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28 results on '"Gozzer, Ernesto"'

4. Length of ministerial tenure and public health achievements in Peru

Author

Gozzer, Ernesto, Canchihuamán, Fredy, Chalco, Vilma, Huari, Gabriela, Cisneros-Dionisio, Ana, Quispe, Wildo, and Espinoza, Rubén

Subjects
reorganización del personal, perú, Medicine (General), Government Agencies, Public Health Administration, Personnel Turnover, Time Factors, Public Health Policy, Public Health, Peru, Agencias Gubernamentales, Administración en Salud Pública, Reorganización del Personal, Factores de Tiempo, Políticas Públicas de Salud, Salud Pública, Perú, administración en salud pública, factores de tiempo, R5-920, agencias gubernamentales, políticas públicas de salud, salud pública, Medicine
Abstract

Short administration periods of a health ministry can jeopardize the implementation and effectiveness of state policies due to changes in management orientation, altering the natural learning process, or other factors. The aim of this article was to determine and compare the tenure length of the ministry of health in Peru, describe its characteristics and discuss its relationship with public health achievements. Between 1935 and 2021, the average tenure was of 13,7 months and the median was 11 months, the longest was found to be 67 months, by Constantino Carvallo, and the shortest was one day, by Javier Correa. The length of ministerial tenure in Peru has a wide range of variation (1 day up to 67 months), it is shorter compared to that of other countries and is decreasing since 2016. Although longer tenures would not be sufficient to guarantee health achievements, it might contribute to the sustainability of health-related actions and have a positive effect on long-term policies. Los periodos breves en la gestión de un ministerio de salud pueden poner en riesgo la implementación y la efectividad de políticas de Estado por cambios en la orientación de la gestión, por un proceso natural de aprendizaje, o por otros factores. El propósito de este artículo fue determinar y comparar la duración de la gestión ministerial en salud en Perú, describir sus características y discutir su relación con los logros en salud pública. Entre 1935 y 2021, la media de duración de la gestión fue de 13,7 meses y la mediana fue de 11 meses, siendo la más extensa de 67 meses, de Constantino Carvallo, y la más breve de un día, de Javier Correa. La duración de la gestión ministerial en el Perú tiene un amplio rango de variación (1día hasta 67 meses), es menor comparada con la de otros países, y está disminuyendo desde el 2016. Si bien, una duración mayor a la encontrada no sería suficiente para garantizar los logros en salud, podría contribuir en el sostenimiento de las acciones de salud y tener un efecto positivo en las políticas de largo plazo.

Published
2021

8. COVID-19 in the least developed, fragile, and conflict-affected countries - How can the most vulnerable be protected?

Author

Ebrahim, Shahul H, Gozzer, Ernesto, Ahmed, Yusuf, Imtiaz, Rubina, Ditekemena, John, Rahman, N M Mujeeb, Schlagenhauf, Patricia, Alqahtani, Saleh A, Memish, Ziad A, Ebrahim, Shahul H, Gozzer, Ernesto, Ahmed, Yusuf, Imtiaz, Rubina, Ditekemena, John, Rahman, N M Mujeeb, Schlagenhauf, Patricia, Alqahtani, Saleh A, and Memish, Ziad A

Abstract

The relentless spread of coronavirus disease 2019 (COVID-19) and its penetration into the least developed, fragile, and conflict-affected countries (LDFCAC) is a certainty. Expansion of the pandemic will be expedited by factors such as an abundance of at-risk populations, inadequate COVID-19 mitigation efforts, sheer inability to comply with community mitigation strategies, and constrained national preparedness. This situation will reduce the benefits achieved through decades of disease control and health promotion measures, and the economic progress made during periods of global development. Without interventions, and as soon as international travel and trade resume, reservoirs of COVID-19 and other vaccine-preventable diseases in LDFCAC will continue 'feeding' developed countries with repeated infection seeds. Assuring LDFCAC equity in access to medical countermeasures, funds to mitigate the pandemic, and a paradigm change in the global development agenda, similar to the post-World War II Marshall Plan for Europe, are urgently needed. We argue for a paradigm change in strategy, including a new global pandemic financing mechanism for COVID-19 and other future pandemics. This approach should assist LDFCAC in gaining access to and membership of a global interdisciplinary pandemic taskforce to enable in-country plans to train, leverage, and maintain essential functioning and also to utilize and enhance surveillance and early detection capabilities. Such a task force will be able to build on and expand research into the management of pandemics, protect vulnerable populations through international laws/treaties, and reinforce and align the development agenda to prevent and mitigate future pandemics. Lifting LDFCAC from COVID-related failure will offer the global community the best economic dividends of the century.

Published
2021

11. The value proposition of the Global Health Security Index

Author

Ravi, Sanjana J, primary, Warmbrod, Kelsey Lane, additional, Mullen, Lucia, additional, Meyer, Diane, additional, Cameron, Elizabeth, additional, Bell, Jessica, additional, Bapat, Priya, additional, Paterra, Michael, additional, Machalaba, Catherine, additional, Nath, Indira, additional, Gostin, Lawrence O, additional, James, Wilmot, additional, George, Dylan, additional, Nikkari, Simo, additional, Gozzer, Ernesto, additional, Tomori, Oyewale, additional, Makumbi, Issa, additional, and Nuzzo, Jennifer B, additional

Published
2020
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16. Accelerating Action in Global Health Security: Global Biosecurity Dialogue as a Model for Advancing the Global Health Security Agenda

Author

Brizee, Sabrina, primary, Budeski, Katherine, additional, James, Wilmot, additional, Nalabandian, Michelle, additional, Bleijs, Diederik A., additional, Becker, Scott J., additional, Wallace-Sankarsingh, Sacha, additional, Ahumibe, Anthony, additional, Agogo, Emmanuel, additional, Ihekweazu, Chikwe, additional, Nikkari, Simo, additional, Ellis, Maureen, additional, Gozzer, Ernesto, additional, Semesi, Immaculate Sware, additional, Masuku, Zibusiso M., additional, Ikram, Aamer, additional, Tahir, Faheem, additional, Makalinao, Irma, additional, Severance, Hayley Anne, additional, van Passel, Mark W. J., additional, and Cameron, Elizabeth E., additional

Published
2019
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17. Contribution of Peru in initiatives to promote global health security

Author

Gozzer, Ernesto, Canchihuamán, Fredy, Piazza, Marina, Vásquez, Hans, Hijar, Gisely, and Velásquez, Aníbal

Subjects
Medidas de Seguridad, Salud global, Evaluación, Cooperación Internacional, Perú, Brotes/prevención y control, perú, brotes/prevención y control, lcsh:R5-920, International Cooperation, medidas de seguridad, lcsh:R, cooperación internacional, lcsh:Medicine, Global Health, World Health Organization, evaluación, Disease Outbreaks, salud global, Peru, Humans, Security Measures, Global health, Evaluation, Disease outbreaks/prevention & control, lcsh:Medicine (General)
Abstract

This article describes the concept of global health security and its development over time. It emphasizes the need to control challenges against global health such as those produced by biologic agents both natural and intentional. It presents world initiatives that have developed during the last two decades and the contribution of Peru to the Global Health Security Agenda (GHSA) and the Monitoring and Evaluation Framework. In order to accelerate the implementation of the International Health Regulations Peru has played an important role to accelerate the implementation of International Health Regulations (IHR), participating with a group of countries, World Health Organization (WHO), and GHSA in the creation of the Joint External Evaluation Tool (JEE). El artículo describe el concepto de la seguridad sanitaria mundial, su evolución en el tiempo y discute la importancia de enfrentar los problemas que amenazan la salud global producidas por agentes biológicos de manera natural, accidental o intencional. Asimismo, presenta las iniciativas surgidas en las últimas dos décadas en el mundo, y el rol del Perú en el desarrollo de la Agenda para La Seguridad Sanitaria Mundial o Global Health Security Agenda (GHSA) y la Alianza para las Evaluaciones Externas. Al respecto, el Perú ha cumplido un papel importante participando con un grupo de países, la Organización Mundial de la Salud (OMS) y la GHSA en el proceso de desarrollo de un instrumento de evaluación externa conjunta denominado Joint External Evaluation Tool (JEE) con el objetivo último de acelerar la implementación del Reglamento Sanitario Internacional (RSI).

Published
2016

20. Improved tools and strategies for the prevention and control of arboviral diseases: A research-to-policy forum

Author

Olliaro, Piero, primary, Fouque, Florence, additional, Kroeger, Axel, additional, Bowman, Leigh, additional, Velayudhan, Raman, additional, Santelli, Ana Carolina, additional, Garcia, Diego, additional, Skewes Ramm, Ronald, additional, Sulaiman, Lokman H., additional, Tejeda, Gustavo Sanchez, additional, Morales, Fabiàn Correa, additional, Gozzer, Ernesto, additional, Garrido, César Basso, additional, Quang, Luong Chan, additional, Gutierrez, Gamaliel, additional, Yadon, Zaida E., additional, and Runge-Ranzinger, Silvia, additional

Published
2018
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24. Uso de la evidencia en politicas y programas de salud aportes del Instituto Nacional de Salud

Author

Gutierrez, Ericson L., primary, Piazza, Marina, additional, Gutierrez-Aguado, Alfonso, additional, Hijar, Gisely, additional, Carmona, Gloria, additional, Caballero, Patricia, additional, Reyes, Nora, additional, Canelo, Carlos, additional, Aparco, Juan Pablo, additional, Tejada, Romina A., additional, Bolaños-Díaz, Rafael, additional, Saravia, Silvia, additional, and Gozzer, Ernesto, additional

Published
2016
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26. Covid-19 and community mitigation strategies in a pandemic.

Author

Ebrahim SH, Ahmed QA, Gozzer E, Schlagenhauf P, and Memish ZA

Subjects
COVID-19, Communication, Humans, Social Conditions, Travel, Coronavirus Infections epidemiology, Coronavirus Infections prevention & control, Coronavirus Infections transmission, Interpersonal Relations, Pandemics prevention & control, Pneumonia, Viral epidemiology, Pneumonia, Viral prevention & control, Pneumonia, Viral transmission, Public Health
Abstract

Competing Interests: Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant interests to declare.

Published
2020
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27. [Microcephaly in newborns in level II and III health facilities of the Ministry of Health of Peru].

Author

Santos-Antonio G, Canchihuamán F, Huamán-Espino L, Aparco JP, Pillaca J, Guillén-Pinto D, and Gozzer E

Subjects
Adult, Female, Head anatomy & histology, Humans, Infant, Newborn, Male, Peru epidemiology, Pregnancy, Social Determinants of Health, Young Adult, Microcephaly epidemiology, Zika Virus Infection epidemiology
Abstract

Objectives.: To determine the ratio of microcephaly in newborns in level II and III health facilities of the Ministry of Health (MINSA) of Peru for the period 2005-2013., Materials and Methods.: A secondary analysis of the databases of the Perinatal Information System was carried out during 2005-2013. Microcephaly was identified applying World Health Organization (WHO), Fenton, mixed (WHO-Fenton), and proportionality criteria. The ratios and indices of microcephaly were estimated per 10,000 live births (LB) by region and concordance was compared, using the WHO parameter as a reference., Results.: The ratio of microcephaly during 2005 to 2013 was 3.4%, the average rate of microcephaly was 335 per 10,000 LBs according to the WHO criterion. The mixed parameter showed a substantial concordance (Kappa of 0.635), while the proportionality parameter showed a reasonable concordance (Kappa of 0.298)., Conclusions.: The ratio of microcephaly in MINSA Level II and III health facilities was higher than that reported in other countries in the region before the appearance of Zika in the Americas. The frequency variations observed with those of other countries and among Peruvian regions could be explained by different factors, such as the technique for measuring head circumference, data capture, constitutional factors, and social determinants. We suggest standardizing measurements and their recording, harmonizing diagnostic criteria, and establishing health strategies to strengthen the epidemiological surveillance of the causes of microcephaly.

Published
2019
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28. [Use of evidence in heath policies and programs contributions of the instituto nacional de salud].

Author

Gutierrez EL, Piazza M, Gutierrez-Aguado A, Hijar G, Carmona G, Caballero P, Reyes N, Canelo C, Aparco JP, Tejada RA, Bolaños-Díaz R, Saravia S, and Gozzer E

Subjects
Humans, Peru, Evidence-Based Medicine, Health Policy
Abstract

This article analyzes some examples about how the Ministry of Health of Peru has used evidence for policy and program formulation, implementation and evaluation. It describes the process by which health budget programs are based and strengthened with scientific evidence. Provides an overview about how the development of clinical guidelines methodology is facilitating the generation of high quality evidence based clinical guidelines.It presents some examples of specific information needs of the Ministry of Health to which the Instituto Nacional de Salud has responded, and the impact of that collaboration. Finally, the article proposes future directions for the use of research methodology especially relevant for the development and evaluation of policy and programs, as well as the development of networks of health technology assessment at the national and international level.

Published
2016
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