ORCID Profile
0000-0002-3173-9284
Current Organisations
Erasmus University Rotterdam
,
Universidad Peruana Cayetano Heredia
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Publisher: Elsevier BV
Date: 2016
Publisher: Instituto Nacional de Salud (Peru)
Date: 24-09-2020
DOI: 10.17843/RPMESP.2020.373.5980
Abstract: Las personas con diabetes mellitus tipo 2 infectadas por SARS-CoV-2 tienen mayores riesgos de desarrollar COVID-19 con complicaciones y de morir como consecuencia de ella. La diabetes es una condición crónica en la que se requiere continuidad de cuidados que implican un contacto con los establecimientos de salud, pues deben tener acceso regular a medicamentos, exámenes y citas con personal de salud. Esta continuidad de cuidados se ha visto afectada en el Perú a raíz de la declaratoria del estado de emergencia nacional, producto de la pandemia por la COVID-19 pues muchos establecimientos de salud han suspendido las consultas externas. Este artículo describe algunas estrategias que han desarrollado los diferentes proveedores de salud peruanos en el marco de la pandemia para proveer continuidad del cuidado a las personas con diabetes y finalmente brinda recomendaciones para que reciban los cuidados que necesitan a través del fortalecimiento del primer nivel de atención, como el punto de contacto más cercano con las personas con diabetes.
Publisher: Informa UK Limited
Date: 14-05-2020
Publisher: Springer Science and Business Media LLC
Date: 25-03-2014
Publisher: BMJ
Date: 11-2018
DOI: 10.1136/BMJGH-2018-001183
Abstract: Different methodological approaches for implementation research in global health focusing on how interventions are developed, implemented and evaluated are needed. In this paper, we detail the approach developed and implemented in the COmmunity HEalth System InnovatiON (COHESION) Project, a global health project aimed at strengthening health systems in Mozambique, Nepal and Peru. This project developed innovative formative research at policy, health system and community levels to gain a comprehensive understanding of the barriers, enablers, needs and lessons for the management of chronic disease using non-communicable and neglected tropical diseases as tracer conditions. After formative research, COHESION adopted a co-creation approach in the planning of interventions. The approach included two interactions with each type of stakeholder at policy, health system and community level in each country which aimed to develop interventions to improve the delivery of care of the tracer conditions. Diverse tools and methods were used in order to prioritise interventions based on support, resources and impact. Additionally, a COHESION score that assessed feasibility, sustainability and scaling up was used to select three potential interventions. Next steps for the COHESION Project are to further detail and develop the interventions propositioned through this process. Besides providing some useful tools and methods, this work also highlights the challenges and lessons learned from such an approach.
Publisher: Ubiquity Press, Ltd.
Date: 03-2015
Publisher: Ubiquity Press, Ltd.
Date: 03-2016
Publisher: Springer Science and Business Media LLC
Date: 10-2015
Publisher: Public Library of Science (PLoS)
Date: 30-07-2015
Publisher: Cambridge University Press (CUP)
Date: 12-2014
DOI: 10.1017/S1368980014002730
Abstract: To determine the effect of increasing fruit visibility, adding information and lowering price on fruit purchasing at a university cafeteria in Lima, Peru. Quasi-experimental pilot study of a three-phase stepped intervention. In Phase 1, fruit was displayed m from the point of purchase with no additional information. Phase 2 consisted in displaying the fruit near the point of purchase with added health and price information. Phase 3 added a 33 % price reduction. The duration of each phase was 3 weeks and phases were separated by 2-week breaks. Primary outcomes were total pieces of fruit and number of meals sold daily. A university cafeteria in Lima, Peru. Approximately 150 people, students and non-student adults, who purchased food daily. Twelve students participated in post-intervention interviews. Fruit purchasing doubled from Phase 1 to Phase 3 ( P ·01) and remained significant after adjusting for the number of meals sold daily ( P ·05). There was no evidence of a difference in fruit sold between the other phases. Females purchased 100 % of the fruit in Phase 1, 82 % in Phase 2 and 67 % in Phase 3 ( P ·01). Males increased their purchasing significantly between Phase 1 and 3 ( P ·01). Non-student adults purchased more fruit with each phase ( P ·05) whereas students did not. Qualitatively, the most common reason for not purchasing fruit was a marked preference to buy unhealthy snack foods. Promoting fruit consumption by product placement close to the point of purchase, adding health information and price reduction had a positive effect on fruit purchasing in a university cafeteria, especially in males and non-student adults.
Publisher: Wiley
Date: 19-05-2016
DOI: 10.1111/DME.13099
Abstract: The health system's response is crucial to addressing the increasing burden of diabetes, particularly that affecting low- and middle-income countries. This study aims to assess the facilitators and barriers that help or hinder access to care for people with diabetes in Peru. We used a survey tool to design and collect qualitative and quantitative data from primary and secondary sources of information at different levels of the health system. We performed 111 interviews in Lima, the capital city of Peru, with patients with diabetes, healthcare providers and healthcare officials. We applied the six building blocks framework proposed by the World Health Organization in our analysis. We found low political commitment, as well as several barriers that directly affect access to medicines, regular laboratory check-ups and follow-up appointments for diabetes, especially at the primary healthcare level. Three major system-level barriers were identified: (1) the availability of information at different healthcare system levels that affects several processes in the healthcare provision (2) insufficient financial resources and (3) insufficient human resources trained in diabetes management. Despite an initial political commitment by the Peruvian government to improve the delivery of diabetes care, there exist several key limitations that affect access to adequate diabetes care, especially at the primary healthcare level. In a context in which various low- and middle-income countries are aiming to achieve universal health coverage, this study provides lessons for the implementation of strategies related to diabetes care delivery.
Publisher: Springer Science and Business Media LLC
Date: 06-2015
Publisher: Springer Science and Business Media LLC
Date: 19-10-2018
Publisher: Informa UK Limited
Date: 2021
Publisher: Springer Science and Business Media LLC
Date: 17-02-2020
Publisher: Wiley
Date: 04-2018
DOI: 10.1111/TMI.13052
No related grants have been discovered for MARIA KATHIA CARDENAS.