Papers by Manuel Alexander Restrepo Najera
Background: Based on the Tanahashi framework we developed a methodology to assess equity in acces... more Background: Based on the Tanahashi framework we developed a methodology to assess equity in access to care in health systems through a combination of quantitative and qualitative analysis measuring effective coverage using one prevalent tracer conditions subjected to program as the main outcome indicator. The study was done in Chile, a country with a long history of universal health coverage (UHC) using hypertension as the tracer condition. Methodology: We tested the framework in La Florida, a large municipality of Santiago. We collected information from routine sources on core and other indicators across Tanahashi’s domains of access and from individuals using a representative population based household survey and qualitative studies using focus groups and key informants. We analyzed individual and community information on bottlenecks, obstacles and facilitators of equitable access through desk and clinical registries reviews. Results: In spite of the high coverage of the health sy...
The overall aim of this study is to develop a methodology to assess equity and access to care in ... more The overall aim of this study is to develop a methodology to assess equity and access to care in health systems through a combination of quantitative and qualitative analysis measuring effective coverage of one prevalent tracer condition, trough three complementary studies. This paper report on the supply side assessment, based in a clinical chart review of a representative sample of 1043 patients, drawn from all primary health care facilities in an urban county of Santiago de Chile, enrolled at the Hypertension program during 2010 and followed during 18 months. The assessment was based in the Tanahashi model of health services, according to the Ministry of Health guidelines for the national program on hypertension, estimating adherence and effective coverage (normal blood pressure) in enrolled patients as outcome. Adherence to program continually decreased, from 84% of attendance in the first control, to 68.2%, 55.2%, 40.2% and 25.3% in subsequent ones, falling under 15% after the ...
Computational and Mathematical Methods in Medicine, 2013
We address the problem of long-term dynamics of tuberculosis (TB) and latent tuberculosis (LTB) i... more We address the problem of long-term dynamics of tuberculosis (TB) and latent tuberculosis (LTB) in semiclosed communities. These communities are congregate settings with the potential for sustained daily contact for weeks, months, and even years between their members. Basic examples of these communities are prisons, but certain urban/rural communities, some schools, among others could possibly fit well into this definition. These communities present a sort of ideal conditions for TB spread. In order to describe key relevant dynamics of the disease in these communities, we consider a five compartments SEIR model with five possible routes toward TB infection: primary infection after a contact with infected and infectious individuals (fast TB), endogenous reactivation after a period of latency (slow TB), relapse by natural causes after a cure, exogenous reinfection of latently infected, and exogenous reinfection of recovered individuals. We discuss the possible existence of multiple en...
Bordon Revista De Pedagogia, 1957
Cuadernos De Bioetica, 1991
Bordon Revista De Pedagogia, 1959
Bordon Revista De Pedagogia, 1958
Bordon Revista De Pedagogia, 1956
Bordon Revista De Pedagogia, 1957
Resumenes De Ponencias Y Comunicaciones Del V Congreso Nacional De Pedagogia 1972 Pags 15 18, 1972
Revista De Psicologia General Y Aplicada Revista De La Federacion Espanola De Asociaciones De Psicologia, 1974
Boletín médico del Hospital Infantil de México, 1989
Several aspects related to arterial hypertension in children are reviewed: definitions, frequency... more Several aspects related to arterial hypertension in children are reviewed: definitions, frequency, classification, etiology, pathogenesis, symptomatology and the treatment that is available, stressing emphasis on available data in relative national literature. It is concluded that more investigations are needed to answer the questions and doubts that exist at present.
Journal of the International AIDS Society, 2013
IntroductionInadequate knowledge, negative attitudes and risky practices are major hindrances to ... more IntroductionInadequate knowledge, negative attitudes and risky practices are major hindrances to preventing the spread of HIV. This study aimed to assess HIV‐related knowledge, attitudes and practices (KAPs) of high school students in Lao People's Democratic Republic (PDR).MethodsA cross‐sectional study on unmarried male students aged between 16 and 19 years old was undertaken in 2010 to evaluate their KAPs. We selected 300 eligible grade VII students through systematic random sampling from different high schools in one province of Lao PDR.ResultsThe majority of students surveyed were aware that HIV can be transmitted by sexual intercourse (97.7%), from mother to child (88.3%) and through sharing needles or syringes (92.0%). Misconceptions about transmission of HIV were observed among 59.3% to 74.3% of respondents. Positive attitudes towards HIV/AIDS were observed among 55.7% of respondents. Nearly half of the surveyed students (45.3%) said that they would be willing to continue...
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Papers by Manuel Alexander Restrepo Najera