The Institute for Global Health and Development
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Item Evaluación del protocolo de visitas domiciliarias de Pensión 65 durante COVID-19(Universidad Católica San Pablo, Arequipa, 2021) Sempé, Lucas; Lloyd-Sherlock, PeterEl año 2020 ha estado marcado por la expansión del COVID-19 en el país, al igual que por los esfuerzos realizados por el Estado Peruano para hacer frente a las consecuencias de esta pandemia. Esto ha obligado a las distintas entidades y programas públicos -entre ellas, Pensión 65- a modificar, actualizar y adaptar sus procesos operacionales para atender las necesidades de sus usuarios de la forma más adecuada y eficaz posible dentro de un difícil contexto que afecta tanto a la salud, lazos sociales y economía de las familias, especialmente de aquellos más vulnerables. Considerando que la morbilidad a causa de la pandemia alcanza índices desproporcionados especialmente dentro de la población adulta mayor -hecho conocido con anterioridad en países como Italia y España-, donde a la fecha de la presente investigación (21 de diciembre de 2020), el 70% de los fallecidos oficialmente reconocidos en nuestro país corresponde justamente a los adultos mayores 1 ; por este motivo, resulta de mayor relevancia estudiar las acciones propuestas por el Programa Pensión 65 con la finalidad de enfrentar los efectos del COVID-19. Este estudio se desarrolló como resultado del XXI Concurso Anual de Investigación CIES 2019, con el auspicio del Ministerio de Economía y Finanzas. Esta investigación también se encuentra dentro del repositorio REPECItem An emergency strategy for managing COVID-19 in long-term care facilities in low and middle-income countries: the CIAT Framework (Version 3*)(2021-07-20) Lloyd-Sherlock, Peter; Bastos, João; Duarte, Meirelayne; Frank, Monica; Geffen, Leon; Giacomin, Karla; Kelly, Gabrielle; Montes de Oca, Veronica; Rojo, Almudena Ocejo; Redondo, Nelida; Saddi, Fabiana; Sasat, Siriphan; Sempé, Lucas; Vivaldo, MarissaItem Appraisal of a Learning Coaching Strategy in Rural Areas of Peru in a Results-based Budgeting Rationality(Sistema de Información Científica Redalyc, 2015) Sempé, LucasThis research analyzes a learning coaching strategy called Acompañamiento Pedagógico promoted by the ministry of Education of Peru since 2008 focusing in rural multi-grade (Spanish and bilingual) schools aiming to improve learning outcomes. It focuses on the learning achievements of its students and also seeks providing advice for improving functioning of the current strategy. The first goal was to determine if there is a significant difference in learning achievements in Spanish reading and comprehension and mathematics between coached and noncoached schools and were performed mixed-designed ANOVAs tests. The finding of statistically significant interactions between receiving coaching for 3-years disclosures an effective strategy in order to increase the goal of any educational system, the learning of students. The second goal of the research was analyzing if the present learning coaching strategy meets the standards set by the national results-based budgeting approach. For that purpose, a documentary review of policy design, focalization and expenditure were performed, finding a design inconsistency, some coverage problems and absence of clear standards and organization parameters.Item Evaluación de uso de informes de la Evaluación Censal de Estudiantes en la escuela(FORGE, 2017-04) Sempé, Lucas; Andrade, PatriciaInforme final del estudio cualitativo del uso de evaluaciones de aprendizajes, específicamente de la evaluación censal de estudiantes (ECE) en la escuela peruana.Item Integrating health and social care in Brazil(Oxford University Press, 2020-09-30) Sempé, Lucas; Lloyd-Sherlock, PeterIntegrating health and social care is now a high priority for public health policy in high-income countries. It has received much less attention in low and middle-income country (LMIC) settings. There is particular value in assessing the potential to integrate care services for older adults, given the speed of population ageing in LMICs. The presentation provides findings of process and impact evaluations of novel local government initiatives to integrate care for older people in Brazil (drawing on a study co-funded by the UK MRC and CONFAP Brazil). Programa Maior Cuidado (PMC) was established in the Brazilian city of Belo Horizonte in 2011. It is jointly managed by the departments of health and of social assistance and involves close community-level collaboration between health posts and neighbourhood social service centres. A key element of PMC is the provision of paid trained lay carers to support family care for dependent older people in socially vulnerable families. We will present findings on the implementation process and operation of PMC, as well as its effects on the following outcomes of interest: reduced unnecessary hospitalisations, enhanced health status for older people and reduced care burden for family carers. Quasi-experimental analysis using spatial-based Propensity Score Matching shows promising results in terms of increasing planned attentions as well as access to rehabilitation services, which confirms the ability of the Program to improve interface with health services avoiding unplanned unnecessary attentions We will examine the implementation of similar interventions in other Brazilian cities, including Fortaleza and Contagem, and will study the role of national and international processes in dissemination, knowledge sharing and agenda-setting.Item Problems of Data Availability and Quality for COVID-19 and Older People in Low- and Middle-Income Countries(Oxford University Press, 2020-10-06) Lloyd-Sherlock, Peter; Sempé, Lucas; McKee, Martin; Guntupalli, AravindaFor all health conditions, reliable age-disaggregated data are vital for both epidemiological analysis and monitoring the relative prioritization of different age groups in policy responses. This is especially essential in the case of Coronavirus Disease-2019 (COVID-19), given the strong association between age and case fatality. This paper assesses the availability and quality of age-based data on reported COVID-19 cases and deaths for low- and middle-income countries. It finds that the availability of reliable data which permit specific analyses of older people is largely absent. The paper explores the potential of excess mortality estimates as an alternative metric of the pandemic’s effects on older populations. Notwithstanding some technical challenges, this may offer a better approach, especially in countries where cause of death data are unreliable.Item Introducción: Causas y desaf́ıos de la segregación educativa / Introduction: Causes and challenges of educational segregation [Editorial](2021-12-27) Amat, Luciana Reátegui; Sempé, LucasItem Does vaccine ageism amount to gerontocide? [Correspondence](Elsevier, 2021-09-11) Lloyd-Sherlock, Peter; Lasco, Gideon; McKee, Martin; Perianayagam, Arokiasamy; Sempé, LucasItem An emergency strategy for managing COVID-19 in long-term care facilities in low and middle-income countries: the CIAT Framework (Version 2*)(2020-11-24) Lloyd-Sherlock, Peter; Giacomin, Karla; Duarte, Meirelayne; Frank, Monica; Redondo, Nelida; Sempé, Lucas; Geffen, Leon; Kelly, Gabrielle; Montes de Oca, Veronica; Vivaldo, Marissa; Ocejo Rojo, Almudena; Sasat, Siriphan