Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review

Objective

To provide an overview of hospital-based health technology assessment (HB-HTA) activities in Latin America and the Caribbean, including the technologies assessed, resources utilized, evaluation methods employed, and challenges encountered. 

Methods

A scoping review focused on HB-HTA using frameworks from the Joanna Briggs Institute was conducted across databases and gray literature. 

Development of an agenda for research and action on climate change and health in the Caribbean

This paper delineates the development of the Caribbean Research for Action Agenda which aims to empower Caribbean Small Island Developing States to reduce their vulnerabilities to the effects of climate change on health. The Caribbean Research for Action Agenda emerged from collaboration between nongovernmental organizations, academic institutions, and multilateral agencies that organized a conference on climate change and health in the Caribbean.

Pharmacovigilance of COVID-19 vaccines in Brazil: actions taken, lessons learned, and next steps

Objective

To document the actions taken by Brazil's National Immunization Program for the pharmacovigilance of COVID-19 vaccines. 

Methods

Documentary research on the period 2020 to 2023. Documentary sources from the national Ministry of Health during COVID-19 vaccination were used to analyze and interpret the actions taken. The analysis was split into two stages: preparation and operationalization. The publications were organized according to title, date of publication, description, and URL. 

Reasons for organ and tissue donation refusal and opposition: a scoping review

Objective

To map the reasons why individuals oppose or refuse organ and tissue donation, from an international perspective.

Methods

A scoping review was conducted from May 2022 to February 2024 using a three-stage search strategy across five databases and Google Scholar. Data analysis involved categorizing information based on similarities and populations studied. 

Regulation and performance of health systems: a review of analytic frameworks

The private health sector has expanded significantly in recent decades, both in Latin America and other regions. Governments and international organizations have dealt with this process in a heterogeneous manner. A policy approach and, above all, a regulatory framework, are required in order to put health objectives and the right to health above the profit motive that drives private sector participation. This paper reviews frameworks for analyzing the performance of health systems and the regulation of financing and service provision, primarily (but not exclusively) in the private sector.

Dengue lethality and inequalities in the Region of the Americas between 2014 and 2023

Objective

Evaluate the differences in the dengue case fatality rate among the different subregions of the Americas in the period 2014-2023 and explore their relationship with the human development index (HDI) in each subregion. 

Methods

Longitudinal ecological study based on open-access data from each country, grouped into the corresponding subregions to calculate the different indicators. In addition, a linear regression was performed between the mean case fatality rate in each region and the weighted regional HDI. 

The role of regulatory agencies within health systems during emergencies in Brazil

The performance of health systems is related to ensuring the right to health, an important component of human rights that includes the right to health protection. Regulatory action by the state aims to reduce risks to health and thus help improve health system performance, particularly with respect to the principles of comprehensiveness and equity.

Embracing open data for Caribbean health

[EXTRACT] As the Caribbean faces an evolving health landscape along with other regional challenges, the importance of reliable, accessible and interconnected data has never been more evident. This special issue of the Pan American Journal of Public Health/Revista Panamericana de Salud Pública focusing on Open Data for Caribbean Health explores the potential of open data to enhance public health outcomes and imagine how it can foster collaboration and build resilience within communities.

Elimination of measles and rubella in the Americas

The Region of the Americas was the first in the world to reach the elimination target for rubella and congenital rubella syndrome in 2015, and measles in 2016. However, the verification process has had a history full of challenges and lessons learned. This special issue brings together the experiences of countries in the Americas throughout the elimination and post-elimination period of measles, rubella, and congenital rubella syndrome between 2013 and 2024.

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