Geopolitical Importance of the Darien Gap in the Colombian Post-conflict Context

Bedoya, Juan Camilo Mesa; Parías, Carlos Hernán Gonzalez; Praj, Dusan

doi:10.31469/escenarios.v6n7a5

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…All communities are ethnically Guna, apart from two communities in the corregimiento of Puerto Obaldía, which identify culturally as Latino [ 18 ]. Puerto Obaldía borders Colombia and is one of the main crossing points for migrants heading north [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

Malaria surveillance and case management in remote and indigenous communities of Panama: results from a community-based health worker pilot

Bhavnani

Espinosa

Baird

et al. 2022

Malar J

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Background Panama is one of eight countries in Mesoamerica that aims to eliminate malaria by 2022. Malaria is concentrated in indigenous and remote regions like Guna Yala, a politically autonomous region where access to health services is limited and cases are predominately detected through intermittent active surveillance. To improve routine access to care, a joint effort was made by Guna Yala authorities and the Ministry of Health to pilot a network of community health workers (CHWs) equipped with rapid diagnostic tests and treatment. The impact of this pilot is described. Methods Access to care was measured using the proportion of villages targeted by the effort with active CHWs. Epidemiological impact was evaluated through standard surveillance and case management measures. Tests for differences in proportions or rates were used to compare measures prior to (October 2014-September 2016) and during the pilot (October 2016-September 2018). Results An active CHW was placed in 39 (95%) of 41 target communities. During the pilot, CHWs detected 61% of all reported cases from the region. Test positivity in the population tested by CHWs (22%) was higher than in those tested through active surveillance, both before (3.8%) and during the pilot (2.9%). From the pre-pilot to the pilot period, annual blood examination rates decreased (9.8 per 100 vs. 8.0 per 100), test positivity increased (4.2% to 8.5%, Χ2 = 126.3, p < 0.001) and reported incidence increased (4.1 cases per 1000 to 6.9 cases per 1000 [Incidence Rate Ratio = 1.83, 95% CI 1.52, 2.21]). The percent of cases tested on the day of symptom onset increased from 8 to 27% and those treated on the day of their test increased from 26 to 84%. Conclusions The CHW network allowed for replacement of routine active surveillance with strong passive case detection leading to more targeted and timely testing and treatment. The higher test positivity among those tested by CHWs compared to active surveillance suggests that they detected cases in a high-risk population that had not previously benefited from access to diagnosis and treatment. Surveillance data acquired through this CHW network can be used to better target active case detection to populations at highest risk.

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Section: Methodsmentioning

confidence: 99%

Malaria surveillance and case management in remote and indigenous communities of Panama: results from a community-based health worker pilot

Bhavnani

Espinosa

Baird

et al. 2022

Malar J

View full text Add to dashboard Cite

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Industria Astillera Bajo Presión: Sector emergente afectado por la fluctuación del dólar

Lizarazo-Orozco

2023

afb

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La industria astillera surge como necesidad por construir, mantener, modificar y abastecer a la industria marítima. Este sector ha sido clave, pero poco explotado, lo que ha llevado al gobierno nacional y local a la creación y ejecución de planes y estrategias de desarrollo para potencializarlo con el fin de generar mayores oportunidades al mismo y este sea esencial para el desarrollo del país. Sin embargo, existen varios factores externos que desestabilizan e interfieren en el desarrollo económico de la industria astillera, uno de ellos, la fluctuación del dólar. En este artículo se analiza a la industria astillera como sector emergente y el impacto de las fluctuaciones del dólar en el mismo, y así mismo conocer cuáles son algunos de los factores que desencadenan esas fluctuaciones en el dólar.

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Geopolitical Importance of the Darien Gap in the Colombian Post-conflict Context

Cited by 2 publications

References 8 publications

Malaria surveillance and case management in remote and indigenous communities of Panama: results from a community-based health worker pilot

Malaria surveillance and case management in remote and indigenous communities of Panama: results from a community-based health worker pilot

Industria Astillera Bajo Presión: Sector emergente afectado por la fluctuación del dólar

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