Migration of peruvan physicians to Spain, 2005-2009.

Sr. Editor. La migración de profesionales de la salud es un fenómeno que se ha dado siempre y que ahora, al poder ser cuantificado e incluido en la agenda de la política sanitaria actual, ha cobrado mayor relevancia. En el caso especial de los médicos, este flujo migratorio suele ser unidireccional, esto significa migrar desde un lugar con menor desarrollo socioeconómico a uno donde las condiciones son mejores (1). Esta situación genera un desafío para los sistemas de salud, ya que el reto es llevar a los profesionales de salud a los lugares con mayor necesidad (2).
Authors: Bernardini-Zambrini, Diego A.; García Gutierrez, José Francisco; Mayta Tristán, Percy
Source:  Rev. perú. med. exp. salud publica
URL: http://hdl.handle.net/10757/314454

Violence against medical doctors: an issue to consider in human resources for health.

Sr. Editor. El área de recursos humanos ha sido identificada como una de las prioridades de investigación en salud en Perú, sobre la base de un proceso participativo y descentralizado liderado por el Instituto Nacional de Salud (1). Adicionalmente, se cuenta con una agenda nacional, en cuya construcción se buscó identificar la temática más relevante y se propuso catorce grandes temas de investigación en el área de trabajo en salud. No obstante, los lineamientos publicados no incluyen de modo directo un factor importante como la violencia en el lugar de trabajo; teniendo en cuenta que, en la revisión realizada para efectos de dicha propuesta (categorizada como salud y seguridad de los trabajadores de salud) no se encuentran estudios desarrollados en Perú (2). Más aun, cuando a nivel global, se describe que alrededor del 25% de los casos de violencia en el trabajo suceden en el sector salud y uno de cada dos profesionales de salud es víctima de violencia (3), la cual puede provenir de los pacientes o familiares de estos, así como de los compañeros de trabajo.
Authors: Tuya-Figueroa, Ximena; Mezones Holguin, Edward
Source: Rev. perú. med. exp. salud publica
URL: http://hdl.handle.net/10757/314437

Empirical management of addictions in Peru.

Sr. Editor. Ha indignado a la sociedad la muerte de treinta pacientes en un centro de rehabilitación clandestino (1). Esta tragedia ha develado un grave problema de salud pública: nuestra incapacidad, como país, para el manejo responsable de las adicciones. El Estado y la sociedad peruana rehúyen el problema por prejuicios y tabúes, en lugar de implementar la ayuda médica necesaria. Existe una percepción banal de la adicción, valorada de manera moralista como un vicio y no como una enfermedad que requiere atención médica especializada de cobertura masiva. Actualmente, existe en el país más de un millón de adictos (2), la mayoría sin tratamiento.
Authors:Nizama-Vía, Ayar; Nizama-Valladolid, Martín
Source: Rev. perú. med. exp. salud publica
URL: http://hdl.handle.net/10757/314424

Consumption of chispitas® multimicronutrient supplements and anemia in 6 – 35-month-old children: cross-cut study in the context of a populational health intervention in Apurimac, Peru.

 Objectives. To assess the implementation of the Universal “Chispitas®” Multimicronutrient Supplement Program in Apurimac by determining the quantity and quality of sachets consumed and their connection with anemia, in 6 – 35-month-old children. Materials and methods. A crosscut study was conducted by using a multistage sample in 2010. Anemia was considered to be related to altitude-adjusted hemoglobin values below 110 g/L. The consumption of multimicronutrients was classified as follows: less than 30; 30 to 59, and 60 or more sachets. The quality of consumption was considered to be adequate when the mother indicated that the child ate all his food with the supplement. The rationale for prevalence (RPa) adjusted by Poisson regression was calculated. Results. 714 participants were included, 25.3% of which lived in poor houses and 59.2% in extreme poverty; 52.6% lived at over 3000 m of altitude. The prevalence of anemia was 51.3% (CI95%: 47.1-55.4%), 5.4% did not receive intervention; 60.3% consumed 60 or more sachets and 49.0% consumed them adequately. No association between the number of sachets received or consumed and anemia (p<0.05) was found. Children who consumed the supplement adequately showed lower prevalence of anemia than those who did not (RPa: 0.81; CI95%: 0.68-0.96) Conclusions. In order to reduce the prevalence of anemia, attention should not only focus on giving or consuming the necessary quantity of multimicronutrients, but also on ensuring that the consumption process is adequate, and work needs to be done in this area in order to improve this intervention.
Authors: Huamán-Espino, Lucio; Aparco, Juan Pablo; Nuñez-Robles, Eloisa; Gonzáles, Elena; Pillaca, Jenny; Mayta Tristán, Percy
Source: Rev. perú. med. exp. salud publica

URL: http://hdl.handle.net/10757/314345

Change in nutritional status over the course of antituberculosis treatment in current and past beneficiaries of the program PANTBC.

Objectives. Analyze the nutritional changes among current and old beneficiaries of the Food and Nutrition Program for Outpatients with Tuberculosis and their Family (PANTBC, Spanish acronym). Materials and methods. A secondary analysis was conducted based on the anthropometric measurements with the body mass index (BMI) in current and old beneficiaries of the PANTBC program. The measurements were taken at the baseline, second and fifth or sixth month, and the distribution of the nutritional status was analyzed at baseline as compared to the endpoint (McNemar-Bowker test). Results. Information about 409 current beneficiaries and 110 old beneficiaries were included. A progressive decline in low weight as well as an increase in overweight were observed in both current and old beneficiaries (IMC<18.5). The results of the third measurement showed that 57.7% of current beneficiaries who started with low weight ended up with normal weight, while 20.7% of those who started with normal weight ended up with overweight. The analysis of the nutritional status at baseline compared to the endpoint showed changes in distribution (p<0.05). Conclusions. Across the PANTBC program, there is a variation of beneficiaries’ nutritional status, showing a tendency to go from a lower level to a higher level of BMI.
Authors: Aparco, Juan Pablo; Huamán-Espino, Lucio; Segura, Eddy R.
Source: Rev. perú. med. exp. salud publica

URL: http://hdl.handle.net/10757/314344