Objetivos: Determinar el efecto del CD Planeta Riesgo Xero en los conocimientos actitudes y prácticas relacionadas a las ITS y VIH/sida de adolescentes de Colegios de Lima. Materiales y Métodos: El estudio se realizó en una muestra aleatoria de los alumnos del cuarto y quinto año de secundaria de 26 colegios estatales y particulares. Participaron del estudio 454 adolescentes de 14 a 17 años, a quienes se les aplicó una encuesta de “Conocimientos, Actitudes y Prácticas” antes y después de la exposición al CD educativo. Resultados: El 22% de adolescentes refirió haber tenido relaciones sexuales (coitales) y alrededor de 8% sufrió algún tipo de abuso sexual. La comparación pre y post intervención de conocimientos, actitudes y prácticas muestra diferencias significativas. Se logró incrementar en más de 20% los conocimientos sobre ITS y el VIH/sida, en 21% los conocimient...

In 2013, Peru initiated a reform process under the premise of recognizing the nature of health as a right that must be protected by the state. This reform aimed to improve health conditions through the elimination or reduction of restrictions preventing the full exercise of this right, and the consequent approach aimed to protect both individual and public health and rights within a framework characterized by strengthened stewardship and governance, which would allow system conduction and effective responses to risks and emergencies. The reform led to an increase in population health insurance coverage from 64% to 73%, with universalization occurring through the SIS affiliation of every newborn with no other protection mechanism. Health financing increased by 75% from 2011, and the SIS budget tripled from 570 to 1,700 million soles. From 2012 to May 2016, 168 health facilities have becom...

In 2013, Peru initiated a reform process under the premise of recognizing the nature of health as a right that must be protected by the state. This reform aimed to improve health conditions through the elimination or reduction of restrictions preventing the full exercise of this right, and the consequent approach aimed to protect both individual and public health and rights within a framework characterized by strengthened stewardship and governance, which would allow system conduction and effective responses to risks and emergencies. The reform led to an increase in population health insurance coverage from 64% to 73%, with universalization occurring through the SIS affiliation of every newborn with no other protection mechanism. Health financing increased by 75% from 2011, and the SIS budget tripled from 570 to 1,700 million soles. From 2012 to May 2016, 168 health facilities have becom...

La investigación denominada “implementación de un sistema informático asistencial para la mejora de atención en el Policlínico Villa María, 2020”; el objetivo general de la presente investigación fue determinar de qué manera la implementación de un sistema informático asistencial mejora la atención en el Policlínico Villa María, 2020. El tipo de investigación es tipo aplicado, la técnica que se utilizo es la encuesta cuya validez de los instrumentos es a través de los juicios de expertos y en la confiabilidad de los instrumentos se usó el alfa de Cronbach en ello se comprobó la hipótesis mostrando un Chicuadrado de Pearson (Calculado): 44.444444 y Chi-cuadrado de Pearson (Tabular): 16 gl (0,95) = 7.963452 Como Chi-cuadrado calculado es mayor a Chi-Cuadrado tabular se acepta dicha hipótesis, refiriendo al objetivo general de la investigación, determinar de qué ma...

La presente investigación se tituló “Registros médicos electrónicos y procesos de la unidad de recuperación postanestésica de un Hospital Materno de Lima, 2021”. Su propósito fue determinar la relación entre los registros médicos electrónicos y los procesos de la unidad de recuperación postanestésica de un Hospital Materno de Lima, 2021. Para llevarla a cabo se realizó una metodología de tipo básica, cuantitativa, con un diseño no experimental – descriptivo y un nivel correlacional. Contó con una muestra de 50 profesionales de salud que trabajan en la unidad de recuperación postanestésica a los que se les aplicó dos cuestionarios de 8 y 16 ítems con una escala de Likert de cinco puntos, en donde el índice de confiabilidad del cuestionario 1 arrojo una puntuación de Alpha de Cronbach = 0.970 y el cuestionario 2 arrojó una puntuación de Alpha de Cronbach = 0....

After several months of arduous deliberations, the National Agreement, a policy coordination forum highest level in Peru, approved a document entitled “The objectives of health care reform.” In this article it review the work done and the product reached by consensus, which includes as priorities, among others, strengthening of SIS like public insurance, implementation of a policy of multi-year investment, strengthening the protection of health rights outlined, strengthening the primary health care and improving access to safe and effective medicines. The effect is an agreement that gives significance to a process that has the character of state policy and defines the framework within which they must develop health policies in the following years.

Simposio: Hacia un cambio del Sistema de Salud Peruano: experiencias y perspectivas.

Objective: Neuroaxial analgesia is the most effective technique to treat labor pain, however, there are still concerns regarding the undesirable effects. Objective: To evaluate the association between epidural analgesia maintained by programmed intermittent epidural boluses (PEIB) and maternal perinatal complications.  Materials and methods: Observational, analytical study of Cohort type in pregnant women between 18 and 35 years, in labor with cervical dilation of 4 centimeters or more, grouped in two cohorts according to administration or not of epidural analgesia: In pregnant women of Group A, administered bolus epidural analgesia, with maintenance by BEIP with bupivacaine 0.0625% and fentanyl 25 ug in 10cc every 60 minutes; in pregnant women of group B, epidural analgesia was not administered. Results: The duration of the dilation and expulsion period was longer in the group...

Objective: Neuroaxial analgesia is the most effective technique to treat labor pain, however, there are still concerns regarding the undesirable effects. Objective: To evaluate the association between epidural analgesia maintained by programmed intermittent epidural boluses (PEIB) and maternal perinatal complications.  Materials and methods: Observational, analytical study of Cohort type in pregnant women between 18 and 35 years, in labor with cervical dilation of 4 centimeters or more, grouped in two cohorts according to administration or not of epidural analgesia: In pregnant women of Group A, administered bolus epidural analgesia, with maintenance by BEIP with bupivacaine 0.0625% and fentanyl 25 ug in 10cc every 60 minutes; in pregnant women of group B, epidural analgesia was not administered. Results: The duration of the dilation and expulsion period was longer in the group...

Objective. To describe schemes and effectiveness of post-operative pain management at the National Maternal Perinatal Institute. Materials and Methods.  Descriptive, retrospective cross-sectional study, in which 305 medical histories of patients treated between January and March 2021 were reviewed and analyzed, data such as treatment schedules, pain frequency, analgesic management, rescues, opioid use, and adverse effects were collected. Results.  Of 303 medical records included, the most commonly used treatment regimen was intrathecal morphine in combination with an intravenous analgesic (93.1%) which was initiated in the operating room, the most frequent adverse effects were nausea and vomiting (4.3%), pruritus (1.3%), urinary retention (0.3%). Respiratory depression and the presence of severe pain were not reported; but there was a need for analgesic rescue use in 20% of patients in...

Objective. To describe schemes and effectiveness of post-operative pain management at the National Maternal Perinatal Institute. Materials and Methods.  Descriptive, retrospective cross-sectional study, in which 305 medical histories of patients treated between January and March 2021 were reviewed and analyzed, data such as treatment schedules, pain frequency, analgesic management, rescues, opioid use, and adverse effects were collected. Results.  Of 303 medical records included, the most commonly used treatment regimen was intrathecal morphine in combination with an intravenous analgesic (93.1%) which was initiated in the operating room, the most frequent adverse effects were nausea and vomiting (4.3%), pruritus (1.3%), urinary retention (0.3%). Respiratory depression and the presence of severe pain were not reported; but there was a need for analgesic rescue use in 20% of patients in...