Intra- and after-action reviews of public health emergencies: report of the Brazilian experience and achievements, 2023 to 2025

Intra and after action reviews (IARs and AARs) are essential for the management of public health emergencies. This article reports on the experience of developing an IAR and AAR method by the Ministry of Health in Brazil, highlighting its conceptual and organizational foundations and its application in different public health emergency contexts from 2023 to 2025, a period during which 10 evaluations were conducted nationwide.

Ageism in health care and suicide risk in older adults: a challenge for public health in Latin America

Older people have the highest suicide rates in several countries in Latin America and the Caribbean. However, policies and prevention strategies continue to neglect social and structural factors specific to aging. In this context, ageism in health care acts as a critical barrier that affects access to and the quality and relevance of mental health care and influences the risk of suicide in old age. This article aims to analyze ageism in health as a critical social determinant of suicide risk among older adults in Latin America.

The role of regulatory policies on unhealthy commodities to prevent and control noncommunicable diseases in the Americas

The growing burden of noncommunicable diseases (NCDs) cannot be addressed through clinical interventions alone. Population-level regulatory interventions—such as fiscal measures, marketing restrictions, and labeling regulations—are central to effective NCD prevention and control. This article addresses the role of regulatory policies in preventing NCDs, with a focus on progress and implementation gaps in the Americas.

Spatiotemporal trends in and challenges of addressing tuberculosis in Brazil before and after the COVID-19 pandemic, 2001–2023

Objective

To identify spatiotemporal patterns and clusters of tuberculosis (TB) in Brazil between 2001 and 2023, assess the impact of the COVID-19 pandemic on TB trends, and provide recommendations for targeted interventions. 

Barriers and opportunities in implementing adolescent sexual and reproductive health interventions in rural Guatemala: an exploratory descriptive study

Objective

To explore barriers and opportunities in implementing adolescent sexual and reproductive health interventions in four rural Indigenous communities in Alta Verapaz, Guatemala. 

Methods

An exploratory descriptive qualitative study was conducted using stakeholder mapping and a reflexive thematic approach. Data were collected through 20 semistructured interviews with key stakeholders involved in adolescent sexual and reproductive health programming. 

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