Observaciones ulteriores de la malaria en Ceilán
Ulterior findings on the malaria in Ceylon
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Observaciones ulteriores de la malaria en Ceilán. (1969). [Journal articles]. https://iris.paho.org/handle/10665.2/11018
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1969
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Item Investigations of socioeconomic factors associated with follow-up compliance with malaria treatment in Haiti(2021)[ABSTRACT]. Objective. To identify factors affecting compliance with follow-up during treatment in confirmed malaria patients at two health centers in Haiti. Methods. A prospective observational study of malaria patients undergoing treatment over a six-week period. Patients’ return visits (follow-up visits) to the health centers for consultation in accordance with the physicians’ requests were recorded and used to determine compliance. Socioeconomic data were obtained from patient enrollment questionnaires and through post-treatment interviews. The management practices and procedures at the health centers to retain patients were also reviewed. Descriptive statistics and Spearman’s rank correlation were used to identify significant factors, which were used as variables in a logistic regression model. Results. Sixty-eight percent of the malaria patients completed follow-up, with higher compliance being recorded in the larger, more established health center of Leogane (67%) than Cite Soleil (33%). The patient socioeconomic profiles differed between the two health center locations by level of education, religious diversity, household size, and percentage of married individuals. Crude logistic regression analyses identified health center location (OR = 0.179 [95% CI 0.064, 0.504]) and household size (OR = 1.374 [95% CI 1.056, 1.787]) to be associated with compliance. The adjusted model only identified health center location (OR = 0.226 [95% CI 0.056, 0.918]) as significantly associated with compliance. Conclusion. Although patients’ household size may be important according to the crude logistic regression analysis, in the adjusted analysis the site location of the health center where patients receive treatment was identified as the only important factor associated with follow-up compliance in malaria patients during treatment in Haiti. This information might be helpful to improve treatment outcomes and contribute to the monitoring of antimalarial resistance in Haiti.Item Determinación y determinantes sociales de la malaria: revisión sistemática, 1980-2018(2019)[RESUMEN]. Objetivo. Describir cómo se ha aplicado el enfoque de la determinación social de la salud en los estudios sobre malaria en el mundo. Métodos. Revisión sistemática de los estudios originales publicados entre 1980 y 2018. Se emplearon seis estrategias de búsqueda en diez bases de datos multidisciplinarias, y en las bibliotecas y los repositorios de siete universidades de Brasil, Colombia, Ecuador y Perú. Se siguió la guía PRISMA; la calidad metodológica se evaluó según los criterios de STROBE y se realizó la síntesis cualitativa de los resultados. Resultados. Diez estudios publicados entre 1984 y 2017 cumplieron con los criterios de inclusión y exclusión preestablecidos; se identificaron 33 determinantes sociales de la malaria. De los determinantes individuales se halló mayor riesgo de malaria en adultos, personas con hábitos nocturnos y sin prácticas preventivas; de los intermedios, fueron las viviendas con mala infraestructura física y sanitaria, hacinamiento, ubicadas en áreas boscosas y con animales. De los socioeconómicos, el mayor riesgo correspondió a personas con actividades agroforestales, migrantes, y con bajos ingresos y escolaridad. La malaria ocasionó elevadas pérdidas económicas y generó pobreza y retardo educativo. Conclusión. No se hallaron estudios con los enfoques de la Medicina Social Latinoamericana ni que aplicaran el análisis jerárquico y multinivel para los determinantes individuales, intermedios y estructurales, de la Organización Mundial de la Salud. No se ha logrado avanzar en el análisis de categorías sociales —territorio, clase social, género, etnia, políticas macroeconómicas— u otras características socioeconómicas que determinan el riesgo de enfermar o morir de malaria.Item CSP27/9: Malaria in the Americas: Progress Report(PAHO, 2007)Item Malaria in the Americas(PAHO, 2007)