Strengthening regional governance and the health care network in small municipalities in Brazil

The objective of this article is to systematize the experience and identify the challenges and lessons learned in the implementation of the model for strengthening regional governance and organizing the health care network (HCN) in a region of Brazil composed of these municipalities, which present low technical and budgetary capacity, in addition to various fragilities related to the organization of the HCN.

Using mixed methods to understand and tackle barriers to accessing health services

This report describes the experience and lessons learnt from designing and implementing a combined quantitative and qualitative method to assess barriers to accessing health services. This approach was developed to study barriers to access in five dimensions: availability; geographical, financial, and organizational accessibility; acceptability; contact; and effective coverage. The study design was used in six countries in the World Health Organization Region of the Americas.

A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study

The objective of this article was to provide a consensus-based short list of effective indicators to measure health system responsiveness to the needs of older adults which would be relevant to informing public policy. An e-Delphi study was done with no direct interaction between respondents. Virtual surveys were sent to 141 participants with experience in analysis and monitoring of health indicators, management of health systems, and health care of older adults. A baseline list of 24 previously published indicators was used.

Trend in inequities in homicides in Mexico, 2000–2021: longitudinal ecological study

Objective

To document trends in inequity in homicide rates in Mexico for the period 2000–2021, at the state and national levels.

Methods

An observational, longitudinal ecological study was conducted in which standardized homicide mortality rates were estimated, by municipality and sex. Municipalities were classified in five groups, according to the Social Lag Index. The absolute inequality gap was obtained, as well as differences between groups with very high and very low social lag, for each year of the study period.

World Breastfeeding Week

The mission of the Pan American Journal of Public Health is to serve as an important vehicle for disseminating scientific public health information relevant to the Region of the Americas. The journal aims to strengthen national and local health systems and to bridge the gap between health care and policy-makers, ultimately improving the health of the peoples of the Americas.

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