Ana Lorena Ruano

ORCID: 0000-0003-3913-4228
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About
Contact & Profiles
Research Areas
  • Global Maternal and Child Health
  • Global Public Health Policies and Epidemiology
  • Healthcare Systems and Reforms
  • Child Nutrition and Water Access
  • Human Rights and Development
  • Primary Care and Health Outcomes
  • Health Systems, Economic Evaluations, Quality of Life
  • Food Security and Health in Diverse Populations
  • Healthcare Policy and Management
  • Global Health Workforce Issues
  • Disaster Management and Resilience
  • Maternal and Perinatal Health Interventions
  • Public Health Policies and Education
  • Chronic Disease Management Strategies
  • Elder Abuse and Neglect
  • HER2/EGFR in Cancer Research
  • Adolescent Sexual and Reproductive Health
  • Evaluation and Performance Assessment
  • Monoclonal and Polyclonal Antibodies Research
  • Assisted Reproductive Technology and Twin Pregnancy
  • Emergency and Acute Care Studies
  • Interprofessional Education and Collaboration
  • Breast Cancer Treatment Studies
  • Infant Development and Preterm Care
  • Intimate Partner and Family Violence

University of Bergen
2016-2025

University of Utah
2023-2025

ARUP Laboratories (United States)
2023-2025

Huntsman Cancer Institute
2023-2024

Center for the Study of Equity and Governance in Health Systems
2009-2021

Columbia University
2019-2020

Ethiopian Public Health Institute
2020

World Health Organization
2020

Family Health International 360
2019

Umeå University
2009-2013

The 2018 ASCO/CAP guidelines for HER2 testing breast cancer implemented the addition of immunohistochemistry (IHC) directed in situ hybridization (ISH) recount to resolve equivocal results. implementation an additional 2+ IHC-directed ISH adds complexity workflow unclear impact on A retrospective review all cases (groups 2, 3, and 4) that underwent ISH, since guidelines, which were finalized as either amplified or not amplified, was performed. group number final amplification status...

10.1097/pai.0000000000001247 article EN Applied immunohistochemistry & molecular morphology 2025-01-27

Health inequalities disproportionally affect indigenous people in Guatemala. Previous studies have noted that the disadvantageous situation of is result complex and structural elements such as social exclusion, racism discrimination. These need to be addressed order tackle determinants health. This research was part a larger participatory collaboration between Centro de Estudios para la Equidad y Gobernanza en los Servicios Salud (CEGSS) community based organizations aiming implement...

10.1186/s12939-016-0367-z article EN cc-by International Journal for Equity in Health 2016-05-13

In the year 2000, a set of eight Millennium Development Goals (MDGs) were presented as way to channel global efforts into reduction poverty and promotion social development. A discussion regarding how renew these goals is underway it in this context that Governance for Global Health (Go4Health) research consortium conducted consultations with marginalized communities Asia, Latin America, Pacific Africa include their voices world's new development agenda. The goal paper present findings...

10.1186/s12939-014-0076-4 article EN cc-by International Journal for Equity in Health 2014-10-07

The 400 million indigenous people worldwide represent a wealth of linguistic and cultural diversity, as well traditional knowledge sustainable practices that are invaluable resources for human development. However, remain on the margins society in high, middle low-income countries, they bear disproportionate burden poverty, disease, mortality compared to general population. These inequalities have persisted, some countries even worsened, despite overall improvements health indicators...

10.1186/s12939-017-0521-2 article EN cc-by International Journal for Equity in Health 2017-01-21

Metaplastic breast carcinoma (MBC) is a rare, aggressive form of cancer comprising epithelial and mesenchymal elements. The purpose this study was to use population-based data review the clinicopathologic, molecular features, outcomes MBC.Surveillance, Epidemiology, End Results Program (SEER) were used identify MBC invasive ductal (IDC), no special type (NOS) between 2004 2015. from Oncotype DX's 21-gene assay linked SEER registries included for hormone receptor (HR)-positive tumors. χ 2...

10.1097/coc.0000000000001041 article EN American Journal of Clinical Oncology 2023-09-14

Maternal mortality remains high in sub-Saharan Africa. Health facility intra-partum strategies with skilled birth attendance have been shown to be most effective address maternal mortality. In Zambia, the health policy for pregnant women is childbirth, but less than half of utilize facilities delivery. 'Born before arrival' (BBA) describes childbirth that occurs outside facility. With aim increase our understanding trust care we explored how users and providers perceived low utilization...

10.1186/1471-2393-14-323 article EN cc-by BMC Pregnancy and Childbirth 2014-09-16

Factors associated with violence and the abuse of older adults are understudied its prevalence in Mexico has not been reported. The aim this study was to identify factors Mexico. We used Mexico's 2012 National Health Nutrition Survey, which included a sample 8,894 individuals who 60 years or self-reported negative health event related robbery, aggression previous 12 months. chi-squared test Fisher's exact analyze variables violence. Adjusted estimates were completed multiple logistic...

10.1186/s12939-016-0315-y article EN cc-by International Journal for Equity in Health 2016-02-27

During the early phase of COVID-19 pandemic, trust in governments and between individuals was associated with lower rates infections mortality. Thus, understanding conditions under which public allows for development effective policymaking, regular revision, voluntary mobilization implementation times crisis, is important from both a health governance perspective. In this article, we explore how core structures distinct empirical, social moral phenomena are theoretically interconnected into...

10.1093/phe/phaf004 article EN PubMed 2025-07-01

Strengthening citizen-led accountability initiatives is a critical rights-based strategy for improving health services indigenous and other marginalized populations. As these have gained prominence in sectors, there great interest how they operate what makes them effective. Scholarly focus shifting from measuring the efficacy of their tools tactics to deepening understanding context-sensitive pathways through which change occurs. This paper examines initiatives' actions strengthen grassroots...

10.1016/j.worlddev.2018.09.020 article EN cc-by World Development 2018-10-04

Social participation has been understood in many different ways, and there are even typologies classifying by the degree of a population's control decision making. Participation can vary from symbolic act, which does not involve making, to processes it constitutes principal tool for redistributing power within population. This article argues that analyzing social perspective relations requires knowledge historical, social, economic have characterized specific context. Applying such an...

10.2307/40285216 article EN Health and Human Rights 2009-01-01

In 1978, the Alma-Ata declaration on primary health care (PHC) recognized that world’s issues required more than just hospital-based and physician-centered policies. The called for a paradigm change would allow governments to provide essential their population in universally acceptable manner. figure of community worker (CHW) remains central feature participation within PHC approach, being CHW is still considered be an important way system. This study explores how values personal motivation...

10.1186/0778-7367-70-18 article EN cc-by Archives of Public Health 2012-08-10

Abstract While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations power at every level undermined health rights women, girls and gender diverse individuals. Sexual reproductive (SRHR) always sites contestations within families, societies, cultures, politics; these struggles are exacerbated by economic, racial, religious, caste, citizenship status, other social inequities, especially in times crisis such as these. Policy responses to...

10.1186/s12939-020-01245-w article EN cc-by International Journal for Equity in Health 2020-07-31

Abstract Background Cesarean delivery (CD) rates have reached epidemic levels in many high and middle income countries while increasingly, low are challenged both by urban CD unmet need rural areas. The managing authority of health care institutions often plays a role these disparities. This paper shows changes between 2008 2016 Ethiopian rates, readiness hospitals to provide quality clinical care, highlighting the hospital management authority. Methods secondary data analysis draws from two...

10.1186/s12884-021-04008-9 article EN cc-by BMC Pregnancy and Childbirth 2021-08-19

BackgroundSocial participation has been recognized as an important public health policy since the declaration of Alma-Ata presented it one pillars primary care in 1978. Since then, there have many adaptations to original but is still seen a means make system more responsive local needs and way bring sector community closer together. ObjectiveTo explore role that social municipal-level Guatemala order inform future policies programs.DesignDocumentary analysis was used study context Guatemala....

10.3402/gha.v6i0.20786 article EN cc-by Global Health Action 2013-09-10

The policy of institutional delivery has been the cornerstone actions aimed at monitoring and achieving MDG 5. Efforts to increase births have implemented worldwide within different cultural health systems settings. This paper explores how communities in rural Burkina Faso perceive promotion facility pregnancy birth care, this influences health-seeking behaviour. A qualitative study was conducted South-Western between September 2011 January 2012. total 21 in-depth interviews 8 focus group...

10.1371/journal.pone.0156503 article EN cc-by PLoS ONE 2016-06-03

In September 2012 the United Nations (UN) initiated a process that would extend and enhance unfinished agenda of Millennium Development Goals (MDGs), integrating new vision for sustainable development beyond year 2015. The initial consultation phase has been completed, with UN partner organizations undertaking eleven thematic consultations, including one on health. It is in this context European Commission (EC) tasked research consortium Governance Global Health (Go4Health) providing...

10.1186/s12939-014-0082-6 article EN cc-by International Journal for Equity in Health 2014-10-09

Ethiopia is one of five countries that account for half the world's 2.6 million newborn deaths. A quarter neonatal deaths in are caused by birth asphyxia. Understanding different dimensions quality care newborns with breathing difficulties can lead to improving service provision environments and practice. We describe facility readiness treat difficulties, extent which resuscitation provided, modeling survival breathing, we identify key factors suggest how mortality from asphyxia be reduced....

10.1186/s12913-019-4390-9 article EN cc-by BMC Health Services Research 2019-08-07

Since 2015, Norwegian Regional Health Authorities have followed new government policy and gradually implemented medication-free services for patients with psychosis. The aim of this qualitative study was to explore the tension between practice, how health care workers in Bergen reflect on their role implementing treatment. We performed three focus group discussions including 17 therapists working within medication free services, asking about experiences treatment program. used Systematic...

10.1186/s13033-022-00529-8 article EN cc-by International Journal of Mental Health Systems 2022-04-04
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