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

{"title":"Melhorando a apresentação de informações sobre equidade em saúde em pesquisas observacionais (STROBE-Equity): lista de verificação estendida e sua elaboração.","authors":"Omar Dewidar, Larissa Shamseer, G J Melendez-Torres, Elie A Akl, Jacqueline Ramke, Xiaoxin Wang, Oyekola Oloyede, Taryn Young, Stuart G Nicholls, Zack Marshall, Michelle Kennedy, Billie-Jo Hardy, Anita Rizvi, Elizabeth Ghogomu, Tamara Rader, Hugh Sharma Waddington, Beverley Shea, Miriam Nkangu Nguilefem, Holly Ellingwood, Luke Wolfenden, Janice Tufte, Tanya Horsley, Kevin Pottie, Luis Gabriel Cuervo, Clara Juando-Prats, Cindy Feng, Melissa K Sharp, Julian Little, Ebenezer Owusu-Addo, Damian Francis, Tamara Kredo, Michael Johnson Mahande, Catherine Chamberlain, Tomas Pantoja, Erik von Elm, Zulfiqar A Bhutta, Peter Tugwell, Charles S Wiysonge, Sarah Funnell, Janet Jull, Lawrence Mbuagbaw, Vivian Welch","doi":"10.26633/RPSP.2026.37","DOIUrl":"https://doi.org/10.26633/RPSP.2026.37","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e37"},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634176","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":"Mejorar la comunicación sobre la equidad en la salud en la investigación observacional (STROBE Equidad): la lista de verificación ampliada y su elaboración.","authors":"Omar Dewidar, Larissa Shamseer, G J Melendez-Torres, Elie A Akl, Jacqueline Ramke, Xiaoxin Wang, Oyekola Oloyede, Taryn Young, Stuart G Nicholls, Zack Marshall, Michelle Kennedy, Billie-Jo Hardy, Anita Rizvi, Elizabeth Ghogomu, Tamara Rader, Hugh Sharma Waddington, Beverley Shea, Miriam Nkangu Nguilefem, Holly Ellingwood, Luke Wolfenden, Janice Tufte, Tanya Horsley, Kevin Pottie, Luis Gabriel Cuervo, Clara Juando-Prats, Cindy Feng, Melissa K Sharp, Julian Little, Ebenezer Owusu-Addo, Damian Francis, Tamara Kredo, Michael Johnson Mahande, Catherine Chamberlain, Tomas Pantoja, Erik von Elm, Zulfiqar A Bhutta, Peter Tugwell, Charles S Wiysonge, Sarah Funnell, Janet Jull, Lawrence Mbuagbaw, Vivian Welch","doi":"10.26633/RPSP.2026.38","DOIUrl":"https://doi.org/10.26633/RPSP.2026.38","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e38"},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634181","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":"Chikungunya surge in the Americas since late 2025: A call to strengthen surveillance and response capacities.","authors":"","doi":"10.26633/RPSP.2026.45","DOIUrl":"https://doi.org/10.26633/RPSP.2026.45","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e45"},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594201","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":"Evaluating Honduras' health financing system: a comprehensive application of the WHO Health Financing Progress Matrix.","authors":"Héctor Enrique Alfaro, Birger Carl Forsberg","doi":"10.26633/RPSP.2026.30","DOIUrl":"https://doi.org/10.26633/RPSP.2026.30","url":null,"abstract":"<p><strong>Objective: </strong>To determine the current state of Honduras' health financing system.</p><p><strong>Methods: </strong>This study applied a qualitative design based on the World Health Organization's Health Financing Progress Matrix (HFPM) to evaluate the health financing system in Honduras. Data were collected through 18 in-depth interviews with informants from diverse institutions, tailored to their expertise. The results were internally validated via a workshop including 12 additional experts. Thematic coding was used to classify findings across seven health financing assessment areas and 19 attributes. The HFPM's desirable attributes framework allowed the researchers to classify the findings into four relevant categories: emerging (score of 1.00-1.99), progressing (score of 2.00-2.99), established (score of 3.00-3.99), and advanced (score of 4.00).</p><p><strong>Results: </strong>The overall score for Honduras' health financing system was 1.72 of 4.00, indicating an emerging level of development. While attributes related to institutional capacity achieved a progressing score (2.02), domains regarding financial protection lagged at an emerging level (1.33). Critical weaknesses were identified in resource pooling (1.20) and in benefit entitlements and access conditions (1.20), both of which consistently showed low performance. Conversely, public financial management scored higher (2.40), though accountability and budget alignment gaps persist. Regarding Universal Health Coverage objectives, most dimensions scored below 2.00. Among the intermediate objectives, transparency and accountability scored the highest (1.83). Of the final objectives, quality approached progressing (2.33).</p><p><strong>Conclusion: </strong>The health financing system of Honduras exhibits limited institutional maturity and significant structural challenges in financing its health care system. Future reforms must effectively aim to reduce financial barriers for the population.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e30"},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594244","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":"Building national health research agendas and defining research questions.","authors":"Cristián Mansilla, Fernando Tortosa, Ludovic Reveiz, Luis G Cuervo","doi":"10.26633/RPSP.2026.20","DOIUrl":"10.26633/RPSP.2026.20","url":null,"abstract":"<p><p>Over the past two decades, countries in Latin America and the Caribbean have made substantial progress in strengthening research systems, in which the Pan American Health Organization (PAHO) Policy on Research for Health has been instrumental. Research agendas have emerged as a key mechanism to bridge national policy priorities with the production of relevant and timely evidence that is aligned with national health priorities. This paper explores the strategic role of health research agendas in aligning evidence generation with decision-making needs. Drawing on recent exercises conducted in the region, including a regional health research agenda for the Oropouche virus and the Costa Rican Social Security System (CCSS) research agenda, the paper highlights both the progress and persistent challenges in this process. A core contribution of these two examples is the introduction of the Matching Q-M tool, a decision-support resource that helps translate policy-relevant topics into well-formulated research questions and match them with appropriate methodological approaches to address them. By enhancing communication between policymakers and researchers, the potential for research agendas to inform relevant, feasible, and demand-driven studies can help to institutionalize and consolidate the role of research as a strategic lever for health equity and system improvement. In a region where the research community has made long-standing contributions, national research agendas can serve as a foundational element of more resilient, responsive, and evidence-informed health systems.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e20"},"PeriodicalIF":2.2,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13019819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575185","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":"Integrated serosurveillance of multiple communicable diseases in the hinterland of Guyana.","authors":"Reza A Niles-Robin, Annastacia Sampson, Olivia Valz, Oneka Scott, Kim E Dickson, Rainier Escalada, Desmond Nicholson, Janice Woolford, Maria Paz Ade, Ronaldo Carvalho Scholte, Ana Luciañez, Pamela Bravo, Gloria Rey-Benito, Silvia Ibarra-Ozcariz, Ana Morice, Martha-Idalí Saboyá-Díaz","doi":"10.26633/RPSP.2026.16","DOIUrl":"10.26633/RPSP.2026.16","url":null,"abstract":"<p><strong>Objective: </strong>To assess multi-pathogen seroprevalence through integrated serosurveillance of dried blood spots (DBS) collected during a lymphatic filariasis survey in six hinterland regions of Guyana.</p><p><strong>Methods: </strong>A school-based survey using probabilistic sampling was conducted among children aged 5-14 years (<i>n</i> = 6 936) in Regions I, II, VI, VII, VIII, and IX. Collected DBS were tested at the U.S. Centers for Disease Control and Prevention for antibody responses to antigens from 11 pathogens using multiplex bead assay: <i>Wuchereria bancrofti</i> and <i>Brugia malayi</i> (Wb123, Bm14, Bm33); malaria (<i>Plasmodium vivax</i> MSP1-19, <i>Plasmodium falciparum</i> MSP1-19); <i>Strongyloides stercoralis</i> (NIE); <i>Chlamydia trachomatis</i> (pgp3, CT694); <i>Taenia solium</i> (rES33, T24H); <i>Treponema pallidum</i> (rp17, TmpA); and measles, rubella, tetanus, and diphtheria.</p><p><strong>Results: </strong>The historically malaria-endemic regions (I, VII, and VIII) showed the highest seropositivity for <i>P. vivax</i> and <i>P. falciparum</i>. The highest seropositivity for <i>W. bancrofti</i> was observed in Region VII, while exposure to <i>S. stercoralis</i> was significantly higher in Regions I and VII. Seroconversion rates in children aged 5-9 years for <i>C. trachomatis</i> (pgp3) were highest in Region IX, followed by Regions VII and VIII. Seroprevalence of <i>T. solium</i> was below 1.9% for both antigens in all regions. Minimal seroprotection (≥0.01 IU/ml) against tetanus and diphtheria exceeded 98% in all regions. However, seroprotection against measles and rubella was below 80% in Regions I, VII, and VIII and declined in older children.</p><p><strong>Conclusions: </strong>Integrating multi-disease serological surveillance into planned surveys offers an efficient use of resources and generates complementary data to guide programmatic decisions for the control and elimination of communicable diseases.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e16"},"PeriodicalIF":2.2,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13019797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575183","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":"El aumento sostenido de los casos de sarampión lleva a que la Región de las Américas fortalezca la vigilancia, la respuesta rápida y la vacunación.","authors":"","doi":"10.26633/RPSP.2026.39","DOIUrl":"10.26633/RPSP.2026.39","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e39"},"PeriodicalIF":2.2,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514528","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":"[Impact of an integrated and centralized drug policy: the case of the province of Buenos Aires, ArgentinaImpacto de uma política de medicamentos integrada e centralizada: o caso da província de Buenos Aires, Argentina].","authors":"Gustavo H Marín, Ayelén P Capallo, Marcos H Cocco, Juan I Álvarez, Francisco Leone, Santiago A Pesci, Jonatan Konfino, Nicolás Kreplak","doi":"10.26633/RPSP.2026.21","DOIUrl":"https://doi.org/10.26633/RPSP.2026.21","url":null,"abstract":"<p><p>Access to medicine is a central component of the right to health. Exponential increases in the price of medicines and the emergence of high-priced innovative therapies on the market have put the sustainability of the system at risk. For this reason, the province of Buenos Aires (Argentina) changed its drug policy from historically decentralized management by each health care provider to a policy based on centralized procurement, integrated processes, increased public production of medicines, and the development of information systems. This article compares both management models (decentralized versus centralized and integrated) in terms of economics and access.Implementation of a centralized and integrated policy quadrupled the public production of essential medicines, increased access to medicines for registered users by 1 071.2%, improved the capacity to monitor traceability, and generated savings of 27.18% per unit in the procurement of pharmaceuticals compared to the usual mechanism of decentralized procurement by hospitals. In terms of impact, US$ 32 590 645.66 was saved, based on demand.Centralized and integrated management of drug procurement, production, storage, and distribution resulted in significant reductions in purchase prices, improved distribution, and optimized drug traceability compared to decentralized management models.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e21"},"PeriodicalIF":2.2,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499622","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":"[Regulatory frameworks and access to assisted fertilization in continental Latin America: comparative reviewMarcos regulatórios e acesso à fertilização assistida na América Latina continental: revisão comparativa].","authors":"Christopher Oliva-Retamal, Diego Ramírez-Lazo, Francisca Valdés-Campos, Karen Vásquez-Cortez, Patricia Caro","doi":"10.26633/RPSP.2026.27","DOIUrl":"https://doi.org/10.26633/RPSP.2026.27","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the regulatory frameworks on assisted fertilization in continental Latin America by comparing key aspects related to access, coverage, and beneficiaries.</p><p><strong>Methods: </strong>An exploratory descriptive study was carried out based on a review of laws, decrees, resolutions, and directives in force in 17 Spanish-speaking Latin American countries. The information was obtained from official sources in the areas of health, justice, and human rights, complemented by reports from international organizations. Regulations of assisted fertilization, egg cryopreservation, and surrogacy were analyzed; access, coverage, and beneficiary populations were considered.</p><p><strong>Results: </strong>Nine of the countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Nicaragua, Panama, Peru, and Uruguay) have some form of specific regulation, while the others (Bolivia [Plurinational State of], Ecuador, El Salvador, Guatemala, Honduras, Mexico, Paraguay, and Venezuela [Bolivarian Republic of]) have legal vacuums, indirect regulations, or a lack of formal norms. Argentina and Uruguay offer the most comprehensive models, with universal public coverage. In Brazil and Chile, free access is restricted to the public system, while in other countries treatment is concentrated in the private sector. Cryopreservation is permitted in most countries that have regulations, with variations in duration and funding. Surrogacy is regulated only in Brazil and Uruguay, and partially in Colombia, while other countries prohibit it or have no regulations.</p><p><strong>Conclusions: </strong>The regulation of assisted fertilization in continental Latin America is heterogeneous and reflects structural inequities in access to reproductive services.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e27"},"PeriodicalIF":2.2,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499640","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":"Corrigendum to Predictors of mortality among individuals with advanced HIV disease in a contemporary Brazilian cohort.","authors":"","doi":"10.26633/RPSP.2026.42","DOIUrl":"https://doi.org/10.26633/RPSP.2026.42","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.26633/RPSP.2025.36.].</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e42"},"PeriodicalIF":2.2,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499649","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}