Spanish PDFs Available
414 items available
Permanent URI for this collection
Items in this collection
Research for Innovation in Health Systems - Improving the Management of Health Care Services for Patients with Multiple Chronic Conditions in Three Latin American Countries: Brazil, Colombia and Uruguay - Key Messages
The accelerated aging of the Brazilian population, alongside the gradual increase in the concomitant occurrence of multiple chronic diseases in the same individual, brings important challenges to the Brazilian National Health System (SUS). n Colombia, during 2012 - 2016, multimorbidity had a prevalence of 19.5 percent for all ages, according to data from the study carried out by the World Bank and the Ministry of Health and Social Protection. The investigation also showed an increase in the use and cost of health services associated with older age and the complexity of multimorbidity, in an aging population that shifts its epidemiological profile towards chronic diseases. The expenditure with patients with multimorbidity in Uruguay is high. Persons with five or more of diseases (Cardiovascular Disease, High Blood Pressure, Diabetes, Chronic Obstructive Pulmonary Disease and Degenerative Neurological Disease) represent 8.44 percent of the total patient population, but their care accounts for 42.07 percent of the total expenditure, and 50.48 percent of the expenditure on medications.
Cierre de Brecha Digital en el Departamento del Amazonas
Colombia ocupa la última posición en conexiones a internet por cada 100 habitantes entre los 38 países medidos por la Organización para la Cooperación y el Desarrollo Económicos (OCDE). La brecha de conectividad entre las áreas rurales y las áreas urbanas del país es considerable. El 52,9 % de los hogares en el área urbana y el 12,4 % de los hogares en el área rural tienen acceso a internet fijo. Los menores niveles de hogares con conexión a internet se encuentran en departamentos de las regiones de la Amazonía, la Orinoquía y el Pacífico. De conformidad con el Plan Nacional de Desarrollo 2022-2026 “Colombia Potencia Mundial de la Vida”, el Gobierno de Colombia (GdC) está trabajando en múltiples frentes orientados a cerrar la brecha digital y a conectar el 85 % del país. El estudio para el cierre de la brecha digital en el departamento del Amazonas se basa en las prioridades estratégicas del Plan Nacional de Desarrollo (PND).
Colombia Climate and Health Vulnerability Assessment, 2024
The objective of this Climate and Health Vulnerability Assessment (CHVA) is to assist decision-makers in Colombia with planning effective adaptation measures to deal with climate-related health risks. This assessment includes sub-national considerations for health-related climate action (see Annex A for the methodology). Sub-national considerations are given for Colombia’s 32 departments (see Figure 1). It also incorporates data from a Climate and Health Economic Valuation conducted by the World Bank to estimate of the potential economic costs of health impacts arising from projected changes in temperature and precipitation (see Annex B for the methodology). The findings from this CHVA are organized under four sections. Section I characterizes the climatology in Colombia, highlighting observed and projected climate exposures relevant to health. Section II describes key climate-related risks to health, including nutrition and food security, vector-borne diseases (VDBs), water-borne diseases, increasing temperatures, air quality, and zoonotic diseases. Section III analyzes the adaptive capacity and readiness of Colombia’s health system to prevent and manage climate-related health risks. Recommendations are discussed in Section IV.
Adaptation of the Calculator of Social and Environmental Impacts from Small-Scale Gold Mining in the Amazon: Application in Frontier Regions between Brazil, Colombia and Peru
Over the past decade, illegal gold extraction has increased significantly in the Amazon region, partly due to the high international prices of this mineral, the less stringent attitude of some countries in relation to the environment and the pursuit of immediate economic opportunities. Furthermore, this illicit activity is closely intertwined with other illegal practices, such as drug trafficking, human trafficking, and the trafficking of endangered species. This has repercussions not just for the region's ecological wealth, but also for the physical well-being of those safeguarding their lands and the health of communities living in proximity to the extraction zones due to the contamination of their rivers and, consequently, their primary sources of food, such as fish. Despite the international effort to recognize the socio-environmental repercussions of this activity, there are still gaps on this issue, mainly due to the economic losses that this activity represents.