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Your search keyword '"Pinto, Diana"' showing total 2 results
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2 results on '"Pinto, Diana"'

1. La certificación como indicador de descentralización en salud.

Author

Pinto, Diana, Carrasquilla, Gabriel, Gil, Fabián Armando, Collazos, Constanza, and Rincón, Julio

Subjects
*CERTIFICATION, *MEDICAL care, *HEALTH surveys, *HEALTH status indicators, *MUNICIPAL government, *PUBLIC health
Abstract

This article describes the results of a survey carried out during the years 2003-2004 to determine compliance with requisites to receive the Ministry of Social Protection's certification as decentralized in health in a representative sample of Colombian municipalities. The results are used to evaluate the validity of certification status as an indicator of decentralization and to construct an alternative decentralization scale. The study finds that despite being certified, municipalities do not meet all certification criteria. Although the number of fulfilled requisites seems to be related to certification status, there are no clear cut differences between certified and non certified municipalities in the type of requisites that are met. The proposed scale seems to capture both quantitative and qualitative differences in met requisites. The findings of the survey question whether certification status itself can be used as an indicator that adequately reflects the degree of health decentralization in municipalities. [ABSTRACT FROM AUTHOR]

Published
2005

2. A cluster-randomized controlled trial of handrubs for prevention of infectious diseases among children in Colombia.

Author

Correa, Juan C., Pinto, Diana, Salas, Lucas A., Camacho, Juan C., Rondón, Martín, and Quintero, Juliana

Subjects
*PREVENTION of communicable diseases, *DIARRHEA prevention, *RESPIRATORY infections, *ALCOHOLS (Chemical class), *CHILD care, *HAND washing, *MULTIVARIATE analysis, *RESEARCH funding, *STATISTICAL sampling, *STATISTICS, *RANDOMIZED controlled trials, *INTER-observer reliability, *PROPORTIONAL hazards models, *DATA analysis software, *CHILDREN, *PREVENTION
Abstract

Objective. To evaluate the effectiveness of alcohol-based handrubs (ABH) in reducing acute diarrheal diseases (ADD) and acute respiratory infections (ARI) among children 1-5 years of age in childcare centers with limited tap water. Methods. This was the first cluster-randomized controlled trial in a developing country. The study took place at 42 childcare centers with sporadic and limited water availability in six towns in Colombia. Participants were randomly assigned to use ABH as a complement to handwashing (intervention arm: 21 centers/794 children); or to continue existing handwashing practices (control arm: 21 centers/933 children). ADD and ARI cases were identified through teacher-reported signs and symptoms of illness. Adverse events were monitored. Hazard ratios (HR) were obtained using Cox proportional hazards multivariate regression shared frailty models. Results. Child-days of surveillance totaled 336 038. Loss to follow up was 14.5%. For both ADD and ARI, there were no differences in hazard ratios during the first trimester of the study. In the second and third trimesters, significant reductions in the risk of ADD were found in the intervention compared to control arm (HR = 0.55, P < 0.001 and HR = 0.44, P < 0.001, respectively). There were also significant risk reductions for ARI in the second trimester (HR = 0.80, P < 0.05) and in the third trimester (HR = 0.69, P < 0.001). No adverse events occurred. Conclusions. ABH effectively prevent ADD and ARI, and are safe. Colombia's national public health policies for prevention of these diseases should include use of ABH, especially in settings where handwashing with soap and water is limited by water availability. [ABSTRACT FROM AUTHOR]

Published
2012
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