Vacunación en México: coberturas imprecisas y deficiencia en el seguimiento de los niños que no completan el esquema

Hernández-Ávila, Mauricio; Palacio-Mejía, Lina Sofía; Hernández-Ávila, Juan Eugenio; Charvel, Sofía

doi:10.21149/10682

Cited by 13 publications

(7 citation statements)

References 5 publications

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“…These declining trends are alarming and mirror the overall underperformance of the national vaccination plan of the public healthcare sector in Mexico. 33 Access to vaccines and contraceptives is intended to be universal in Mexico and not tied to social security affiliations. However, we found disruptions in the provision of these services that surpassed the predicted trends.…”

Section: Discussionmentioning

confidence: 99%

Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data

et al. 2021

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IntroductionThe COVID-19 pandemic has disrupted health systems around the world. The objectives of this study are to estimate the overall effect of the pandemic on essential health service use and outcomes in Mexico, describe observed and predicted trends in services over 24 months, and to estimate the number of visits lost through December 2020.MethodsWe used health information system data for January 2019 to December 2020 from the Mexican Institute of Social Security (IMSS), which provides health services for more than half of Mexico’s population—65 million people. Our analysis includes nine indicators of service use and three outcome indicators for reproductive, maternal and child health and non-communicable disease services. We used an interrupted time series design and linear generalised estimating equation models to estimate the change in service use and outcomes from April to December 2020. Estimates were expressed using average marginal effects on the risk ratio scale.ResultsThe study found that across nine health services, an estimated 8.74 million patient visits were lost in Mexico. This included a decline of over two thirds for breast and cervical cancer screenings (79% and 68%, respectively), over half for sick child visits and female contraceptive services, approximately one-third for childhood vaccinations, diabetes, hypertension and antenatal care consultations, and a decline of 10% for deliveries performed at IMSS. In terms of patient outcomes, the proportion of patients with diabetes and hypertension with controlled conditions declined by 22% and 17%, respectively. Caesarean section rate did not change.ConclusionSignificant disruptions in health services show that the pandemic has strained the resilience of the Mexican health system and calls for urgent efforts to resume essential services and plan for catching up on missed preventive care even as the COVID-19 crisis continues in Mexico.

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Section: Discussionmentioning

confidence: 99%

Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data

et al. 2021

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“…En este sentido Hernández Ávila y colaboradores afirman que se debe reflexionar sobre la paradoja del subregistro y su incidencia en los resultados de la mortalidad (18) . Las regiones con mayor vulnerabilidad social tienden a presentar mayores tasas mortalidad, y, a su vez, tienden a tener menor calidad en el reporte de las estadísticas vitales.…”

Section: Discussionunclassified

Tendencias en la mortalidad materna en el departamento de Córdoba – Colombia, 2008 – 2020

Lafont¹,

Martínez²

2023

Enf Global

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Introduction: Maternal mortality is recognized worldwide as a public health issue, a situation that has been addressed by the United Nations (UN) including its reduction within the third objective of sustainable development. Likewise, the World Health Organization (WHO) and the Pan American Health Organization (PAHO) have been in charge of establishing programs focusing on promoting and improving maternal health.Objective: Analyze the evolution of maternal mortality in the department of Córdoba - Colombia in the period 2008 to 2020 and identify changes in the trend.Method: Ecological with retrospective information. The maternal mortality ratio was calculated for the department of Córdoba and for Colombia for the period 2008 - 2020. Using joinpoint regression, the Annual Percentage Change (APC) of the ratio was estimated and inflection points were identified.Results: The results of the study show two periods with an increasing trend for the department of Córdoba: the first between 2008 and 2010 with a PCA of 8.3 (95% CI: -71.3 – 462.6) and the second between 2018 and 2020 with a APC of 20.8 (CI95% -63.3 – 297.3). However, the p value in both time periods is not statistically significant.Conclusions: The MMR in the department of Córdoba presents a fluctuating behavior with large increases and sudden decreases that suggest deficiencies in the recording of information and in the notification of the event. Introducción: La mortalidad materna es reconocida globalmente como un problema de salud pública, situación que ha sido abordada por la Organización de Naciones Unidas (ONU) incluyendo su reducción dentro del tercer Objetivo de Desarrollo Sostenible. Así mismo, la Organización Mundial de la Salud (OMS) y la Organización Panamericana de la Salud (OPS) se han ocupado de instaurar programas encaminados a promover y mejorar la salud materna.Objetivo: Analizar la evolución de la mortalidad materna en el departamento de Córdoba – Colombia en el periodo 2008 a 2020 e identificar los cambios en la tendencia.Método: Ecológico con información retrospectiva. Se calculó la razón de mortalidad materna para el departamento de Córdoba y para Colombia para el periodo 2008 - 2020. Mediante la regresión joinpoint se estimó el Porcentaje de Cambio Anual (PCA) de la razón y se identificaron puntos de inflexión.Resultados: Los resultados del estudio evidencian para el departamento de Córdoba dos periodos con tendencia creciente: el primero entre el 2008 y 2010 con un PCA de 8,3 (IC95%: -71,3 – 462,6) y el segundo 2018 y 2020 con un PCA de 20,8 (IC95% -63,3 – 297,3). Sin embargo, el valor de p en ambos periodos de tiempo no resulta estadísticamente significativo.Conclusiones: La RMM en el departamento de Córdoba presenta un comportamiento fluctuante con grandes aumentos y repentinos descensos que sugieren deficiencias en el registro de la información y en la notificación del evento.

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“…39 Finally, if HPV were to be confirmed as an etiologic agent for OSSN, HPV vaccination could substantially reduce the incidence of the disease; unfortunately, recent analyses suggest that HPV vaccination is decreasing in Mexico, which could affect the incidence of all HPV-related cancers. 40…”

Section: Discussionmentioning

confidence: 99%

Association of high-risk human papillomavirus with ocular surface squamous neoplasia: a case-control study in Mexico

et al. 2022

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Objective. To investigate the association of high-risk human papilloma virus (HR-HPV) and other risk factors with ocular surface squamous cell neoplasia (OSSN). Materials and methods. We obtained DNA from 22 fresh frozen OSSN tissues and 22 pterygia as controls, we used a broad-spectrum HPV DNA amplification short PCR fragment to identify HPV infection in all specimens and then genotyped HPV by a reverse hybridization line probe assay. We also obtained demographic, sun exposure, and tobacco consumption information. Results. HR-HPV frequency was 40.9% in the OSSN group and 4.5% in the pterygia group (p=0.009). After covariate adjustment, OSSN was associated with HR-HPV (OR=16.3, 95%CI=1.2,218.1, p=0.03) and sunburn (OR=10.8, 95%CI=1.8,86.0, p=0.02). Conclusions. Ocular surface squamous cell neoplasia is a multifactorial disease. The strong association between HR-HPV and OSSN, suggests that HR-HPV could play an etiological role in OSSN development.

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Vacunación en México: coberturas imprecisas y deficiencia en el seguimiento de los niños que no completan el esquema

Cited by 13 publications

References 5 publications

Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data

Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data

Tendencias en la mortalidad materna en el departamento de Córdoba – Colombia, 2008 – 2020

Association of high-risk human papillomavirus with ocular surface squamous neoplasia: a case-control study in Mexico

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