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Entrevista a Luis Fernando Llanos: “No contamos con un sistema de salud cohesionado; más bien, lo que tenemos es una suerte de collage”
(Pontificia Universidad Católica del Perú, 2024-09-06) Retamozo Gonzales, Jennifer Rubi; Villarreal Urquizo, Kevin Oscar
No presenta resumen.
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La judicialización de los derechos reproductivos en perspectiva comparada: el Anticonceptivo Oral de Emergencia en Perú (2006-2009) y Chile (2007-2008)
(Pontificia Universidad Católica del Perú, 2024-09-06) Silva Andujar, Nicolás; Marrou Rivera, María José; Monzon, Hadaly
This study examines the judicialization of reproductive rights in Peru and Chile, focusing on the influence of extralegal factors on judicial decisions related to the distribution of the Emergency Oral Contraceptive (EOC) during the periods 2006-2009 and 2007-2008, respectively. Through a comparative analysis, the study explores the impact of ideology, legal culture, and conservative social movements on judicial decision-making in both cases. The study concludes that these determinants, acting interdependently, function as causal mechanisms in judicial decision-making, explaining shifts in positions and arguments in both Chile and Peru. Additionally, the study highlights that the judicialization of emergency contraceptive methods has had both positive and negative impacts on women’s reproductive rights.
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Alianzas Socio-Técnicas y Políticas de Medicamentos: perspectivas desde la crisis Argentina del 2001
(Pontificia Universidad Católica del Perú, 2024-09-06) Santos, Guillermo
The aim of this article is to analyse the problem-solution dynamics linked to the availability of and access to medicines for the Argentine population as a result of the social, economic, political and health crisis that affected Argentina in 2001.It is interesting to analyse the scope, characteristics and limitations of the public policies implemented by the Argentinean government between 2002 and 2008, whose objectives were to solve the problem of the lack of access to medicines that affected the most vulnerable sectors of the Argentinean population.The analytical reconstruction of this socio-institutional dynamic will provide a better understanding of the process of co-construction of public policies, regulations, artefacts, economic interests, ideologies and inclusive techno-productive development dynamics, and will offer new explanations about the functioning/non-functioning of the public policies implemented to solve social problems linked to the population’s access to medicines.This article argues that public policy is not only the exercise of a vertical and centralised will, but rather the result of the alignment and coordination of a heterogeneous set of elements that are horizontally linked and that allow public policies to consolidate or destabilise.This article is framed within a socio-technical approach (Bijker, 1995; Pinch y Bijker, 2008; Thomas, 2008, Santos y Thomas, 2016), which combines analytical tools from constructivist sociology and public policy analysis. The descriptive and explanatory capacity of such an approach derives from the possibility of generating an analytical reconstruction of the complex relationships between users and tools, actors and artefacts, institutions and normative systems, ideologies and economic interests, where in the same act in which public policies are designed and implemented, legal-political orders, social organisations and techno-productive systems are constructed.Two key concepts guide the analysis of this article: ‘functioning/non-functioning’ and ‘socio-technical alliance’. The former is the result of a process of social and normative co-construction in which heterogeneous elements intervene, usually in a self-organised way: material conditions, systems, knowledge, regulations, financing, benefits, etc. It involves complex processes of tailoring responses/solutions to specific and particular historically situated socio-institutional articulations. The second concept, the socio-technical alliance, is an analytical reconstruction of a coalition of heterogeneous elements involved in the process of constructing the functioning/non-functioning of a public policy. In other words, a socio-technical alliance constitutes a movement of alignment and coordination of: artefacts, ideologies, regulations, knowledge, institutions, social actors, economic resources, environmental conditions, materials, etc. that make possible or impede the stabilisation of the socio-technical adequacy of a policy and its functioning.
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¿Promesa incumplida?: Prevalencia y factores determinantes de la anemia infantil durante la pandemia de COVID-19 en Perú
(Pontificia Universidad Católica del Perú, 2024-09-06) Salazar Zapata, Pamela
Anemia is a global public health issue exacerbated by economic, social, and cultural inequalities. This disorder increases childhood morbidity and mortality, adversely affecting short- and long-term health and quality of life. This study aims to identify determinants of anemia among children aged 6 to 59 months in Peru, segmented across pre-pandemic, pandemic, and post-pandemic periods. Logistic and normal models are employed using data from the National Demographic Health Survey (ENDES) 2018-2023. Findings indicate that maternal anemia, fever, and diarrhea increase the likelihood of childhood anemia prevalence during all three study periods.
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Aprendizaje de políticas y COVID-19: La experiencia de vacunación en países latinoamericanos
(Pontificia Universidad Católica del Perú, 2024-09-06) Paz-Gómez, Diana Marcela
This article analyses policy learning processes in decision-making during the process of vaccination against COVID-19, defined in two phases: vaccine procurement and vaccination campaigns, in Latin American countries. On the one hand, it is argued that some of the strategies implemented are explained through policy diffusion mechanisms. Among these, we can consider the definition of priority population groups or the implementation of doses through COVAX. Other measures derive from the operational capacities previously created by governments, such as the deployment of mobile, cross-border or awareness-raising vaccination and health campaigns to address previous infections in the region. Methodologically, a descriptive review of the COVID-19 vaccine supply chain is proposed based on institutional information. In addition, reflections are made on the need for governments to acquire knowledge from their own or others’ experiences to strengthen the health system in the region.
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Servicios de salud mental para la población en movilidad. Las limitaciones del sector público, privado y de la sociedad civil en México
(Pontificia Universidad Católica del Perú, 2024-09-06) Saavedra, Nayelhi; Galván Reyes, Jorge; Alanís, Sarahí
The strategies implemented by the State to provide mental health services to the mobile population have been weak and discontinuous. One of the reasons is the reduced budget assigned to infrastructure and human resources in the public health sector. So far, the task has fallen directly to civil society organizations (CSO), associations and international agencies (IA), and indirectly to financiers. However, because of limitations and dynamics of all of them, the services they offer fail to satisfy the care needs of migrants. The aim of the study is to know who offer mental health services, how do they offer it, and to understand the factors which are underneath that restrict supply of services. This is a descriptive exploratory research. We use a qualitative methodology. From 2019 to 2023, we conducted 81 interviews with members of CSO, associations, IA and personnel from government agencies, in places where important flows of migrants converge: CDMX, Tijuana, and towns in three states, Morelos, Hidalgo and Michoacán. We realized that the obstacles identified by the participants are related to public policies and financing, the human resources available in CSO, and the material, administrative and human resources in the public sector. The issue underlying the limitations is the lack of explicit regulations and the hidden norms that shape any actions of public sector staff, CSO and IA, as well as funders.
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Estrategias para el control del dengue en las áreas urbanas de Lima: un estudio de incidencia en Lima Sur y Lima Norte
(Pontificia Universidad Católica del Perú, 2024-09-06) Bocanegra Morales, Cristian Omar; Flores Coapaza, Paul Alexandro
The article examines the issue of dengue within the Peruvian context, with a particular focus on the urban areas of Lima Sur and Lima Norte, regions notable for their high incidence of cases and their significance in the country’s epidemiological landscape. The research employs a mixed methodology, combining quantitative analysis of epidemiological data with qualitative perspectives derived from public health studies. The results reveal a high incidence of dengue in these areas, highlighting the urgent need for more effective measures to control its spread.The study utilizes quantitative data on dengue incidence and prevalence, obtained from health records and epidemiological reports, and conducts a qualitative analysis to identify the environmental, socioeconomic, and health-related factors contributing to the disease’s spread. Factors such as limited access to basic services and environmental conditions conducive to mosquito vector proliferation are emphasized.Additionally, the article proposes the implementation of advanced technologies, such as chatbots, through a strategic approach based on the theory of change. This approach aims not only to mitigate the spread of dengue through early diagnosis and community education but also to improve the quality of life for affected communities. The integration of these technologies is intended to optimize the health system’s response, reduce the burden on traditional medical services, and promote a more effective and sustainable management of the disease.

Vol. 15 Núm. 24 (2024)

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