Browsing by Autor "Kathya Cordova-Pozo"

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    Modelling Community Participatory Systems to Improve Health Care interventions for Adolescents in Latin America
    (2020) Kathya Cordova-Pozo; Arnold Hagens; Mayira Sojo-Milano; Nancy Auquilla; Francisca Cruz
    <title>Abstract</title> <bold>Background</bold>Community participation is a systematic process where a group of people unites with the intention to solve a common problem. Although it is not new, every project adopts their own vision of participation which could impact differently to the outcomes of the project and may not lead to improve their original situation. The goal of this study was to model the interrelationship of Participatory Action Research (PAR) with the improvement of health that adds up to Community Development (CD) and describe the implementation in recent projects in Latin America.<bold>Methods</bold>The approach of this research is qualitative and intends to construct a framework that displays the relationshipbetweenPAR-CDtolater assess the implementation of seven Latin American projects. Group Model Building (GMB) and document assessment were used as methods.<bold>Results</bold>Adynamic system model is presented.The target variable is CD while control variables are the situation analysis, stakeholders, policy, bidirectional contribution, context-based for cultural-social-ethical, evidence-based and availability of resources.In the document assessment some missing elements were identified like dynamics of time, evidence base, cost-effectiveness, availability of resources, feasibility, replicability, sustainability, and scalability.<bold>Conclusions</bold>This research demonstrates that success of PAR-CD depends on a complex and dynamic system that contains causal loops and control factors. It alsoevidences the gap between an ideal model and what is implemented of PAR-CDgivingopportunities for improvement.<bold>Trial registration: </bold>Permission to conduct this study was granted by a research ethics committee at Colegio Medico de Cochabamba, Bolivia.
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    Using Systems Dynamics for Capturing the Multicausality of Factors Affecting Health System Capacity in Latin America while Responding to the COVID-19 Pandemic
    (Multidisciplinary Digital Publishing Institute, 2021) Kathya Cordova-Pozo; Hubert Korzilius; E.A.J.A. Rouwette; Gabriela Píriz; Rolando Herrera-Gutierrez; Graciela Cordova-Pozo; Miguel Orozco
    Similar interventions to stop the spread of COVID-19 led to different outcomes in Latin American countries. This study aimed to capture the multicausality of factors affecting HS-capacity that could help plan a more effective response, considering health as well as social aspects. A facilitated GMB was constructed by experts and validated with a survey from a wider population. Statistical analyses estimated the impact of the main factors to the HS-capacity and revealed the differences in its mechanisms. The results show a similar four-factor structure in all countries that includes public administration, preparedness, information, and collective self-efficacy. The factors are correlated and have mediating effects with HS-capacity; this is the base for differences among countries. HS-capacity has a strong relation with public administration in Bolivia, while in Nicaragua and Uruguay it is related through preparedness. Nicaragua lacks information as a mediation effect with HS-capacity whereas Bolivia and Uruguay have, respectively, small and large mediation effects with it. These outcomes increase the understanding of the pandemic based on country-specific context and can aid policymaking in low-and middle-income countries by including these factors in future pandemic response models.