Revista Panamericana De Salud Publica-pan American Journal of Public Health最新文献

{"title":"Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina.","authors":"Pilar Barcena Barbeira, Melisa Paolino, Fernando Binder, Maribel Almonte, Armando Baena, Juan David Mazzadi, Silvina Arrossi","doi":"10.26633/RPSP.2025.92","DOIUrl":"10.26633/RPSP.2025.92","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate implementation of the second round of human papillomavirus (HPV)-based cervical screening, introduced in Argentina in 2012-2014 through the Jujuy Demonstration Project for women 30 years and older, and describe the characteristics of women who adhere to the recommended five-year rescreening interval.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted based on the data of two rounds of screening. All women aged 30 years or older who had been HPV-tested during the Jujuy Demonstration Project and had a negative result were included. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to evaluate implementation. Multivariable regression was used to examine factors associated with adherence to rescreening.</p><p><strong>Results: </strong>Of 42 307 HPV-negative women, 47.9% (<i>n</i> = 20 285) were rescreened in the second round (Reach); 69.2% of health centers provided at least one HPV test at second-round screening (Adoption); and 13.3% (<i>n</i> = 5 639) of women were rescreened within the recommended five-year interval. Among the total rescreened, 9.3% (<i>n</i> = 1 888) were HPV-positive, of which 95.0% underwent triage Pap and 79.2% of the HPV-positive/abnormal Pap women had colposcopy. Considering women rescreened at five years, the second-round detection rate was 5.3/1 000 screened women. Rescreening at five years was significantly higher among women aged 30-44, with public health insurance, and those living in the provincial capital.</p><p><strong>Conclusions: </strong>Rescreening of HPV-negative women faced challenges linked to its reduced reach, especially if we consider the recommended five-year interval. Our findings suggest that we need to devise specific strategies to increase second-round screening rates.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e92"},"PeriodicalIF":2.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Spatial and spatiotemporal inequalities in premature mortality due to cervical cancer in Argentina (2001-2020)Desigualdades espaciais e espaço-temporais na mortalidade prematura por câncer do colo do útero na Argentina (2001-2020)].","authors":"Gisel L Fattore, Natalia Aráoz Olivos, Carlos M Leveau, Christian Ballejo, Ana Laura Delgado, María Verónica Pesce, María Jimena Marro","doi":"10.26633/RPSP.2025.90","DOIUrl":"10.26633/RPSP.2025.90","url":null,"abstract":"<p><strong>Objective: </strong>To estimate years of life lost (YLL) due to cervical cancer (CC) at the subnational level in Argentina from 2001 to 2020 and identify spatial and spatiotemporal clusters of CC mortality.</p><p><strong>Methods: </strong>Ecological time-series study. Mortality data were obtained from the Directorate of Health Statistics and Information, and population data, from the censuses conducted by the National Statistics and Census Institute and intercensal projections. Crude and age-adjusted YLL rates, grouped into five-year periods, were estimated for each province of Argentina. Spatial autocorrelation techniques were applied, namely Moran's index, local indicators of spatial association and space-time scan statistics, to detect spatiotemporal clustering.</p><p><strong>Results: </strong>In the period 2001-2020, 37 265 deaths due to cervical cancer were recorded, corresponding to 1 398 661 YLL. The adjusted YLL rate showed a significant increase between the first five-year period (5.42 per 1000; 95%CI, 5.40-5.44) and the last (5.75 per 1000; 95%CI, 5.73-5.76). All provinces exhibited stable or rising rates, except for Jujuy and Santa Cruz, both of which had significant reductions in YLL. Persistence of a spatial cluster over time was observed in the North of the country, and spatiotemporal clustering of high rates was detected in the Northwest region (Salta/Jujuy) during the years 2001-2009 and in the Northeast region in 2011-2020.</p><p><strong>Conclusions: </strong>Premature mortality due to cervical cancer in Argentina showed a rising trend over the study period, with a greater concentration in northern provinces. The decline observed in some provinces could be attributed partly to differences in the implementation of prevention programs.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e90"},"PeriodicalIF":2.2,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Distribution of the COVID-19 vaccine: experience in EcuadorOperacionalização da vacinação contra a COVID‑19: experiência no Equador].","authors":"José Ruales, Ximena Garzón, Cristina Aldaz, Nancy Vásconez, Fernando Jácome, Jacqueline Cevallos, Jackeline Pinos, Francisco Pérez-Tasigchana, Adrián Díaz, Alvaro Whittembury","doi":"10.26633/RPSP.2025.89","DOIUrl":"10.26633/RPSP.2025.89","url":null,"abstract":"<p><p>In Ecuador, the health emergency caused by COVID-19 required the State's concerted effort to provide safe, effective, and free vaccines. At the start of 2022, the country reached broad vaccination coverage, placing it among the countries in the Americas with the strongest achievements in this area.To systematize and analyze the lessons learned from the introduction of the COVID-19 vaccine, the country and the Pan American Health Organization/World Health Organization (PAHO/WHO) implemented an intra-action review (IAR) during the application of the measures adopted, which presented the lessons learned and corrective measures to strengthen the deployment of vaccination.This article describes, based on the authors' experience and the results of the IAR, the introduction of vaccination in Ecuador, the timely response mechanisms, and the difficulties encountered in deploying vaccination in accordance with the national plan and in achieving the proposed objectives.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e89"},"PeriodicalIF":2.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Global Matrix of Physical Activity in Children and Adolescents in Latin America: trends, successes and challenges in practice and surveillance.","authors":"Bruno Bizzozero-Peroni, Mark S Tremblay, Salomé Aubert, Silvia A González, Diego Augusto Santos Silva, Juan López-Taylor, Pablo Lobo, Gabriela De Roia, Olga L Sarmiento, Nicolas Aguilar-Farias, Susana Andrade Tenesaca, Karla I Galaviz, Javier Brazo-Sayavera","doi":"10.26633/RPSP.2025.87","DOIUrl":"10.26633/RPSP.2025.87","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize the grades of physical activity (PA) indicators for children and adolescents (5-17 years) in Latin American countries; explore the social determinants of health (SDoH) for PA indicators; and identify strengths, weaknesses, opportunities, and threats to improve PA levels.</p><p><strong>Method: </strong>Participating Latin American countries graded a set of common PA indicators following the harmonized methodology established by the Global Matrix initiative. Cross-sectional (2014, 2016, 2018, 2022) and time trend (2018-2022) data were synthesized within and between countries for each PA indicator. PA data were also synthesized according to their SDoH. Report card team leaders completed a questionnaire to identify strengths, weaknesses, opportunities, and threats (SWOT) to improve PA grades.</p><p><strong>Results: </strong>Eight Latin American countries (Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Uruguay, and Venezuela) participated in at least one of the four editions of the Global Matrix initiative. Across all PA indicator grades in the region (<i>n</i> = 193), 35.2% received a \"D\" (20%-39% success rate), the most frequent grade. Incomplete information was reported in 27.5% of the indicators. A 9.3% improvement was observed in the regional average score of all PA indicators analyzed over time. While source-of-influence indicators improved by 28.1%, behavioral indicators declined by 6.2%. The need for further analyses disaggregated by SDoH, such as sex, was identified.</p><p><strong>Conclusion: </strong>Latin American countries reported poor grades on PA indicators for children and adolescents. Contrasted progress was observed between the behavioral and source of influence indicator groups. Improved surveillance systems and greater country-level investment in PA data collection are urgently needed to enhance comparability and guide regional action.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e87"},"PeriodicalIF":2.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who are the women having non-institutional deliveries in Brazil and who attends them? An analysis of 13.7 million births, 2018-2022.","authors":"Larissa Adna Neves Silva, Cauane Blumenberg, Aluísio J D Barros","doi":"10.26633/RPSP.2025.86","DOIUrl":"10.26633/RPSP.2025.86","url":null,"abstract":"<p><strong>Objective: </strong>To identify groups of women in Brazil more likely to have deliveries outside health facilities and the types of professionals attending these deliveries, and to assess related social determinants.</p><p><strong>Methods: </strong>Data from Brazil's Live Birth Information System from 2018 to 2022 were used to investigate non-institutional deliveries by region of residence, ethnicity/skin color, schooling, and maternal age at delivery. Associations between these factors were also assessed. The proportion of births attended by doctors, nurses/midwives, traditional birth attendants, and others was also analyzed, comparing institutional and non-institutional deliveries.</p><p><strong>Results: </strong>The overall prevalence of non-institutional deliveries was 1.0%. Higher proportions were observed in the North region (4.0%), and among Indigenous women (26.3%), adolescent mothers (1.4%), and women with fewer than 4 years of schooling (8.3%). The proportion of non-institutional deliveries was 67.6% among, Indigenous women from the North region with little education. Indigenous women with fewer than 4 years of schooling and who had a non-institutional delivery had the highest proportion of deliveries without a qualified professional (95.2%).</p><p><strong>Conclusions: </strong>Cultural norms and barriers to accessing maternity services, combined with broader social inequalities and organizational challenges faced by Indigenous populations, may contribute to the high proportion of non-institutional deliveries without a skilled attendant observed among these women. Culturally sensitive strategies to expand access to maternity care for and empower Indigenous women are crucial to ensure their and their children's survival.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e86"},"PeriodicalIF":2.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Trans fatty acids in nutrition labeling and ingredient listing of prepackaged products in Costa Rica, 2022Ácidos graxos <i>trans</i> na rotulagem nutricional e na lista de ingredientes de produtos pré-embalados na Costa Rica, 2022].","authors":"Hilda Patricia Núñez-Rivas, Marlene Roselló-Araya, Adriana Blanco-Metzler, Luis Ernesto Galicia-Cano, Jorge Ernesto Victoria-Restrepo, Víctor Eduardo Villalobos-Daniel, Fabio da Silva Gomes","doi":"10.26633/RPSP.2025.72","DOIUrl":"10.26633/RPSP.2025.72","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the content of industrially produced trans fatty acids stated in the nutrition labeling and ingredients list of prepackaged products marketed in Costa Rica.</p><p><strong>Methods: </strong>Descriptive, cross-sectional study analyzing the presence and content of industrially produced trans fatty acids stated in the nutritional labeling and ingredients list of 7,402 prepackaged foods in two supermarket chains in Costa Rica. The analysis was based on the current policy of the Pan American Health Organization (PAHO) on this subject.</p><p><strong>Results: </strong>Of the 7,402 prepackaged products studied, 40.8% made a statement on industrially produced trans fatty acids. Of these, 95.5% declared 0 grams and the rest stated more than 0 and less than 8 grams per 100 grams of product. Most of the collected products that reported fatty acids contained an excessive amount of energy, according to the PAHO nutrient profiling model. Forty-nine percent of the products exceeded 2 grams of industrially produced trans fats per 100 grams of total fat; less than 0.7% (n = 52) reported hydrogenated fatty acids; 0.4% (n = 29) reported partially hydrogenated oils; and only one product reported both.</p><p><strong>Conclusions: </strong>The presence of trans fatty acids persists in a considerable proportion of marketed products, especially in cakes, cookies, and breads. Nutrition labeling should be mandatory in Costa Rica and regulations should be established to prohibit the presence of hydrogenated and partially hydrogenated fatty acids in industrialized products.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e72"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-informed policy for monitoring SDG 3 in the Legal Amazon region: A rapid review.","authors":"Renata Cristina Ferreira Rola, Livia Fernandes Probst, Tereza Setsuko Toma, Jorge Otávio Maia Barreto","doi":"10.26633/RPSP.2025.88","DOIUrl":"10.26633/RPSP.2025.88","url":null,"abstract":"<p><strong>Objective: </strong>To systematically identify and critically assess indicators used globally and in Brazil to monitor health outcomes related to Sustainable Development Goal (SDG) 3, with an emphasis on identifying those most suitable for the Legal Amazon region.</p><p><strong>Methods: </strong>This rapid review examined global initiatives to achieve SDG 3 and their applicability to the Legal Amazon. Systematic reviews and overviews were included, with no language restrictions, considering studies published from 2015 onwards. Searches were conducted across several databases using both controlled vocabulary and free-text terms. Study selection, data extraction, and quality assessment followed standardized procedures, with independent reviewers ensuring rigor and resolving discrepancies through consensus.</p><p><strong>Results: </strong>The identified indicators covered health coverage, quality of care, environmental health, epidemiology, financial aspects, and governance, although none provided calculation formulas. Studies highlighted positive impacts of health service integration and conditional cash transfer programs, improving treatment adherence, disease detection, and child health outcomes. None of the included articles described specific indicators tailored to the Amazon region.</p><p><strong>Conclusions: </strong>The Legal Amazon faces challenges such as limited healthcare access and threats from deforestation and illegal mining. This review found no systematic reviews addressing these needs, making the findings suggestive rather than definitive. Despite this gap, preliminary efforts made it possible to propose indicators tailored to the region, covering areas such as Indigenous health, environmental risks, and healthcare accessibility. These indicators require validation by regional stakeholders to ensure their relevance and effectiveness in policy development.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e88"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Health system and hospital utilization in Chile, 1952-2020: trends, reforms, and inflection pointsSistema de saúde e utilização de serviços hospitalares no Chile, 1952-2020: tendências, reformas e pontos de inflexão].","authors":"Mauricio Matus-López","doi":"10.26633/RPSP.2025.84","DOIUrl":"10.26633/RPSP.2025.84","url":null,"abstract":"<p><strong>Objective: </strong>To collect and analyze longitudinal data on hospital discharges in Chile between 1952 and 2020, both at the national level and within the public subsystem. Patterns of change were identified in relation to the following key institutional milestones: the Curative Medicine Act of 1968, the creation of the National Health Services System in 1979, and the implementation of the Universal and Guaranteed Access Reform in 2005.</p><p><strong>Methods: </strong>A first-of-its-kind time series was constructed using official sources from the Ministry of Health and institutional documents. Indicators were calculated for the total number of discharges, discharge rates per thousand population, and comparisons with the United States. The analysis included exploratory graphics and construction of segmented regression models.</p><p><strong>Results: </strong>Hospital discharges rose steadily, with two periods mirroring robust expansion of the private sector: between 1982 and 1987 and between 2006 and 2019. Public provision of hospital services slowed or decreased with the 1979 reform and with the 2005 reform, although not with the 1968 reform.</p><p><strong>Conclusion: </strong>This study provides empirical evidence on the long-term trajectory of Chilean hospital services and confirms a structural contrast between the country's major health system models and the differences in their reforms. It also underscores the need for long-term information to analyze the impact of health reforms.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e84"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital transformation of mortality reporting using an ICD-11 integrated death certificate system in Suriname.","authors":"Jerry Toelsie, Richard Mendes, Ritesh Dhanpat, Radjesh Ori, Rosmond Adams, Coen van Gool, Carine Alsokhn, Katri Kontio, Yafflo Ouattara","doi":"10.26633/RPSP.2025.85","DOIUrl":"10.26633/RPSP.2025.85","url":null,"abstract":"<p><p>The Ministry of Health of Suriname has replaced the outdated 1958 paper-based death certificate with an adapted digital version based on the World Health Organization international form of Medical Certificate of Cause of Death, integrated with the International Classification of Diseases 11th Revision (ICD-11) coding tool. This digital system, which comprises a mobile application and a web-based platform, enables direct selection of diagnoses using the ICD-11 codes, including post-coordination (code combinations) and the use of extension codes. Acting as a centralized hub, it allows the Ministry of Health to efficiently extract and analyze mortality data. Training programs have been provided for all medical doctors to ensure effective adoption. This initiative aligns with the Pan American Health Organization's Information Systems for Health 2024-2030 strategy, which emphasizes digital transformation to strengthen health systems in the Americas. It also reflects Suriname's commitment to the 2019 World Health Assembly resolution to adopt ICD-11 as the global standard for cause-of-death reporting. By improving data quality, flow, and accessibility, the system supports timely reporting and reduces workload. Furthermore, it addresses a critical gap, as limited published research exists on the implementation of electronic Medical Certificate of Cause of Death (eMCCD) in the Americas. The system will undergo evaluation after one year to assess its impact and guide further improvements.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e85"},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[ReAnímate: a pilot study to teach cardiopulmonary resuscitation and choking first aid to schoolchildrenReAnímate: estudo-piloto para o ensino de reanimação cardiopulmonar e desobstrução das vias aéreas para escolares].","authors":"Antonieta Valderrama, Arturo Zumaeta, Valeria Epulef, María Francisca Elgueta, Macarena Monsalve, Paulo Carrasco, Macarena Ávila","doi":"10.26633/RPSP.2025.81","DOIUrl":"10.26633/RPSP.2025.81","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate a pilot program designed to teach cardiopulmonary resuscitation (CPR) to schoolchildren in Chile.</p><p><strong>Materials and methods: </strong>An educational pilot program consisting of a workshop for seventh-graders, including pre-workshop and post-workshop evaluations, was implemented in five public schools in the Metropolitana and Magallanes regions of Chile.</p><p><strong>Results: </strong>A total of 379 seventh-graders enrolled in the first 19 months of the pilot program and who consented to data analysis were included. In the pre-workshop evaluation, only 58.7% knew the right number to call for an ambulance; this increased to 99.5% at the end of the workshop. In the initial evaluation, 58.7% stated that chest compressions should be initiated in an unresponsive person who is not breathing normally, and only 14.8% stated that the proper rate of chest compressions for CPR is 100 to 120 per minute. After the workshop, these percentages increased to 77.6% and 76.5%, respectively. Overall, 98% of participants reported that they had found the workshop useful, and 97% said they had enjoyed participating. After the workshop, 87% stated that they would intervene if faced with one of these emergencies. In a survey of parents or guardians, 93% stated that CPR classes should be mandatory in schools.</p><p><strong>Conclusions: </strong>The structured plan pilot-tested in this study can be used to teach resuscitation to schoolchildren in Chile, with good theoretical results and excellent feedback from participants.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e81"},"PeriodicalIF":2.2,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}