cluster randomised controlled trial schools Fez, Morocco; Jaipur, India; Saint Catherine Parish, Jamaica;...

10.1136/bmjopen-2022-071353 article EN cc-by BMJ Open 2023-07-01

Pregnancy-related complications are a substantial source of morbidity and mortality among adolescents in low- middle-income countries. While the youngest (those aged 10-14) considered to be at particularly high risk adverse outcomes, there is little empirical data available on their sexual reproductive health. Using unique dataset clinical records drawn from regional network sentinel centres providing legal abortion comprehensive post-abortion care 12 Latin American Caribbean countries, we...

10.1080/26410397.2023.2175442 article EN cc-by-nc Sexual and Reproductive Health Matters 2023-03-15

The Women's Center of Jamaica Foundation's (WCJF) Programme for Adolescent Mothers)—has supported pregnant girls and adolescent mothers to have uninterrupted access education allied services since 1978. This paper analyzes the conception, establishment, scale up sustainability Programme. evolved from a small, local initiative into national international model. Repeat pregnancy has remained under 2% among programme beneficiaries inception. While core package interventions past 40 years, some...

10.1080/15546128.2022.2093808 article EN cc-by-nc-nd American Journal of Sexuality Education 2022-07-20

To examine the homicide trends among young people (10-24 years), adolescents (10-19 and adults (20-24 years) in 33 countries Americas between 2000 2019, with a focus on inequalities burden of homicides.An ecological study was performed using estimated deaths from countries. Age-adjusted rates, percentage change (PC), average annual (AAPC), relative risk (RR) were estimated; besides, analysis social performed.In has been leading cause death 54 515 each year an age-adjusted rate 23.6 per 100...

10.26633/rpsp.2023.108 article EN cc-by-nc-nd Revista Panamericana de Salud Pública 2023-07-21

<h3>Introduction</h3> The World Health Organization (WHO) recommends universal syphilis testing in pregnancy as part of basic maternal and child health services. Coupled with HIV testing, antenatal is fundamental for the regional initiative on elimination mother-to-child transmission congenital (EMTCT) Americas globally. We conducted this survey laboratory practices around to characterise Pan American Organisation (PAHO) member countries. <h3>Methods</h3> A structured assessing 35 PAHO...

10.1136/sextrans-2015-052270.344 article EN Sexually Transmitted Infections 2015-09-01

A new public policy was instituted in Argentina for free distribution of subdermal contraceptive implants to women aged 15-24 years old the healthcare system. The objective this study is determine extent which population adhered implant, as well predictors continuation. retrospective cohort based on a telephone survey random sample 1101 Ministry Health-registered implant users concerning continuation use, satisfaction with method and side-effects, reasons removal. Descriptive statistics...

10.1080/26410397.2023.2189507 article EN cc-by Sexual and Reproductive Health Matters 2023-04-12

Introduction In 2010, the Pan American Health Organization (PAHO) member countries approved Strategy and Plan of Action for Elimination Mother-to-Child Transmission (MTCT) HIV Congenital Syphilis, with goal elimination by 2015. targets are MTCT syphilis ≤ 0.5 cases per 1,000 live births; 0.3 transmission from HV-infected mothers to their infants 2%. PAHO has supported Latin Caribbean achieve these goals, developing several technical resources, a system reporting indicators elimination,...

10.1136/sextrans-2013-051184.0069 article EN Sexually Transmitted Infections 2013-07-01
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