The HIV epidemic in Jamaica: a need to strengthen the National HIV Program

Objectives.

To assess the status of the HIV epidemic and programmatic implementation in Jamaica while identifying strategies for achieving effective HIV control.

Methods.

The assessment included a review of the core indicators of the UNAIDS Global Monitoring Framework, a desk review of program reports, and unstructured interviews of stakeholders.

Antimicrobial resistance: time for action

The year 2020 will be remembered for the SARS-CoV-2 coronavirus pandemic, responsible for more than 10 million cases and more than 500 000 deaths in the first half of the year alone, and receiving unprecedented political and social attention. This global public health crisis should draw attention to other silent epidemics, such as antimicrobial resistance (AMR), responsible for 700 000 annual deaths worldwide, 230 000 of them from multi-drug-resistant tuberculosis.2 In the Region of the Americas, multidrug-resistant microorganisms are the leading cause of health care-associated infections.

Microcephaly and central nervous system findings associated with congenital Zika virus and other infectious etiologies in the state of Rio de Janeiro: crosssectional study, 2015 a 2017

Objective.

To describe the clinical and epidemiological profile of cases with confirmed microcephaly or central
nervous system (CNS) findings associated with congenital Zika virus infection and other infectious etiologies in the state of Rio de Janeiro, Brazil, from November 2015 to July 2017.

Life expectancy, death, and disability in Haiti, 1990- 2017: a systematic analysis from the Global Burden of Disease Study 2017

Objective.

To investigate the magnitude and distribution of the main causes of death, disability, and risk factors
in Haiti.

Methods.

We conducted an ecological analysis, using data estimated from the Global Burden of Disease Study 2017 for the period 1990-2017, to present life expectancy (LE), healthy life expectancy (HALE) at under 1-year-old, cause-specific deaths, years of life lost (YLLs), years lived with disability (YLDs), disability adjusted life-years (DALYs), and risk factors associated with DALYs.

Better nutrition, better lives: Countries’ positioning to fight all forms of malnutrition

Objective.

To identify how countries have positioned themselves to fight against all forms of malnutrition.

Methods.

Qualitative, exploratory, and descriptive study of the statements of 91 out of the 127 (71.7%) countries that issued declarations in the Second International Conference on Nutrition.

Infant mortality and social inequalities in Argentina, 1980-2017

Objective.

To estimate the trend in infant mortality, inequality between jurisdictions, and inequality associated with social conditions in Argentina between 1980 and 2017.

Methods.

An ecological and time-series study of infant mortality and inequality. Official data on infant mortality, births, and unmet basic needs were obtained; the infant mortality rate, the Gini index, and the concentration index were calculated. The trend was also analyzed with a linear regression model and the regression coefficient and its statistical significance were calculated.

Leadership and strategic management in health systems based on primary health care

Objectives.

To identify and analyze various types of leadership and management that could contribute to the strengthening of health systems based on primary health care (PHC).

Methods.

A structured review of the literature on management and leadership applicable to PHC-based health systems was conducted. Of the 19 articles identified, relevant details were extracted using a standardized methodology.

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