Health systems strengthening for noncommunicable disease control and healthy aging: integrated actions in Aruba and Curaçao

Caribbean countries are experiencing social, epidemiological, and demographic transitions shaped by the growing elderly population and the rise of noncommunicable diseases (NCDs)—now responsible for 78% of all deaths. These  circumstances demand rethinking the model of care to improve health outcomes and build more sustainable health systems with new orientations in policy, service delivery, organization, training, technology, and financing. Policy must be aimed towards healthy living, leveraging interventions that ensure healthy aging.

Co-circulation of dengue, chikungunya, and Zika viruses in Colombia from 2008 to 2018

Objective.

This study aimed to identify the co-circulation patterns of three viruses (dengue, Zika, and chikungunya) in Colombia from 2008 to 2018 by using notification reports provided to the national surveillance system.

Methods.

This cross-sectional study was conducted through a review of data for 2008 through 2018 from Colombia’s Public Health Surveillance System (SIVIGILA).

Enhanced vector surveillance to control arbovirus epidemics in Colombia

In the wake of the Zika epidemic, there has been intensified interest in the surveillance and control of the arbovirus vectors Aedes aegypti and Aedes albopictus, yet many existing surveillance systems could benefit from improvements. Vector control programs are often directed by national governments, but are carried out at the local level, resulting in the discounting of spatial heterogeneities in ecology and epidemiology.

Out-of-pocket expenditures for HIV in the Dominican Republic: findings from a community-based participatory survey

Objectives.

The aim of this study was to estimate out-of-pocket expenditures incurred by individuals with HIV in the Dominican Republic. The study utilized different definitions and components for these expenditures and differentiated the results by wage ranges.

Methods.

Data was obtained from an in-person survey of people living with HIV. The study was developed and implemented in collaboration with Dominican grassroots organizations and networks of people with HIV, through a process of community-based participatory research.

Evolution of health research to reshape national health agendas

Research for health is the linchpin of effective and efficient health systems. A broad range of research methods is required to improve public health and equity, and to understand the economics and mechanics of health systems. As access to scientific knowledge mushroomed in recent decades, expectations for the adoption of that knowledge for better health also grew. Societies now expect decisions to be informed by the best knowledge, but the organisation and management of the research enterprise remain inadequate.

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