Health research in Honduras: a decade of transformations, challenges, and sustainable institutional strengthening

Honduras has historically faced significant limitations to scientific development, with research spending below 0.1% of the gross domestic product and a university system focused almost exclusively on teaching. However, between 2007 and 2012, the Teasdale-Corti project (a joint undertaking of Canada and Honduras) marked a turning point by establishing the first academic master’s degree in infectious and zoonotic diseases, a biomedical research laboratory, an ethics committee, and biosafety training programs.

Tracking the health of Puerto Rican youth through their physical activity, fitness, nutrition and self-efficacy

Objectives

Physical activity, fitness and nutrition influence health trajectories from childhood to adulthood and are linked to the risk of chronic diseases. Despite the urgency of prevention, there is a lack of longitudinal data about these health indicators among children in Puerto Rico. This 3-year study (2013–2016) followed 46 children from ages 7 to 9 years to assess their physical activity, fitness, nutrition and self-efficacy over time, and to explore the interrelationships among these indicators. 

Comparación de impuestos como porcentaje del precio de las bebidas azucaradas en América Latina y el Caribe

Objetivo

Los impuestos selectivos al consumo pueden utilizarse para reducir el consumo de bebidas azucaradas, un importante factor de riesgo prevenible de las enfermedades no transmisibles. El objetivo de este estudio es comparar nuevos indicadores estandarizados del nivel de impuestos aplicados a las bebidas azucaradas como porcentaje del precio en las distintas categorías de bebidas en América Latina y el Caribe. 

Implementing the HEARTS Initiative in Mendoza, Argentina: A multi-level, staged approach to improving hypertension control in the public health system

Objective

To describe HEARTS Initiative implementation in Mendoza, Argentina, focusing on governance, adaptations, and lessons from scaling a standardized hypertension care model across the provincial public health system. 

Factors associated with cardiometabolic disease screening in older adults in the Peruvian Amazon

Objective

To analyze the factors associated with access to cardiometabolic disease screening in older adults in the Peruvian Amazon. 

Method

A secondary analysis study using data from 310 older adults in the AMAZON FRAIL study. Sociodemographic, social, functional, and clinical variables were evaluated using bivariate analysis and Poisson regression. 

Is malaria elimination in the Amazon rainforest feasible? The case of Suriname

This opinion paper summarizes the strategy applied toward malaria elimination in Suriname and highlights its relevance and feasibility for implementation in similar Amazon rainforest settings. The country implemented a strategy in both stable and nonstable communities, which included robust surveillance, maximizing access to early diagnosis and treatment, retreatment strategies, and ample distribution of insecticide-treated nets. Decades of sustained community engagement further contributed to the sustainability of these efforts.

Informing ICD-11 implementation: applying systems thinking to assess mortality information systems in Ecuador and Trinidad and Tobago

Objectives

To assess challenges and opportunities within the mortality information systems of Ecuador and Trinidad and Tobago to support the implementation of the International Classification of Diseases, 11th revision (ICD-11) coding system. 

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