ORCID Profile
0000-0002-5272-5885
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Oxford University Press (OUP)
Date: 09-2015
DOI: 10.5665/SLEEP.4988
Publisher: Public Library of Science (PLoS)
Date: 18-12-2012
Publisher: BMJ
Date: 23-01-2017
Publisher: Public Library of Science (PLoS)
Date: 23-11-2015
Publisher: Springer Science and Business Media LLC
Date: 12-2015
Publisher: Springer Science and Business Media LLC
Date: 27-02-2023
DOI: 10.1038/S41562-023-01522-Y
Abstract: Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures (‘lockdowns’). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95–0.98, P value .0001), second (0.96, 0.92–0.99, 0.03) and third (0.97, 0.94–1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96–1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88–1.14, 0.98), third (0.99, 0.88–1.12, 0.89) and fourth (1.01, 0.87–1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02–1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03–1.15, 0.002), third (1.10, 1.03–1.17, 0.003) and fourth (1.12, 1.05–1.19, .001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways.
Publisher: BMJ
Date: 06-08-2015
Publisher: FapUNIFESP (SciELO)
Date: 09-2011
DOI: 10.1590/S0102-311X2011000900017
Abstract: Los objetivos de este trabajo fueron determinar la percepción de los recursos y capacidades de los servicios de emergencia en tres ciudades del Perú, utilizando las guías publicadas por la Organización Mundial de la Salud: Guidelines for Essential Trauma Care. Estudio transversal, realizado en 8 establecimientos de salud públicos y privados, en las ciudades de Lima, Ayacucho y Pucallpa. Se aplicaron cuestionarios semi-estructurados a los responsables de los servicios calificando, de acuerdo a su percepción, ersos aspectos de recursos y capacidades. Teniendo en consideración los perfiles y volúmenes de atención en el servicio de emergencia de los establecimientos de salud, la mayoría de los entrevistados, en las tres ciudades, considera que sus recursos disponibles son inadecuados. Al comparar los establecimientos de salud, se observó un déficit de los recursos en los públicos y en los de Provincia (Ayacucho y Pucallpa). Existe una lia percepción de que los recursos tanto humanos, como físicos, son inadecuados, especialmente, en los establecimientos de salud públicos y en los de provincias.
Publisher: BMJ
Date: 05-2019
DOI: 10.1136/BMJGH-2018-001316
Abstract: Health systems are critical for health outcomes as they underpin intervention coverage and quality, promote users’ rights and intervene on the social determinants of health. Governance is essential for health system endeavours as it mobilises and coordinates a multiplicity of actors and interests to realise common goals. The inherently social, political and contextualised nature of governance, and health systems more broadly, has implications for measurement, including how the health of women, children and adolescents health is viewed and assessed, and for whom. Three common lenses, each with their own views of power dynamics in policy and programme implementation, include a service delivery lens aimed at scaling effective interventions, a societal lens oriented to empowering people with rights to effect change and a systems lens concerned with creating enabling environments for adaptive learning. We illustrate the implications of each lens for the why , what and how of measuring health system drivers across micro, meso and macro health systems levels, through three ex les (digital health, maternal and perinatal death surveillance and review, and multisectoral action for adolescent health). Appreciating these underpinnings of measuring health systems and governance drivers of the health of women, children and adolescents is essential for a holistic learning and action agenda that engages a wider range of stakeholders, which includes, but also goes beyond, indicator-based measurement. Without a broadening of approaches to measurement and the types of research partnerships involved, continued investments in the health of women, children and adolescents will fall short.
Publisher: Springer Science and Business Media LLC
Date: 02-02-2009
Publisher: Public Library of Science (PLoS)
Date: 13-06-2014
Publisher: BMJ
Date: 23-12-2015
Publisher: Public Library of Science (PLoS)
Date: 20-12-2012
Publisher: Ubiquity Press, Ltd.
Date: 03-2016
Publisher: Elsevier BV
Date: 11-2014
Publisher: Ubiquity Press, Ltd.
Date: 03-2016
Publisher: Human Kinetics
Date: 06-2016
Abstract: Physical inactivity and sedentary behaviors have been linked with impaired health outcomes. Establishing the physical inactivity profiles of a given population is needed to establish program targets and to contribute to international monitoring efforts. We report the prevalence of, and explore sociodemographical and built environment factors associated with physical inactivity in 4 resource-limited settings in Peru: rural Puno, urban Puno, P as de San Juan de Miraflores (urban), and Tumbes (semiurban). Cross-sectional analysis of the CRONICAS Cohort Study’s baseline assessment. Outcomes of interest were physical inactivity of leisure time ( MET-min/week) and transport-related physical activity (not reporting walking or cycling trips) domains of the IPAQ, as well as watching TV, as a proxy of sedentarism (≥2 hours per day). Exposures included demographic factors and perceptions about neighborhood’s safety. Associations were explored using Poisson regression models with robust standard errors. Prevalence ratios (PR) and 95% confidence intervals (95% CI) are presented. Data from 3593 in iduals were included: 48.5% males, mean age 55.1 (SD: 12.7) years. Physical inactivity was present at rates of 93.7% (95% CI 93.0%–94.5%) and 9.3% (95% CI 8.3%–10.2%) within the leisure time and transport domains, respectively. In addition, 41.7% (95% CI 40.1%–43.3%) of participants reported watching TV for more than 2 hours per day. Rates varied according to study settings ( P .001). In multivariable analysis, being from rural settings was associated with 3% higher prevalence of leisure time physical inactivity relative to highly urban Lima. The pattern was different for transport-related physical inactivity: both Puno sites had around 75% to 50% lower prevalence of physical inactivity. Too much traffic was associated with higher levels of transport-related physical inactivity (PR = 1.24 95% CI 1.01–1.54). Our study showed high levels of inactivity and marked contrasting patterns by rural/urban sites. These findings highlight the need to generate synergies to expand nationwide physical activity surveillance systems.
Publisher: FapUNIFESP (SciELO)
Date: 06-2010
Publisher: Elsevier BV
Date: 04-2018
Publisher: F1000 Research Ltd
Date: 09-08-2013
DOI: 10.12688/F1000RESEARCH.2-167.V1
Abstract: Background: Road injuries are the second-leading cause of disease and injury in the Andean region of South America. Adequate management of road traffic crash victims is important to prevent and reduce deaths and serious long-term injuries. Objective: To evaluate the promptness of health care services provided to those injured in road traffic incidents (RTIs) and the satisfaction with those services during the pre-hospital and hospital periods. Methods: We conducted a cross-sectional study with active surveillance to recruit participants in emergency departments at eight health care facilities in three Peruvian cities: a large metropolitan city (Lima) and two provincial cities (an urban center in the southern Andes and an urban center in the rainforest region), between August and September 2009. The main outcomes of interest were promptness of care, measured by time between injury and each service offered, as well as patient satisfaction measured by the Service Quality (SERVQUAL) survey. We explored the association between outcomes and city, type of health care facility (HCF), and type of provider. Results : We recruited 644 adults seeking care for RTIs. This active surveillance strategy yielded 34% more events than anticipated, suggesting under-reporting in traditional registries. Median response time between a RTI and any care at a HCF was 33 minutes overall and only 62% of participants received professional care during the initial “golden” hour after the RTI. After adjustment for various factors, there was strong evidence of higher global dissatisfaction levels among those receiving care at public HCFs compared to private ones (odds ratio (OR) 5.05, 95% confidence interval (CI) 1.88-13.54). This difference was not observed when provincial sites were compared to Lima (OR 1.41, 95% CI 0.42-4.70). Conclusions: Response time to RTIs was adequate overall, though a large proportion of RTI victims could have received more prompt care. Overall, dissatisfaction was high, mainly at public institutions indicating much need for improvements in service provision.
Publisher: Springer Science and Business Media LLC
Date: 23-01-2012
Publisher: Wiley
Date: 07-04-2015
DOI: 10.1111/DME.12752
Publisher: Wiley
Date: 08-05-2023
Abstract: To examine the prevalence of novel newborn types among 165 million live births in 23 countries from 2000 to 2021. Population‐based, multi‐country analysis. National data systems in 23 middle‐ and high‐income countries. Liveborn infants. Country teams with high‐quality data were invited to be part of the Vulnerable Newborn Measurement Collaboration. We classified live births by six newborn types based on gestational age information (preterm weeks versus term ≥37 weeks) and size for gestational age defined as small (SGA, th centile), appropriate (10th–90th centiles), or large (LGA, th centile) for gestational age, according to INTERGROWTH‐21st standards. We considered small newborn types of any combination of preterm or SGA, and term + LGA was considered large. Time trends were analysed using 3‐year moving averages for small and large types. Prevalence of six newborn types. We analysed 165 017 419 live births and the median prevalence of small types was 11.7% – highest in Malaysia (26%) and Qatar (15.7%). Overall, 18.1% of newborns were large (term + LGA) and was highest in Estonia 28.8% and Denmark 25.9%. Time trends of small and large infants were relatively stable in most countries. The distribution of newborn types varies across the 23 middle‐ and high‐income countries. Small newborn types were highest in west Asian countries and large types were highest in Europe. To better understand the global patterns of these novel newborn types, more information is needed, especially from low‐ and middle‐income countries.
Publisher: BMJ
Date: 2012
Publisher: Elsevier BV
Date: 02-2016
No related grants have been discovered for Luis Huicho.