Compendio de herramientas, instrumentos y metodologías para detectar y combatir inequidades sociales que afectan la salud y el bienestar de mujeres, niñas, niños y adolescentes en América Latina y el Caribe

Para apoyar el logro de la equidad en salud en la Región, el movimiento interinstitucional regional Todas las Mujeres, Todos los Niños América Latina y el Caribe (EWEC-LAC) aboga y apoya el uso de políticas, estrategias e intervenciones basadas en la equidad y la evidencia para acelerar el progreso equitativo en la salud de las mujeres, los niños y los adolescentes. Aunque se han logrado progresos, persisten grandes desigualdades​; por ejemplo, ​las mujeres de los países más pobres de la región de América Latina y el Caribe (ALC) tienen casi cuatro veces más probabilidades de morir debido a complicaciones durante el parto que las que viven en los países más ricos. A lo largo de los años, alianzas mundiales, regionales y nacionales han desarrollado varias herramientas, instrumentos y métodos (TIM) que pueden utilizarse para realizar análisis sistemáticos basados en la equidad y / o rediseños de sistemas, programas, estrategias e intervenciones de salud. El objetivo principal de este documento es presentar una visión general de los TIM existentes que pueden ser utilizados por los responsables de la formulación de políticas, los gerentes de programas, los socios para el desarrollo, las organizaciones no gubernamentales, el mundo académico y asociaciones/grupos de la sociedad civil para fortalecer la identificación sistemática, el análisis y la respuesta a las inequidades sociales en la salud de las mujeres, los niños y los adolescentes en ALC. Los TIM incluidos se identificaron a través de un proceso de búsqueda sistemática. El objetivo es actualizar periódicamente este compendio con TIM nuevos o recientemente identificados. Este compendio es el resultado de un esfuerzo coordinado por el movimiento interinstitucional regional Todas las Mujeres, Todos los Niños América Latina y el Caribe (EWEC-LAC).

A Compendium of Tools and Methods to Address Social Inequities Affecting the Health and Well-being of Women, Children, and Adolescents in Latin America and the Caribbean

To support the achievement of health equity in the Region, the regional inter-agency movement Every Woman Every Child Latin America and the Caribbean (EWEC-LAC) advocates for and supports the use of equity and evidence-based policies, strategies and interventions to accelerate equitable progress in the health of women, children and adolescents. Although progress has been made, great inequities persist. Women from the LAC region’s poorest countries are almost four times more likely to die due to complications during childbirth than those living in the wealthiest countries. Through the years, several tools, instruments and methods (TIMs) have been developed by global, regional and country partners that can be used to conduct systematic equity-based analyses and/or re-designs of health systems, programs, strategies and interventions. The main purpose of this document is to present an overview of existing TIMs that can be used by policymakers, program managers, development partners, nongovernmental organizations, academia and civil society partners to strengthen systematic identification, analysis and responding to social inequities in the health of women, children and adolescents in LAC. The TIMs included were identified through a systematic search process. The aim is to periodically update this compendium with new or newly identified TIMs. This compendium is the result of an effort coordinated by the regional inter-agency movement Every Woman Every Child Latin America and the Caribbean (EWEC-LAC).

Women's health service access and associated factors in Ethiopia: application of geographical information system and multilevel analysis.

OBJECTIVES: Women's access to healthcare services is challenged by various factors. This study aimed to assess women's health service access and identify associated factors. METHODS: A cross-sectional study design with a two-stage stratified sampling technique, and 12 945 women from the 2016 Ethiopia Demographic and Health Survey dataset were used. The spatial hotspot analysis and purely Bernoulli-based model scan statistics were used to highlight hot and cold spot areas, and to detect significant local clusters of women's health service access. A multilevel logistic regression analysis was used to assess factors that affect women's access to health services. A variable with a p

Função sexual pós-histerectomia: quais os impactos e aspectos técnicos envolvidos? / Sexual function after hysterectomy: what are the impacts and technical aspects involved?

Objetivo: Identificar o impacto da histerectomia para patologias benignas sobre a sexualidade feminina. Métodos: Revisão de literatura com busca na plataforma PubMed, sendo selecionados 23 artigos em português e inglês publicados entre 2016 e 2021. Resultados: Foi descrita, majoritariamente, melhora na função sexual após histerectomia, semelhante às abordagens totais ou supracervicais e independentemente da via de acesso cirúrgico, apesar de impacto ligeiramente menor com a via laparoscópica. Na laparoscopia, houve melhor desfecho sexual no fechamento da cúpula vaginal, quando comparado ao fechamento via vaginal. Ademais, a ooforectomia concomitante apresentou resultados conflitantes e inconclusivos. Conclusão: A histerectomia afeta positivamente a saúde sexual feminina e aspectos técnicos podem interferir na função sexual, porém os dados são limitados. Devido à importância do tema, necessitam-se de mais estudos com metodologias padronizadas para possibilitar análises mais detalhadas.

Objective: To identify the impact of hysterectomy for benign pathologies on female sexuality. Methods: Literature review with search on PubMed platform, being selected 23 articles in Portuguese and English published between 2016 and 2021. Results: Improvement in sexual function after hysterectomy was mostly described, being similar in total or supracervical approaches and independent of the surgical access route, although it had slightly lower impact when laparoscopic. In the laparoscopic approach, there was better sexual outcome in the vaginal dome closure when compared to vaginal closure. In addition, concomitant oophorectomy showed conflicting and inconclusive results. Conclusion: Hysterectomy positively affects female sexual health and technical aspects may interfere with sexual function, but data are limited. Due to the importance of the theme, more studies with standardized methodologies are needed to enable more detailed analyses.

Tool for Promoting Culturally Safe Childbirth: Basic Manual

This manual and its Excel tool are under revision. The revised edition will be published soon.