En los últimos decenios, el estado general de salud de las personas ha mejorado considerablemente, lo que ha llevado a un aumento de la esperanza de vida al nacer en la mayor parte de los países de la Región de las Américas. Este progreso ha sido el resultado tanto de los avances en las tecnolog...ías sanitarias (antibióticos, vacunas y otros tipos de tratamiento) como de las mejoras en las condiciones en que viven las personas, incluido un mayor acceso al agua potable y el saneamiento mejorados, y a servicios de salud. Sin embargo, el progreso ha aminorado en los últimos años, y los logros han variado entre los países y territorios, así como dentro de ellos. En el camino hacia la salud universal, es esencial tener la capacidad para evaluar el progreso y darle seguimiento de acuerdo con el objetivo fundamental de los sistemas de salud, que es mejorar la salud y el bienestar de la población. Con ese fin, en esta edición de Salud en las Américas se analiza la tasa estandarizada de mortalidad prematura potencialmente evitable como indicador del desempeño de los sistemas de salud, teniendo en cuenta tanto el componente prevenible por medio de intervenciones intersectoriales y de salud pública como el componente tratable, relacionado con la efectividad de los servicios de salud, es decir, la calidad de la atención de salud.
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In Latin America and the Caribbean (LAC), one maternal death was registered every hour in 2020. That same year, the trend in the maternal mortality ratio (MMR) for the Region of the Americas regressed alarmingly and unprecedentedly to the levels seen two decades ago. In addition to indicating a wors...ening of health outcomes, these figures also signal a deepening of inequalities, representing thousands of individual, unacceptable tragedies that in most cases could have been preventable. Maternal death is the result of a multifactorial process in which structural elements such as the economic system, environmental conditions, and culture interact. Other factors related to social inequality are also present, such as racism, poverty, gender inequality, and lack of access to the education system. The current situation calls for urgent mobilization of the health systems of LAC countries in order to strengthen efforts to combat maternal mortality, especially in countries that are still far from achieving the SHAA2030 regional target. For this reason, a preventive, health-promoting, life-course-based approach is needed, with models of care centered on women, families, and the community Scientific evidence shows that health systems with a solid foundation in primary health care (PHC) achieve better outcomes, greater equity, and reduced health expenditures. To address this, PAHO proposes a strategy, aimed primarily at women who are in the most vulnerable situation, who are the ones who represent the greatest burden of maternal mortality, to accelerate the reduction of maternal mortality in the Region of the Americas, based on the expansion and strengthening of PHC.
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En el año 2020 se registró una muerte materna cada hora en América Latina y el Caribe (ALC). Ese mismo año, la tendencia de la razón de mortalidad materna (RMM) en la Región de las Américas retrocedió de manera alarmante e inaudita a los niveles de hace veinte años. Estas cifras no solo imp...lican un empeoramiento en los resultados, sino una profundización de las desigualdades, lo que representa miles de tragedias individuales e inaceptables que en la mayoría de los casos serían evitables. La muerte materna es el resultado de un proceso multifactorial donde interactúan elementos estructurales como el sistema económico, las condiciones ambientales y la cultura. Además, intervienen otros factores relativos a la desigualdad social, como el racismo, la pobreza, la desigualdad de género y la falta de acceso al sistema educativo
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En el año 2020 se registró una muerte materna cada hora en América Latina y el Caribe (ALC). Ese mismo año, la tendencia de la razón de mortalidad materna (RMM) en la Región de las Américas retrocedió de manera alarmante e inaudita a los niveles de hace veinte años. Estas cifras no solo imp...lican un empeoramiento en los resultados, sino una profundización de las desigualdades, lo que representa miles de tragedias individuales e inaceptables que en la mayoría de los casos serían evitables. La muerte materna es el resultado de un proceso multifactorial donde interactúan elementos estructurales como el sistema económico, las condiciones ambientales y la cultura. Además, intervienen otros factores relativos a la desigualdad social, como el racismo, la pobreza, la desigualdad de género y la falta de acceso al sistema educativo
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A health professional's guide to pregnancy and childbirth. Online learning programme
Handbook on pregnancy, childbirth, childhood illnesses, child development and the care of children. The handbook, Facts for Life, provides vital messages and information for mothers, fathers, other family members and caregivers and communities to use in changing behaviours and practices that can sav...e and protect the lives of children and help them grow and develop to their full potential.
This version of Facts for Life builds on the three previous editions, which have been helping families and communities around the world since 1989. Newborn Health has been added to the Safe Motherhood chapter, giving attention to child survival from the first stage of life. A new chapter, Child Protection, has been included, focusing attention on the actions needed to ensure children grow up in protective environments.
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Sexual and Reproductive Health
Too few physicians are equipped with the knowledge and skills needed to repair genital fistulae and care for patients following surgery. Most procedures are performed in Africa and Asia by local physicians, with technical support from surgeons from developed countries where these fistulae are rarely... seen. It would take many years for all the physicians presently able to treat genital fistulae to operate on all the women who need their expertise today, and the number of women who need their expertise increases daily. Although the need for physicians trained in fistula repair has long been recognised, no standard training manual has existed so far. This manual was designed to help meet this need.
This manual was produced with the collaboration of fistula surgeons, professional organizations and specialist health organisations from all over Africa, Asia, Europe and the USA.
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Training Programme for Health Professionals
A Training Course for Service Providers
A Training Course for Service Providers
A Supplement to the obstetrical fistula counseling curriculum
This guide supports the low-dose, high-frequency practice of scenerios needed to maintain competency in prevention and management of postpartum hemorrhage. The document is learner centered and is directly linked to service delivery standards. It is part of the Helping Mothers Survive Bleeding After ...Birth training package.
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Fistula Care's implementing partner in Ethiopia, IntraHealth, has developed materials to train health workers on obstetric fistula prevention, identification, and pre-repair care. The course contains a participant handbook (PDF, 604 KB), a facilitator manual (PDF, 1.3 MB), ten modules, a variety of ...visual aids, and supplementary handouts
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Fistula Care's implementing partner in Ethiopia, IntraHealth, has developed materials to train health workers on obstetric fistula prevention, identification, and pre-repair care. The course contains a participant handbook (PDF, 604 KB), a facilitator manual (PDF, 1.3 MB), ten modules, a variety of ...visual aids, and supplementary handouts
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