The recent increase of breast cancer mortality has put on alert to most countries in the region. However it has taken some time before breast cancer could be considered as a relevant problem. Only in ...recent years breast cancer has been considered a priority in some Latin American countries and resources have been mobilized to confront the problem at the institutional level. The article analyzes the efforts made in five Latin American countries (Argentina, Brazil, Colombia, Mexico and Venezuela) in the last 15 years to design and implement policies to address the growing incidence of breast cancer.
Data was collected between July and December 2010 from both primary and secondary sources. Semi-structured interviews were conducted with key informants from governmental and non-governmental organizations. Secondary data was obtained from publications in journals, government reports and official statistics in each country. Analysis combines information from both types of sources.
Countries have followed different paths and are in different stages of policy implementation. In all cases early detection is a key strategy. Through the design of programs and guidelines, the allocation of financial resources to treat patients, as well as a formally structured information system, Brazil and Mexico have been able to set up comprehensive national policies. Argentina, Colombia and Venezuela have made important advancements but not yet capable of coordinating comprehensive national policies.
Breast cancer is being considered a priority in all five countries but there are different stages in the rolling out of comprehensive national policies due to differences in their capacity to allocate resources, implement operational strategies and encourage the participation of relevant stakeholders.
To identify the strategies used by Mexican migrants to access health services in the U.S. and Mexico.
Ethnographic study in five Mexican states, selected by their migration dynamics. A series of ...focus groups and in-depth interviews were conducted with health services users and providers.
Six strategies were identified and are used according to the severity of the disease: a) self-medication, b) telephone consultation with relatives, c) utilization of private services, d) travel to border towns, e) return to place of birth, f) getting medical care during their visits to places of origin.
The health care options used by Mexican migrants and their families are defined according to events related to the migration process. The implementation of public policies to protect the health of migrants on both sides of the border is critical.
OBJETIVO: Describir y analizar el proceso de regularización del personal de salud pagado por el Sistema de Protección Social en Salud de México. MATERIAL Y MÉTODOS: Se utilizan datos primarios y ...secundarios provenientes de la evaluación del Sistema de Protección Social en Salud en 2009. RESULTADOS: La regularización mejora las condiciones laborales de los trabajadores pero sus implicaciones para el conjunto del sistema no son necesariamente positivas. CONCLUSIONES: Se requiere considerar la necesidad de que este tipo de inversiones beneficien a todos los actores interesados, principalmente la población asegurada por el sistema.
OBJETIVO: Describir y analizar el proceso de regularización del personal de salud pagado por el Sistema de Protección Social en Salud de México. MATERIAL Y MÉTODOS: Se utilizan datos primarios y ...secundarios provenientes de la evaluación del Sistema de Protección Social en Salud en 2009. RESULTADOS: La regularización mejora las condiciones laborales de los trabajadores pero sus implicaciones para el conjunto del sistema no son necesariamente positivas. CONCLUSIONES: Se requiere considerar la necesidad de que este tipo de inversiones beneficien a todos los actores interesados, principalmente la población asegurada por el sistema.OBJECTIVE: The process of regularization of workers paid by the Social Protection Health System of Mexico is described and analyzed. MATERIALS AND METHODS: Primary and secondary data collected by the external evaluation of the Mexican System for Social Protection in Health in 2009 were used. RESULTS: The regularization clearly improved the labor conditions of workers contracted by the system but a broader systemic implication of regularization does not seem to be necessarily positive. CONCLUSION: It is important to consider the need to guarantee that this type of changes in the contractual conditions of workers benefit all actors, particularly the insured population.
The process of regularization of workers paid by the Social Protection Health System of Mexico is described and analyzed.
Primary and secondary data collected by the external evaluation of the ...Mexican System for Social Protection in Health in 2009 were used.
The regularization clearly improved the labor conditions of workers contracted by the system but a broader systemic implication of regularization does not seem to be necessarily positive.
It is important to consider the need to guarantee that this type of changes in the contractual conditions of workers benefit all actors, particularly the insured population.
Objetivo. Identificar las alternativas ideadas por los migrantes mexicanos para acceder a los servicios de salud en Estados Unidos de América y México. Material y métodos. Estudio etnográfico en ...cinco estados, seleccionados por su dinámica migratoria. Se realizaron grupos focales y entrevistas a profundidad con usuarios y prestadores de servicios. Resultados. Se identificaron seis formas de atención utilizadas de acuerdo con la gravedad de la enfermedad: a) automedicación; b) consulta telefónica con familiares; c) uso de servicios privados; d) traslado a ciudades fronterizas; e) retorno al lugar de nacimiento; f) atención durante visitas estacionales al lugar de origen. Discusión. Las alternativas empleadas por los migrantes para acceder a los servicios de salud se explican por las circunstancias del contexto de migración y la falta de opciones formales de atención. Es fundamental la aplicación de una política pública para la protección de la salud de estos ciudadanos en ambos lados de la frontera.
OBJETIVO: Identificar las alternativas ideadas por los migrantes mexicanos para acceder a los servicios de salud en Estados Unidos de América y México. MATERIAL Y MÉTODOS: Estudio etnográfico en ...cinco estados, seleccionados por su dinámica migratoria. Se realizaron grupos focales y entrevistas a profundidad con usuarios y prestadores de servicios. RESULTADOS: Se identificaron seis formas de atención utilizadas de acuerdo con la gravedad de la enfermedad: a) automedicación; b) consulta telefónica con familiares; c) uso de servicios privados; d) traslado a ciudades fronterizas; e) retorno al lugar de nacimiento; f) atención durante visitas estacionales al lugar de origen. DISCUSIÓN: Las alternativas empleadas por los migrantes para acceder a los servicios de salud se explican por las circunstancias del contexto de migración y la falta de opciones formales de atención. Es fundamental la aplicación de una política pública para la protección de la salud de estos ciudadanos en ambos lados de la frontera.OBJECTIVE: To identify the strategies used by Mexican migrants to access health services in the U.S. and Mexico. MATERIALS AND METHODS: Ethnographic study in five Mexican states, selected by their migration dynamics. A series of focus groups and in-depth interviews were conducted with health services users and providers. RESULTS: Six strategies were identified and are used according to the severity of the disease: a) self-medication, b) telephone consultation with relatives, c) utilization of private services, d) travel to border towns, e) return to place of birth, f) getting medical care during their visits to places of origin. Discussion: The health care options used by Mexican migrants and their families are defined according to events related to the migration process. The implementation of public policies to protect the health of migrants on both sides of the border is critical.
Verticillium wilt (VW) resistance was evaluated in genotypes from olive crosses including resistant cultivars as parents. Thirty-eight genotypes from three crosses were evaluated: ‘Changlot ...Real’ × ‘Dolce Agogia’ (16), ‘Frantoio’ × ‘Arbosana’ (13) and ‘Koroneiki’ × ‘Empeltre’ (9). These genotypes were previously selected for several agronomic traits from wider initial progenies populations. Several disease severity and plant colonization parameters were evaluated in inoculation experiments under controlled conditions by dipping roots cutting in a conidial suspension of a highly virulent defoliating isolate of Verticillium dahliae. Significant differences among the evaluated genotypes, including parents and selections from crosses, were obtained for all the disease parameters assessed. A wide variability in disease parameters was observed in the three cross combinations tested. Genotypes with lower relative susceptible index values than both parents were found in the three progenies tested and 10 out of 38 genotypes (26 %) were finally classified as resistant. The level of resistance of these genotypes will be confirmed in future studies under field conditions.
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