A5003164209- Global Maternal and Child Health
- Child Nutrition and Water Access
- High Altitude and Hypoxia
- Viral gastroenteritis research and epidemiology
- Maternal and Neonatal Healthcare
- Neuroscience of respiration and sleep
- Child and Adolescent Health
- Global Public Health Policies and Epidemiology
- Global Health Workforce Issues
- Global Health Care Issues
- Chronic Obstructive Pulmonary Disease (COPD) Research
- COVID-19 Impact on Reproduction
- Food Security and Health in Diverse Populations
- Healthcare Policy and Management
- Healthcare Systems and Reforms
- Injury Epidemiology and Prevention
- Pneumonia and Respiratory Infections
- Clostridium difficile and Clostridium perfringens research
- Emergency and Acute Care Studies
- Birth, Development, and Health
- Climate Change and Health Impacts
- Patient Satisfaction in Healthcare
- Health and Medical Research Impacts
- Infant Development and Preterm Care
- Health disparities and outcomes
Universidad Peruana Cayetano Heredia
2016-2025
National University of San Marcos
2011-2020
Hospital Materno-Infantil
2020
Pediatrics and Genetics
2020
Instituto Nacional de Salud del Niño
2006-2016
Instituto de Investigación Nutricional
2015
EsSALUD
2014
Hospital Clínic de Barcelona
2011
Medico
2010
University of Colorado Health
2006
Abstract Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported many countries following early COVID-19 pandemic response measures (‘lockdowns’). It unclear whether this variation reflects real differences lockdown impacts, or perhaps stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data 52 million births 26 countries, 18 which had representative...
Childhood diarrhea deaths have declined more than 80% from 1980 to 2015, in spite of an increase the number children low- and middle-income countries (LMIC). Possible drivers this remarkable accomplishment can guide further reduction half million annual child that still occur.We used Lives Saved Tool, which models effects on mortality due changes coverage preventive or therapeutic interventions risk factors, for 50 LMIC determine proximal reduction.Diarrhea treatment (oral rehydration...
Peru is an upper-middle-income country with wide social and regional disparities. In recent years, sustained multisectoral antipoverty programmes involving governments, political parties, civil society have included explicit health nutrition goals spending increased sharply. We did a case study the aim of documenting Peru's progress in reproductive, maternal, neonatal, child from 2000-13, explored potential determinants. examined outcomes interventions coverage, under-5 mortality, neonatal...
BackgroundLatin American and Caribbean populations include three main ethnic groups: indigenous people, people of African descent, European descent. We investigated inequalities among these groups in population coverage with reproductive, maternal, newborn, child health interventions.MethodsWe analysed 16 standardised, nationally representative surveys carried out from 2004 to 2015 Latin America the that provided information on ethnicity or a proxy indicator (household language skin colour)...
To examine the prevalence of novel newborn types among 165 million live births in 23 countries from 2000 to 2021.Population-based, multi-country analysis.National data systems middle- and high-income countries.Liveborn infants.Country teams with high-quality were invited be part Vulnerable Newborn Measurement Collaboration. We classified by six based on gestational age information (preterm <37 weeks versus term ≥37 weeks) size for defined as small (SGA, <10th centile), appropriate (10th-90th...
Appropriate consideration of contextual factors is essential for ensuring internal and external validity randomized non-randomized evaluations. Contextual may confound the association between delivery intervention its potential health impact. They also modify effect or programme, thus affecting generalizability results. This particularly true large-scale programmes, which impact vary substantially from one context to another. Understanding nature role improve study results, as well help...
Sub-national analyses of causes death and time-trends help to define public health policy priorities. They are particularly important in countries undergoing epidemiological transition like Peru. There no studies exploring Peruvian national regional characteristics such transition. We aimed describe Peru's mortality profiles between 1996 2000. Registered data for the study period were corrected under-registration following standardized methods. Main by age group geographical region...
BACKGROUND: This study in 11- to 15-year-old boys and girls compared the immunogenicity safety of GARDASIL 9 (9-valent human papillomavirus [9vHPV] vaccine) administered either concomitantly or nonconcomitantly with 2 vaccines routinely this age group (Menactra [MCV4; Neisseria meningitidis serotypes A/C/Y/W-135] Adacel [Tdap; diphtheria/tetanus/acellular pertussis]). METHODS: Participants received 9vHPV vaccine at day 1 months 6; concomitant (n = 621) MCV4/Tdap 1; nonconcomitant 620) month...
Stunting prevalence in children less than 5 years has remained stagnated Peru from 1992 to 2007, with a rapid reduction thereafter. We aimed assess the role of different predictors on stunting over time and across departments, 2000 2012.We used various secondary data sources describe trends possible that included distal proximal determinants. determined ranking departments by annual change predictors. To account for variation we an ecological hierarchical approach based multilevel...
Aim To explore indigenous communities’ responses to the COVID-19 pandemic and its consequences for maternal neonatal health (MNH) care in Peruvian Amazon. Methods Mamás del Río is a community-based, MNH programme with comprehensive supervision covering monthly meetings community workers (CHW), leaders facilities. With onset of lockdown, supervisors made telephone calls discuss measures against COVID-19, governmental support, CHW activities communities provision preparedness at As part...
We examined COVID-19's impact on the number of small vulnerable newborns (SVN) at national and regional levels in Peru Brazil. Using birth registries, we monthly numbers preterm (PT), low birthweight (LBW), for gestational age (SGA) newborns. analysed SVN using two interrupted time series models. estimated SVN's expected absence pandemic mixed-effects regressions calculated percent changes by comparing these estimates to observed during pandemic. Incidence rate ratios (IRR) were Poisson...
This paper presents the first published report of a national-level effort to implement Integrated Management Childhood Illness (IMCI) strategy at scale. IMCI was introduced in Peru late 1996, early implementation phase started 1997, with expansion starting 1998. Here we on retrospective evaluation designed describe and analyze process taking scale Peru, conducted as one five studies within Multi-Country Evaluation Effectiveness, Cost Impact (MCE) coordinated by World Health Organization....
The study of the biology evolution has been confined to laboratories and model organisms. However, controlled laboratory conditions are unlikely variations in environments that influence selection wild populations. Thus, “fitness” for survival genetics this best carried out field matching environments. Therefore, we studied highland populations their native environments, learn how they cope with ambient hypoxia. Andeans, African highlanders Himalayans have adapted differently hostile...
Many countries have developed strategies to attract and retain qualified health workers in underserved areas, but there is only scarce weak evidence on their successes or failures.It difficult compare lessons measure results from the few evaluations that are available.Evaluation faces several challenges, including heterogeneity of terminology, complexity interventions, difficulty assessing influence contextual factors, lack baseline information, need for multimethod multi-disciplinary...
The purpose of this study was to determine the presence and quantity fecal leukocytes in children infected with diarrheagenic Escherichia coli compare these levels between diarrhea control cases. We analyzed 1,474 stool samples from 935 episodes 539 healthy controls a cohort younger than 2 years age Lima, Peru. Stools were for common enteric pathogens, E. isolates studied by multiplex real-time PCR. Stool smears stained methylene blue read blinded observer number polymorphonuclear per...
Robust evidence on interventions to improve the shortage of health workers in rural areas is needed. We assessed stated factors that would attract short-term contract nurses and midwives work a area Peru.A discrete choice experiment (DCE) was conducted evaluate job preferences currently working public sector Ayacucho, Peru. Job attributes, their levels, were based literature review, qualitative interviews focus groups local personnel policy makers. A labelled design with two choices,...