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4 results on '"Alma Virginia, Camacho-Hubner"'

1. Tírala Plena: findings from the formative research to inform the initiative 'Reaching those most left behind through comprehensive sexuality education for out-of-school young people' in Colombia

Author

Jair Vega Casanova, Johanna Blanco, Natalia Buitrago Rovira, Diana Matilde Pulido Jaramillo, Karen Adrians Pacheco, and Alma Virginia Camacho-Hubner

Subjects
comprehensive sexuality education (CSE), adolescent pregnancy, prevention, STIs, HIV, GBV, Diseases of the genitourinary system. Urology, RC870-923, The family. Marriage. Woman, HQ1-2044
Abstract

AbstractThis paper presents the results of formative research conducted from January to June 2020 in the Department of Atlántico, Caribbean region of Colombia, whose findings were used as inputs to design the national strategy for comprehensive sexuality education (CSE) outside school – Tírala Plena – including its curriculum. This is within the framework of the multi-country project coordinated by UNFPA and WHO aimed at generating evidence on the role of facilitators in the delivery of CSE in non-school contexts. The research was carried out in four municipalities in northern Colombia, in rural and marginal urban contexts with conditions of vulnerability for the adolescent population, including a strong presence of migrant populations from Venezuela. A total of 150 male and female adolescents ages 10–17 participated in the formative research. Workshops such as patchwork quilt, body mapping and talking maps were used as methods to gather information. The groups were divided by sex and age (10–13 years old and 14–17 years old). Knowledge, attitudes and social norms regarding adolescent pregnancy, sexually transmitted infections, including human immunodeficiency virus, and gender-based violence, were identified in adolescents (schooled and not schooled, but with minimal or no access to CSE). All of the above enabled us to establish a set of recommendations for the strengthening of the CSE strategy Tírala plena.

Published
2023
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2. How do national contraception laws and policies address the contraceptive needs of adolescents in Paraguay?

Author

Kathya Cordova-Pozo, Sarah Borg, Andrea J. Hoopes, Alma Virginia Camacho-Hubner, Fanny Corrales-Ríos, Adriane Salinas-Bomfim, and Venkatraman Chandra-Mouli

Subjects
Paraguay, Contraceptive policies and regulations, Adolescents, Gynecology and obstetrics, RG1-991
Abstract

Abstract Background The main objective is to examine how the Paraguayan laws, policies and regulations (hereafter referred to as normative guidance) specifically address adolescents and their contraceptive information and service needs using a human rights analytic framework. It must be noted that this paper examines the adolescent content of national laws, policies and regulations on contraception, not how they were applied. Methods The recommendations on “Ensuring human rights in the provision of contraceptive information and services” from the World Health Organization (WHO) were used as an analytic framework to assess current Paraguayan laws, policies and regulations. Three questions were explored: 1) whether the Paraguayan normative guidance relating to each WHO recommendation was present and specifically addressed adolescents 2) whether the normative guidance for each WHO recommendation was present but did not specifically address adolescents, or 3) whether Paraguayan normative guidance relating to each WHO recommendation was absent. This assessment led to the development of an analytic table which was used by the co-authors to generate conclusions and recommendations. Results The analysis found specific normative guidance for adolescents relating to six out of nine WHO summary recommendations and nine out of the 24 sub-recommendations. The guidance included strategies to overcome contraceptive service barriers and to improve access for displaced populations. Further, it supported gender-sensitive counselling, quality assurance processes, competency-based training, and monitoring and evaluation of programmes. Conclusions Paraguay’s contraception laws and policies are grounded in human rights principles. However, there are a number of aspects that need to be addressed in order to improve the quality of contraceptive provision and access for adolescents. Our recommendations include improving accessibility of contraceptive information and services, ensuring acceptability, quality, and accountability of contraceptive information and services, and promoting community and adolescent participation in contraceptive programmes and service delivery.

Published
2017
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3. Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries

Author

Joyce E Thompson, Sandra Land, Alma Virginia Camacho-Hubner, and Judith T Fullerton

Subjects
Bolivia, lcsh:Arctic medicine. Tropical medicine, Salud de la mujer, Panamá, lcsh:RC955-962, lcsh:Public aspects of medicine, lcsh:R, lcsh:Medicine, lcsh:RA1-1270, Colombia, Guatemala, competencia clínica, Perú, Honduras, América Latina, región del Caribe, garantía de la calidad de atención de salud, salud materno- infantil, tocología, Guyana, Chile
Abstract

OBJECTIVE: To obtain a snapshot of the maternal and newborn care provided by different types of maternal and child health providers in Latin America and the Caribbean (LAC) to 1) better inform advocacy and programmatic strategies and interventions to improve the quality of those services in the region, and 2) determine the need for more rigorous study of the issues. METHODS: A rapid assessment of 83 health workers providing antepartum, intrapartum, and immediate postpartum and newborn care (within two hours of birth) in eight LAC countries was conducted in November and December of 2011. Health workers were observed by two-person expert maternal/newborn clinician teams using pretested forms based on international quality-of-care standards. A total of 105 care encounters were observed, primarily in urban, public, referral-level settings. Providers of care included obstetricians, midwives, generalist physicians, medical residents, registered nurses, auxiliary nurses, and students of medicine, midwifery, and nursing. RESULTS: Hand washing, as an indicator of quality of antepartum care, was observed in only 41% of the observed encounters. Labor management often lacked certain elements of respectful maternity care across all provider groups. Several clinical tasks of high importance in the identification and prevention of common complications of antepartum, intrapartum, and immediate postpartum/newborn care were not documented as performed during the observation periods. Providers self-reported limited competence (ability to perform to a defined level of proficiency) in manual removal of the placenta, bimanual compression of the uterus, and newborn resuscitation. CONCLUSIONS: The findings suggest that 1) the quality of maternal and newborn care and 2) the competence of maternal and child health providers in the diverse selection of LAC countries that were studied require substantial attention.

Published
2015

4. Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries

Author

Joyce E, Thompson, Sandra, Land, Alma Virginia, Camacho-Hubner, and Judith T, Fullerton

Subjects
Postnatal Care, Students, Medical, Health Personnel, Infant, Newborn, Nurses, Prenatal Care, Midwifery, Perinatal Care, Latin America, Caribbean Region, Pregnancy, Physicians, Infant Care, Humans, Female, Students, Nursing, Clinical Competence, Quality of Health Care
Abstract

To obtain a snapshot of the maternal and newborn care provided by different types of maternal and child health providers in Latin America and the Caribbean (LAC) to 1) better inform advocacy and programmatic strategies and interventions to improve the quality of those services in the region, and 2) determine the need for more rigorous study of the issues.A rapid assessment of 83 health workers providing antepartum, intrapartum, and immediate postpartum and newborn care (within two hours of birth) in eight LAC countries was conducted in November and December of 2011. Health workers were observed by two-person expert maternal/newborn clinician teams using pretested forms based on international quality-of-care standards. A total of 105 care encounters were observed, primarily in urban, public, referral-level settings. Providers of care included obstetricians, midwives, generalist physicians, medical residents, registered nurses, auxiliary nurses, and students of medicine, midwifery, and nursing.Hand washing, as an indicator of quality of antepartum care, was observed in only 41% of the observed encounters. Labor management often lacked certain elements of respectful maternity care across all provider groups. Several clinical tasks of high importance in the identification and prevention of common complications of antepartum, intrapartum, and immediate postpartum/newborn care were not documented as performed during the observation periods. Providers self-reported limited competence (ability to perform to a defined level of proficiency) in manual removal of the placenta, bimanual compression of the uterus, and newborn resuscitation.The findings suggest that 1) the quality of maternal and newborn care and 2) the competence of maternal and child health providers in the diverse selection of LAC countries that were studied require substantial attention.

Published
2014

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