La salud digital abarca el uso de tecnologías aplicadas al sector salud para mejorar la calidad de vida y el bienestar de las personas (1), incluyendo por ejemplo la telesalud, la salud móvil, los registros electrónicos de salud (como la historia clínica electrónica) y la inteligencia artificial. En el Perú, el avance de la salud digital ha sido gradual y sostenido, con hitos importantes en su desarrollo. Sin embargo, persisten desafíos para su consolidación dentro del sistema de salud, especialmente en el sector público.

Introduction. In Peru, the tele-triage system (TTS) led by volunteer students allowed for the remote identification of suspected COVID-19 cases. However, the barriers and facilitators of its implementation are still unknown. Objectives. To describe the barriers and facilitators regarding the implementation of a tele-triage system for the identification of suspected COVID-19 cases in Peru. Methods. A mixed-methods study was developed that described the characteristics of the users who participated in the TTS (quantitative). It also explored the perceptions of users and volunteers regarding the barriers and facilitators of implementing this service (qualitative). Results. Among the 4,317 users evaluated by the TTS, the average age was 36.2 years (standard deviation: 13.2), 58.6% were women, and only 41.4% were classified as suspected cases of COVID-19. Volunteers highlighted that their par...

Objectives. To evaluate the survival of health personnel infected by SARS-CoV-2 in the context of the vaccination process against COVID-19 in Peru. Methods: A survival analysis was performed using data from national health databases. Data from people between 18 and 59 years old infected with SARS-CoV-2 as evidenced by molecular or antigenic tests were included. Kaplan Meier graphs were produced to compare the survival of health personnel and the rest of the population during 2021 and health personnel during the first and second wave of mortality in Peru in 2020 and 2021, respectively. Results. Data from 998 295 people were included. The average age was 41.2 years (SD 15.8) and 485 167 (48.6%) were women. A higher level of survival of health workers after vaccination was found compared to the general population and to the population of health workers before vaccination. It was evidenced t...

La telementoría es un sistema de orientación a distancia que se viene realizando desde varios años atrás no solo en el ámbito de la salud, es una estrategia de educación a distancia que se realiza con el objetivo de poder conectar a gente más especializada con personas que aun necesitan más especialización.

Esta evidencia, aunque preliminar, permite dar luces de la importancia de la vacunación como medida para contener el impacto negativo que ha venido causando la pandemia de COVID-19 en nuestro país.

Evaluar la supervivencia de los trabajadores de salud infectado por SARS-CoV2 en el contexto del proceso de vacunación contra la COVID-19 en el Perú

Se ha sugerido que la deprivación de sueño (DS) en adolescentes puede conllevar a un mayor consumo de alimentos altos en calorías. Sin embargo, no existe evidencia longitudinal que permita constatar la magnitud y temporalidad de esta asociación en contextos de nivel socioeconómico medio-bajo. Por ello, se evalúa la influencia a los 4 años de la deprivación de sueño en el consumo elevado de comidas (CNS) y bebidas no saludables (BNS) en adolescentes de Perú entre los años 2009 y 2013. Realiza un estudio observacional analítico longitudinal. Se emplearon datos de la cohorte de Niños del Milenio realizada en Perú entre los años 2009 y 2013. Se incluyeron adolescentes de 15 años con el fin de comparar la incidencia de consumo elevado de comidas y bebidas no saludables a los 4 años de seguimiento entre aquellos con DS (<8 horas al día) o sin ella (≥ 8 horas). Para ellos se...

Background: During 2021, Peru started the vaccination against SARS-CoV-2 using the BBIBP-CorV inactivated virus vaccine for health care workers (HCW). We aim to evaluate the effectiveness of the BBIBP-CorV vaccine to prevent SARS-CoV-2 infection and deaths among HCWs. Methods: Retrospective cohort study, from February 9 to June 30, 2021, using national registries of health care workers, laboratory tests for SARS-CoV-2 and deaths. We calculated the vaccine effectiveness for preventing laboratory-confirmed SARS-CoV-2 infection, COVID-19-mortality, and all-cause mortality among partially immunized and fully immunized HCWs. An extension of Cox proportional hazards regression was used to model the mortality results, and Poisson regression was used to model SARS-CoV-2 infection. Results: The study included 606,772 eligible HCWs, the mean age was 40 (IQR: 33.0, 51.0). In fully immunized HCW, th...

Background: In Peru, there is an increase in the creation of mobile health (mHealth) apps; however, this situation could present problems related to the quality of information these apps share, data security and privacy, usability, and effectiveness, as there is no specific local regulation about their creation and use. Objective: The objective of this study was to review mHealth apps created, uploaded, or used in Peru, and perform an analysis of the national regulatory framework that could be applied to evaluate whether there is a need to develop and implement a specific regulation to these apps. Methods: A total of 3 reviews were performed. First, we reviewed information about Peruvian mHealth apps created up to May 2019 from scientific publications, news, government communications, and virtual stores, and evaluated their purpose, creator, and the available evidence of their usability ...

Introduction. Mobile applications represent a promising alternative for providing support in the management of Dengue patients. However, the usability of these tools in Peru is unknown. Objectives. To evaluate the usability and usage recommendations of the Dengue ONQOY application in managing Dengue patients in rural areas of Peru. Methods. A qualitative study was conducted, which included semi-structured interviews with 8 experts in Dengue management. Data were coded using Atlas. Ti software. Three categories were assessed: (1) informative usability (2) design usability, and (3) recommendations for improvement. Results. Three key aspects were highlighted. (1) The application is perceived as valuable for first- level doctors in peripheral areas with limited Dengue experience due to its personalized approachand academic value. (2) Its ease of use and practicality were emphasized, although...

El objetivo es evaluar la efectividad de la vacuna "Sinopharm" para prevenir la infección, muerte por COVID-19 en los trabajadores de salud del Perú.

Objective. To analyze the changes in the density of human resources in health (DHRH), in the Ministry of Health at the regional and provincial level in Peru, in order to describe the response of the health system on this component during the COVID-19 epidemic. Methods. Descriptivestudy based on the analysis of the INFORHUS national database of the Ministry of Health. To calculate the DHRH, the health personnel registered in the INFORHUS database were considered as the numerator and the population assigned to the Seguro Integral de Salud - SIS as the denominator. Health personnel who died and were still registered, and personnel diagnosed with COVID-19 by rapid or molecular testing during the months considered in the analysis, were excluded. The percentage changes of DHRH between the months of april to august 2020 were analyzed at the regional and provincial level in Peru. Results. In the...

Introduction. Peru was one of the countries most affected by the COVID-19 pandemic, with more than 220,000 deaths recorded due to SARS-CoV-2 infection. Given the constant mutations of the virus and registered variants, it is important to carry out research that reflects the evolution of the humoral immune state. Objective. Measure the seroprevalence of COVID-19 during the pandemic in the department of Lima in the period between April 1, 2020 and June 30, 2022, in donor samples from 6 hospital blood banks public of Lima, Peru. Methods. A descriptive, transversal, observational and retrospective study was carried out evaluating the presence of IgM/IgG antibodies against SARS-CoV-2 using lateral flow chromatographic immunoassay in samples from healthy and asymptomatic donors from blood banks of 6 health facilities in the department of Lima. Results. A progressive increase in the seroprevale...