N.D.

N.D.

Health systems, based on primary care principles, understood as first contact and continuous, comprehensive, integrated, and coordinated healthcare, achieve better results and greater equity in health than systems with a focus only on specialized care. The proposal of Integrated Health Networks (RIS) in Peru indicates that they will operate through a portfolio of comprehensive healthcare in networks, which meet the needs of the population. This review article recognizes that for this, a process of modifying the health system based on Primary Care should be promoted, acknowledging the lessons learned, identifying the values and principles that generate the foundations for the development of state health policies focused on national priorities so that social changes must respond to the needs and expectations of the population. This should promote changes in legislation, in evaluative ...

Populations that live in poverty with restricted social mobility and limited access to health care services, such as the Shipibo-Konibo community of Cantagallo (Rimac), are at risk to get COVID-19. After the report of three fatalities due to COVID-19 in that community a multidisciplinary team involving the ministries of health, interior affairs, culture and the major of the Rimac district, the community of that district and NGOs did not allow the movement of persons in and out the community. The proportion of members of the community with positive IgM serological tests come down and those with positive IgG levels increased, suggesting reduced transmission or presence of mild- asymptomatic cases. The vulnerability of indigenous communities as reported here is a clear evidence of the need to have sustainable and articulated plans to protect these communities from devastating diseases such ...