Institution
Pan American Health Organization
Healthcare•Havana, Cuba•
About: Pan American Health Organization is a healthcare organization based out in Havana, Cuba. It is known for research contribution in the topics: Population & Public health. The organization has 1500 authors who have published 2263 publications receiving 83705 citations. The organization is also known as: HO Regional Office for the Americas.
Topics: Population, Public health, Health care, Latin Americans, Vaccination
Papers published on a yearly basis
Papers
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TL;DR: Whether countries are determined to be on track to meet the nutritional component of MDG 1 or not depends on the choice of stunting versus underweight as the indicator, unfortunately underweight is the indicator officially used to monitor progress towardsMDG 1.
Abstract: OBJECTIVE: To assess the effect of using stunting versus underweight as the indicator of child undernutrition for determining whether countries in Latin America and the Caribbean are on track to meet the component of Millennium Development Goal (MDG) 1 pertaining to the eradication of hunger, namely to reduce undernutrition by half between 1990 and 2015. METHODS: The prevalence of underweight and stunting among children less than 5 years of age was calculated for 13 countries in Latin America and the Caribbean by applying the WHO Child Growth Standards to nationally-representative, publicly available anthropometric data. The predicted trend (based on the trend in previous years) and the target trend (based on MDG 1) for stunting and underweight were estimated using linear regression. FINDINGS: The choice of indicator affects the conclusions regarding which countries are on track to reach MDG 1. All countries are on track when underweight is used to assess progress towards the target prevalence, but only 6 of them are on track when stunting is used instead. Another two countries come within 2 percentage points of the target prevalence of stunting. CONCLUSION: Whether countries are determined to be on track to meet the nutritional component of MDG 1 or not depends on the choice of stunting versus underweight as the indicator. Unfortunately, underweight is the indicator officially used to monitor progress towards MDG 1. In Latin America and the Caribbean, the use of underweight for this purpose will fail to take account of the large remaining burden of stunting.
50 citations
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University of Düsseldorf1, Health Effects Institute2, Imperial College London3, University of Copenhagen4, Monash University5, University of British Columbia6, Utrecht University7, Peking University8, Fudan University9, University of Washington10, Swiss Tropical and Public Health Institute11, Harvard University12, Pan American Health Organization13, Boston College14, New York University15
50 citations
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Nova Southeastern University1, International Agency for the Prevention of Blindness2, Carnegie Mellon University3, Heidelberg University4, University of Melbourne5, L V Prasad Eye Institute6, Brien Holden Vision Institute7, Flinders University8, Anglia Ruskin University9, Pan American Health Organization10, Norwegian Institute of Public Health11
TL;DR: While models suggest a decrease in age-standardised prevalence estimates, better data are needed to evaluate the disparities in the region, the increasing numbers of older people, coupled with the increase in vision loss associated with older age, will require further intervention.
Abstract: Objective To present regional estimates of the magnitude and temporal trends in the prevalence and causes of blindness and moderate/severe visual impairment (MSVI) in Latin America and the Caribbean (LAC). Methods A systematic review of cross-sectional population-representative data from published literature and unpublished studies was accessed and extracted to model the estimated prevalence of vision loss by region, country and globally, and the attributable cause fraction by region. Results In the LAC combined region, estimated all-age both-gender age-standardised prevalence of blindness halved from 0.8% (0.6 to 1.1) in 1990 to 0.4% (0.4 to 0.6) in 2010 and MSVI decreased from 4.3% (3.1 to 5.3) to 2.7% (2.2 to 3.4). In the Caribbean, estimated all-age both-gender age-standardised prevalence of blindness decreased from 0.6% (0.4 to 0.8) in 1990 to 0.5% (0.4 to 0.6) in 2010 and MSVI decreased from 3.3% (1.3 to 4.1) in 1990 to 2.9% (1.8 to 3.8). In the LAC regions combined, there was an estimated 2.3 million blind and 14.1 million with MSVI in 2010. In 2010, cataract continues to contribute the largest proportion of blindness, except in Southern Latin America where macular degeneration is most common. In 2010, uncorrected refractive error was the most common cause of MSVI. Conclusions While models suggest a decrease in age-standardised prevalence estimates, better data are needed to evaluate the disparities in the region. The increasing numbers of older people, coupled with the increase in vision loss associated with older age, will require further intervention to continue to reduce prevalence rates and to prevent a rise in absolute numbers of blind.
50 citations
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TL;DR: There is no single portrait of an adolescent mother in LAC and that context and determinants of adolescent pregnancy vary across and within countries, but lack of knowledge about their sexual and reproductive health and rights, poor access to and inadequate use of contraceptives resulting from restrictive laws and policies are identified.
Abstract: Adolescent fertility rates in Latin America and the Caribbean (LAC) remain unacceptably high, especially compared to the region’s declining total fertility rates. The Region has experienced the slowest progress of all regions in the world, and shows major differences between countries and between subgroups in countries. In 2013, LAC was also noted as the only region with a rising trend in pregnancies in adolescents younger than 15 years. In response to the lack of progress in the LAC region, PAHO/WHO, UNFPA and UNICEF held a technical consultation with global, regional and country-level stakeholders to take stock of the situation and agree on strategic approaches and priority actions to accelerate progress. The meeting concluded that there is no single portrait of an adolescent mother in LAC and that context and determinants of adolescent pregnancy vary across and within countries. However, lack of knowledge about their sexual and reproductive health and rights, poor access to and inadequate use of contraceptives resulting from restrictive laws and policies, weak programs, social and cultural norms, limited education and income, sexual violence and abuse, and unequal gender relations were identified as key factors contributing to adolescent pregnancy in LAC. The meeting participants highlighted the following seven priority actions to accelerate progress: 1. Make adolescent pregnancy, its drivers and impact, and the most affected groups more visible with disaggregated data, qualitative reports, and stories. 2. Design interventions targeting the most vulnerable groups, ensuring the approaches are adapted to their realities and address their specific challenges. 3. Engage and empower youth to contribute to the design, implementation and monitoring of strategic interventions. 4. Abandon ineffective interventions and invest resources in applying proven ones. 5. Strengthen inter-sectoral collaboration to effectively address the drivers of adolescent pregnancy in LAC. 6. Move from boutique projects to large-scale and sustainable programs. 7. Create an enabling environment for gender equality and adolescent sexual and reproductive health and rights.
50 citations
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TL;DR: The two main hypotheses for the high incidence and excess mortality—ie, the use of pesticides and heat stress along with dehydration—are strongly related to the absence of a regulatory system to control agrochemical use and the poor compliance with rules and standards to protect the labour force's health.
50 citations
Authors
Showing all 1503 results
Name | H-index | Papers | Citations |
---|---|---|---|
Marcello Tonelli | 128 | 701 | 115576 |
Stephen L. Hoffman | 104 | 458 | 38597 |
Peter Singer | 94 | 702 | 37128 |
James C. Anthony | 94 | 401 | 43875 |
Bruce G. Link | 92 | 307 | 45777 |
Andrew E. Skodol | 88 | 252 | 24975 |
Marie T. Ruel | 77 | 300 | 22862 |
Franco M. Muggia | 64 | 393 | 18587 |
María G. Guzmán | 63 | 272 | 15992 |
Rob McConnell | 63 | 250 | 17973 |
José M. Belizán | 53 | 198 | 11892 |
Agustin Conde-Agudelo | 52 | 87 | 12009 |
Denise L. Doolan | 49 | 199 | 10581 |
Brendan Flannery | 48 | 177 | 8004 |
Martha Sedegah | 45 | 120 | 9304 |