Browsing by Autor "Leonid Lecca"

Filter results by typing the first few letters
Now showing 1 - 4 of 4
  • Thumbnail Image
    Item type: Item ,
    A Cross Sectional Study of Knowledge and Attitudes Towards Tuberculosis amongst Front-Line Tuberculosis Personnel in High Burden Areas of Lima, Peru
    (Public Library of Science, 2013) Mark Minnery; Carmen Contreras; Rosa Sanchez Perez; Ninfa Solórzano; Karen Tintaya; Judith Jiménez; Silvia Soto; Leonid Lecca
    A mean knowledge score of 10.1 (+/- 1.7) out of 15 or 67.3% correct was shown. Demographics shown to have an effect on knowledge score were age and level of education. Major knowledge gaps were noted primarily in themes relating to treatment and diagnostics. Greater community involvement including better patient education about TB was seen as important in implementing the national TB control program. Participants were in disagreement about the current distribution of health resources throughout the study area. Discussion Serious knowledge gaps were identified from the survey; these reflect findings from a previous study in Lima and other studies from TB endemic areas throughout the world. Understanding these gaps and observations made by front-line TB workers in Lima may help to improve the national TB control program and other control efforts globally.
  • Thumbnail Image
    Item type: Item ,
    Factores asociados al uso de mosquiteros en el departamento de Piura, Perú.
    (Cayetano Heredia University, 2013) Fernando Llanos-Zavalaga; Ernesto Huayta Zacarías; Leonid Lecca
    Objetivos: El presente estudio da a conocer los factores asociados al uso de mosquiteros en el departamento de Piura. Materiales y Métodos: Estudio cualitativo realizado en Febrero y Marzo del 2000 en el departamento de Piura, Perú. Los informantes clave fueron los prestadores de salud, promotores y pobladores seleccionados aleatoriamente de dos áreas (alta y mediana endemicidad), aplicándose 12 entrevistas en profundidad (EEP), una por establecimiento, bajo el principio de saturación. Según las EEP y grupos focales (GF) realizados se elaboró un mapa de conocimientos. Resultados: Se identificaron como factores asociados al uso de mosquiteros: la percepción de efectividad tanto de mosquiteros convencionales como impregnados con insecticida y la educación y supervisión continua por prestadores y promotores de salud. Los factores asociados al no uso de mosquiteros fueron: la falta de conocimiento integral sobre la enfermedad, sensación de calor y asfixia para mosquiteros convencionales, efectos adversos (reacciones dérmicas) y olor del insecticida, el costo de los mosquiteros y la falta de implantación de estrategias conjuntas con aspectos educativos, de soporte, participativas y de colaboración entre los servicios de salud y la comunidad. Conclusiones: No existe buen conocimiento de la enfermedad por parte de la población pero reconocen el mosquitero como una buena medida preventiva. El conocimiento en prestadores de salud, promotores y pobladores sobre los beneficios, uso adecuado y mantenimiento de los mosquiteros impregnados con insecticida fue insuficiente, siendo necesaria la capacitación continua de esta medida preventiva contra la malaria.
  • Thumbnail Image
    Item type: Item ,
    Impacto de la pandemia por SARS-CoV-2 en adolescentes que viven con el VIH en Lima, Perú
    (National Institute of Health of Peru, 2021) Renato A. Errea; Milagros Wong; Liz Senador; Alicia Ramos; Karen Ramos; Jerome T. Galea; Leonid Lecca; Hugo Sánchez; Carlos Benites; Molly F. Franke
    Adolescents living with HIV (ALWH) have lower rates of virologic suppression and higher rates of immunologic decline compared to their older counterparts, potentially placing them at high-risk for developing severe SARS-CoV-2 disease. ALWH who are transitioning to adult care face additional challenges to remaining in care and adhering to treatment. In this special section we report the experiences of ALWH in the process of transitioning to adult HIV services during the COVID-19 pandemic. In first place, the government-mandated stay-at-home order has substantially limited access to full HIV care by restricting public transportation, HIV medication stock-outs, and the suspension of routine medical and laboratory appointments. In addition, financial hardship, uncertainty about their future plans, emotional stressors, lifestyle disruptions, and concerns of involuntary disclosure have further challenged continuity in care for this adolescent population.
  • Thumbnail Image
    Item type: Item ,
    Revealing disparities in representation in knowledge generation and guideline development
    (BioMed Central, 2024) Carlos P. B. Almeida; Afom T. Andom; Alain Casseus; J Do; A Gelin; Leonid Lecca; Maxo Luma; Maria Angela Mazzi; Carole D. Mitnick; Jean Claude Mugunga
    The important imbalance between the geographical distribution of lived experience with MDR/RR-TB and the distribution of individuals generating knowledge and guidance on treatment of MDR/RR-TB can have clinical and resource implications. Countries may reject or defer guideline adoption because of a mismatch between that guidance and local disease epidemiology. Funding conditioned on compliance with guidelines can exacerbate health inequalities. The movement to decolonize global health considers representation disparities as epistemic injustice, that is unfair treatment in the process of generating, sharing, or receiving knowledge. Reform is possible in many of the institutions involved in generation of global health knowledge, such as: meaningful participation of LLMICs in projects as a requirement for research funding, improved attention to the epistemic and geographical location of journal editorial staff, and broader inclusion in guidelines committees. Better alignment of participation in knowledge generation with burden of disease holds potential for reducing inequality and improving relevance of guidance for the lived experience with MDR/RR-TB.