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This technical note summarizes the consolidated guidelines and adapts them to the context of Latin America and the ..., in order to adequately monitor the number of people on ART. For this purpose, guidance is presented on the indicators and the methodology to know more precisely the number of people who are in ART. more
This document compiles the recommendations made by the World Health Organization (WHO) and the Pan American Health Organization (PAHO) to help prof... more
In Latin America and the Caribbean (LAC), one maternal death was registered every hour in 2020. That same year, the trend in ... 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 worsening 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. more
All countries in the Latin American and Caribbean (LAC) region are expected to report on these indicators for the year 2020.
All countries in the Latin American and Caribbean (LAC) region are expected to report on these indicators for the year 2022.
This paper summarizes the findings for the Latin American and Caribbean countries of the WPA Tas... more
This Rapid Gender Analysis provides preliminary information and observations on the different needs, capacities and coping strategies of Venezuelan migrant and refugee women, men, boys, and girls in Colombia. It seeks to understand how gender roles ... more

HIV prevention in the Spotlight

M. Alonso González; J. Hourcade Bellocq; M. B. Mello; et al. Pan American Health Organization; World Health Organization (Americas); UNAIDS (2017) C_WHO
An analysis from the perspective of the health sector in Latin America and the Caribbean Wash... more
A case study from Albania June 2016 EHRN is grateful to all who contributed to this document, especially (in alphabetical order): Alena Alba, Program Officer, Eastern Europe and Central Asia Team, Asia, Europe, Latin America and the ... Department, The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva; Roland Bani, Head, National AIDS Program, Institute of Public Health, Ministry of Health, Tirana; Gazmend Bejtja, Director, Health Care Directory, Ministry of Health, Tirana; Arian Boci, Director, Stop AIDS, Tirana; Bujana Hoti, UNAIDS Focal Point, Tirana; Gyöngyvér Jakab, Fund Portfolio Manager, Eastern Europe and Central Asia, Asia, Europe, Latin America and the Caribbean Department, The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva; Manjola Kola, CCM Secretariat, Tirana; Sokol Morina, Coordinator, Control of illicit Drugs and Alcohol Addiction, Ministry of Health, Tirana; Genci Muçollari, Director, Aksion Plus, Tirana; and Dorina Tocaj, National Program Officer, UNFPA, Tirana. more
N Engl J Med. 2016 Jan 13. [Epub ahead of print] Free full text The explosive pandemic of Zika virus infection occurring throughout South America, Central America, and the ... (see map) and potentially threatening the United States is the most recent of four unexpected arrivals of important arthropod-borne viral diseases in the Western Hemisphere over the past 20 years. It follows dengue, which entered this hemisphere stealthily over decades and then more aggressively in the 1990s; West Nile virus, which emerged in 1999; and chikungunya, which emerged in 2013. Are the successive migrations of these viruses unrelated, or do they reflect important new patterns of disease emergence? more
The objective of this concept note and the framework it outlines is the elimination of a group of CDs and ... negative health effects they generate, which together create a tangible burden on affected individuals, their families and communities, and on health care systems throughout the Region. Though there is no unified consensus on the best measures to use for the public’s health and a nation’s epidemiologic situation, it is common for the disease burden to be measured by disease rates (incidence, prevalence, etc.), disease-specific death rates, comparative morbidity and mortality rates, geographic distribution, and disability-adjusted life years (DALYs). The current epidemiological situation, including data on disease rates or geographic distribution for the diseases in Table 1, is discussed below in Section 4. Hotez et al. (2008) were the first to review and compare the burden of DALYs in Latin America and the Caribbean—for NTDs, HIV/AIDS, malaria, and TB—as it existed about 10 years ago. Though the regional burden of TB, malaria, and neglected infectious diseases (NIDs) is somewhat less than it was 10 years ago, work (and schooling) continue to be lost to illness and premature death or disability, and the need for stepping up disease elimination efforts is evident in all communities living in vulnerable conditions.... more

Sesame Street: if the mosquito can't bite you, bye-bye Zika! PSA 1

Sesame Workshop Unicef, Pan American Health Organization PAHO; World Health Organization, Regional Office for the Americas (2016)
Sesame Street Muppets Elmo and Raya are taking on the Zika virus, helping to raise awareness and share critical information to reduce the spread of the... more

Sesame Street: if the mosquito can't bite you, bye-bye Zika! PSA 2

Sesame Workshop Unicef, Pan American Health Organization PAHO; World Health Organization, Regional Office for the Americas (2016)
Sesame Street Muppets Elmo and Raya are taking on the Zika virus, helping to raise awareness and share critical information to reduce the spread of the... more
Version dated April 1st, 2020. The flow of migrants and refugees from Venezuela constitutes the largest mobilization of people in the history of L... more

Handbook for Disaster Assessment

Laura Ortíz, Omar D. Bello, Liudmila Ortega et al. Economic Commission for Latin America and the Caribbean (ECLAC), (2014)
This handbook reflects and updates the work that ECLAC has done in recent decades to establish a methodology for estimating the economic consequences of a disaster, and thus determine ... financing required to rebuild and return the affected area to normal. The handbook's third edition strengthens procedures for estimating the effects of disasters, for distinguishing between losses and additional costs and systematizing the links that exist between different sectors of the economy more
Message: The islands of The Bahamas and Haiti suffered severe impact from the passage of Hurricane Matthew, ... 5th named Hurricane of the 2016 Atlantic Hurricane season. As a result, the Caribbean Disaster Emergency Management Agency (CDEMA) through the Regional Response Mechanism (RRM) facilitated the coordination and deployment of regional specialized response teams to provide operational support and damage/needs assessments in the most affected areas in Haiti and The Bahamas. The Caribbean Community will also make targeted relief interventions in the affected Member States. more

After Maria: Everyday Recovery from Disaster

Gemma Sou and John Cei Douglas The University of Manchester, Manchester, U.K (2019) C3
In 2017 Hurricane Maria devastated the Caribbean island of Puerto Rico. “After Maria” is based on a one-year ethnographic research project about how 16 low-income Puerto Rican families were affe... more

Regional monitoring strategy

Alonso González, Mónica Pan American Health Organization (Regional Office of the World Health Organization); Unicef, et al. (2010) C_WHO
Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean
Ethnic disparities in COVID-19 persist, with increased rates of infection, severe disease, and death among people from minority ethnic groups. COVID-19 vaccination rates also remain lowest in these communities compared with white people in the UK. A... more
A new reportshows that people in some 25 countries are set to face devasting levels of hunger in coming months due to the fallout from the COVID-19 pandemic. While ... greatest concentration of need is in Africa, countries in Latin America and the Caribbean, and in the Middle East and Asia – including middle-income countries - are also being ravaged by crippling levels of food insecurity more