Paul Rodríguez‐Lesmes

ORCID: 0000-0003-1058-3062
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About
Contact & Profiles
Research Areas
  • Poverty, Education, and Child Welfare
  • Global Maternal and Child Health
  • Global Health Care Issues
  • Agricultural risk and resilience
  • COVID-19 epidemiological studies
  • Gender, Labor, and Family Dynamics
  • Healthcare Systems and Reforms
  • Pharmaceutical Economics and Policy
  • Taxation and Compliance Studies
  • Business, Innovation, and Economy
  • Health and Conflict Studies
  • Mosquito-borne diseases and control
  • History and Politics in Latin America
  • Child Nutrition and Water Access
  • Business, Education, Mathematics Research
  • Demographic Trends and Gender Preferences
  • Health disparities and outcomes
  • Microfinance and Financial Inclusion
  • Health Systems, Economic Evaluations, Quality of Life
  • School Choice and Performance
  • Healthcare Policy and Management
  • Global Public Health Policies and Epidemiology
  • Innovation and Socioeconomic Development
  • Accounting and Financial Management
  • Obesity, Physical Activity, Diet

Universidad del Rosario
2017-2025

University College London
2008-2024

Adolfo Ibáñez University
2024

Stanford University
2024

Hospital Universitario Nacional de Colombia
2024

Universidad Nacional de Colombia
2024

Center for Economic and Policy Research
2024

Stanford Health Care
2024

Washington University in St. Louis
2021

Universidad Univer
2021

Our study contributes to the understanding of key drivers stunted growth, a factor widely recognized as major impediment human capital development. Specifically, we examine effects sanitation coverage and usage on child height for age in semi-urban setting Northern India. Although – broadly defined hygienic means promoting health through prevention contact with hazards wastes, particularly waste has long been acknowledged an indispensable element disease primary care programmes, large number...

10.1016/j.worlddev.2018.02.005 article EN cc-by World Development 2018-03-18

Abstract Financial inclusion is known to be relevant for improving the growth perspectives of microbusinesses. This research has three aims. First, explore how adopting business practices can impact usage financial products and services these firms. Second, determine if higher levels microbusinesses’ formalization mediate impact. Third, establish there are differences according gender education level. A structural equation model was estimated test hypotheses while considering potential...

10.1007/s40821-022-00231-2 article EN cc-by Eurasian Economic Review 2023-02-01

Like most of the world, low- and middle-income countries have faced a growing demand for new health technologies higher budget constraints. It is necessary to technical instruments make decisions based on real-world evidence that allows maximization population's with limited budget. We estimated supply-based cost-effectiveness elasticity, which was then used determine threshold healthcare system Colombia, country where multiple insurers, paid under capitation rules, manage compulsory...

10.1093/heapol/czab146 article EN Health Policy and Planning 2021-12-07

<h3>Abstract</h3> Violence affects households' preferences, perceptions, and constraints regarding fertility choices. What happens when violence ends? Using administrative data from Colombia, we find that the end of a long internal conflict differentially increased by 3.2 percent in areas exposed to violence. The effect is present across all reproductive ages larger municipalities with higher levels exposure at baseline. This differential increase not driven health supply indicators,...

10.3368/jhr.1222-12701r1 article EN The Journal of Human Resources 2024-05-08

Abstract The negative impact of health‐related out‐of‐pocket (OOP) payments is a well‐known problem in low and middle‐income countries (LMICs). Cross‐sectional analysis reveals that households use different coping mechanisms to mitigate or overcome the effect OOP payments, but little known from longitudinal perspective. We explore this link using panel data for Colombia, Mexico, India, Malawi, Nigeria, Uganda, Tanzania. Using fixed‐effect model, we computed association between...

10.1002/hec.4684 article EN cc-by Health Economics 2023-04-05

Objective To estimate Diabetes mellitus (DM) progression at one and two years in terms of glycemic targets development complications. Research design methods We analyzed a retrospective cohort adult DM patients treated Health Maintenance Organization Colombia, including those with least glycosylated hemoglobin (HbA1c) measurement 2018, 2019, 2020. defined four disease transition stages based on metabolic goals according to HbA1c levels complications: 1. Within without complications; 2....

10.1371/journal.pone.0321258 article EN cc-by PLoS ONE 2025-04-15

Background Studies in high-income countries have documented a consistent gradient between socio-economic status (SES) and high blood pressure (HBP), key risk factor for cardiovascular disease (CVD). However, evidence from Latin American (LA) remains comparatively scarce inconclusive. Data 3,984 individuals came nationally representative survey of aged 60 years or above Colombia (Encuesta de Salud, Bienestar y Envejecimiento) (SABE) conducted 2015. SES was measured by educational achievement...

10.1371/journal.pone.0234326 article EN cc-by PLoS ONE 2020-06-09

Abstract Background The negative association between income inequality and health has been known in the literature as Income Inequality Hypothesis (IIH). Despite multiple studies examining validity of this hypothesis, evidence is still inconclusive, debate remains unsolved. In addition, relatively few have focused their attention on developing or emerging economies, where levels tend to be highest world. This work examines statistical self-rated status Colombia, a highly unequal Latin...

10.1186/s12939-022-01659-8 article EN cc-by International Journal for Equity in Health 2022-05-16

In recent decades, policy initiatives involving increases in the tobacco tax have increased pressure on budget allocations poor households. this study, we examine issue context of expansion social welfare state that has taken place over last two decades several emerging economies. This study explores case Colombia between 1997 and 2011. period, share poorest expenditure quintile devoted to products smokers’ households doubled. We analyse differences richest quintiles concerning changes...

10.1371/journal.pone.0303328 article EN cc-by PLoS ONE 2024-05-21

Abstract This paper uses primary micro-data from Indian households residing in rural villages and poor urban neighbourhoods to shed light on household sanitation decision-making. We use a theoretical economic model reduce the dimensionality complexity of this process. Beyond most commonly analysed motivator, health, we consider non-pecuniary benefits. provide empirical evidence that each these margins matter, do so both contexts, discuss how our findings can be explored policy programme design.

10.2166/washdev.2020.098 article EN Journal of Water Sanitation and Hygiene for Development 2020-10-06

Socioeconomic inequalities in the detection and treatment of non-communicable diseases represent a challenge for healthcare systems middle-income countries (MICs) context population ageing. This is particularly pressing regarding hypertension due to its increasing prevalence among older individuals MICs, especially those with lower socioeconomic status (SES). Using comparative data China, Colombia, Ghana, India, Mexico, Russia South Africa, we systematically assess association between SES,...

10.1371/journal.pone.0269118 article EN cc-by PLoS ONE 2022-07-08

Background Tobacco prevalence in Colombia is small compared with other Latin America despite the nation’s tobacco taxes being among lowest region. However, have increased several times during last decade, and large increases 2010 2016 impacted consumer prices. Objective This paper aims to estimate price smoking participation elasticity (PPE) Colombia, specific reference regional prices after tax policy changes. Methods The PPE computed using logistic regression based on individual-level data...

10.1136/tobaccocontrol-2019-055186 article EN Tobacco Control 2020-02-11

Epidemics tend to have a debilitating influence on the lives of directly afflicted families. However, presence an epidemic can also change behaviour and outcomes those not affected. This paper makes use short, sharp, unexpected examine behavioural response public sudden shift in perceived risk one’s health mortality. Our analysis finds that unafflicted school students their substantially, affecting important life outcomes. In particular, we find between 1.9 4.7 fewer students, out typical...

10.1080/00220388.2018.1425392 article EN The Journal of Development Studies 2018-02-07

This paper measures the additional value of sanitation within marriage arrangement. We use data from Indian human development household survey (IHDS) to model marital decisions men and women in rural India estimate surplus (the gains being married). demonstrate that government's Total Sanitation Campaign (TSC) increased changed market outcomes for women. Decomposition reveals (i) makes it more attractive be a both gender, (ii) TSC exposure led decrease wife's share, implying redistribution marriage.

10.1016/j.jdeveco.2023.103092 article EN cc-by Journal of Development Economics 2023-03-23

Poor sanitation is an important policy issue facing India, which accounts for over half of the 1.1 billion people worldwide that defecate in open [JMP, 2012].Achieving global targets, and reducing social economic costs defecation, therefore requires eectively extending services to India's citizens.The Indian Government has shown strong commitment improving sanitation.However, uptake usage safe remains low: almost 50% households do not have access a private or public latrine (2011...

10.1920/wp.ifs.2015.1515 preprint EN 2015-06-09
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