Gustavo Nigenda
Datos Biográficos
| ID | 316757 |
|---|---|
| NOMBRE | Gustavo Nigenda |
| NOMBRES | Gustavo |
| APELLIDO | Nigenda |
| FIRMA | NIGENDA G |
| AFILIACIONES | Universidad Nacional Autonoma de Mexico |
| ORCID | 0000-0003-0067-0664 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 40 |
| TOTAL DE CITAS | 36 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1991 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 3 |
Contributions of Civil Society Organizations to the Provision of Sexual and Reproductive Health Services to Vulnerable Populations in Latin America
The involvement of civil society organizations in sexual and reproductive health (SRH) programs in Latin America began to expand during the health sector reforms era. These organizations have undergone significant changes over the decades, being able to collaborate with government agencies, the private sector and international agencies with the commitment to address the specific needs of vulnerable populations in the countries. We provide a synth…
Human resources for health and maternal mortality in Latin America and the Caribbean over the last three decades
The great lesson from the data shown is that some countries could articulate responses to the problem using available resources through effective strategies, considering the specific needs of their populations. Although variations in maternal mortality rate cannot be explained solely through the provision of health personnel, it is important to consider that it is critical to find new modalities on how human resources for health could integrate a…
Persistent inequities in maternal mortality in Latin America and the Caribbean, 1990–2019
Within the framework of the Sustainable Development Goals (SDGs) agenda, health policies aimed at the effective reduction of maternal mortality should consider allocating more resources as a necessary but not sufficient condition to achieve the goals and should prioritize the implementation of new forms of care with a gender and rights approach, as well as strengthening actions focused on vulnerable groups
A Qualitative Study on the Work and Challenges Faced by Non-Governmental Organizations Providing Sexual and Reproductive Health Services to Vulnerable Populations in Guatemala
Burden of non-communicable diseases and behavioural risk factors in Mexico
Background: There is scarce gender-disaggregated evidence on the burden of disease (BD) worldwide and this is particularly prominent in low- and middle-income countries. The objective of this study is to compare the BD caused by non-communicable diseases (NCDs) and related risk factors by gender in Mexican adults. Methods: We retrieved disability-adjusted life years (DALYs) estimates for diabetes, cancers and neoplasms, chronic cardiovascular dis…
Contratación de estudiantes de enfermería en el contexto de la pandemia por Covid-19 en México. Una respuesta rápida a la emergencia de salud
El gobierno mexicano, como parte de la respuesta al COVID-19, puso en juego una estrategia para aumentar la dotación de personal de enfermería que incluyó la graduación prematura de estudiantes universitarios para incorporarlos en el frente de la atención. El objetivo del estudio fue analizar las experiencias de estudiantes de enfermería contratados por instituciones de salud para la atención de pacientes COVID. El estudio es cualitativo explorat…
Recruitment of nursing students in the context of the Covid-19 pandemic in Mexico. A rapid response to the health emergency
The Mexican government implemented a strategy to increase nursing staff in response to COVID-19, including the early graduation of university students, to incorporate them into the care frontline. This exploratory qualitative study aimed to analyze nursing students’ experiences recruited by health institutions to care for COVID patients. It included 12 participants who received and accepted job proposals in health institutions for patient care du…
Exploración de facilitadores y barreras para implementar los roles ampliados de enfermería en México
Objetivo. Explorar la percepción de los profesionales de enfermería respecto a los facilitadores y las barreras para la implementación de funciones ampliadas de enfermería en una entidad federativa de México. Métodos. Estudio cualitativo de tipo descriptivo con enfoque fenomenológico. Durante el 2022 se realizaron 18 entrevistas semiestructuradas a tres tipos de informantes: a) jefaturas estatales de enfermería, b) jefaturas jurisdiccionales de e…
Quantifying Disparities in the Continuum of Care for Maternal Health Attributable to Age Discrimination in Mexico, 1994–2018
Early Contraception and Continuity of Maternal Health Care in Primiparous Adolescents and Young Adults from Low- and Middle-Income Countries
Ethnic Disparities in Sexual and Reproductive Health in Mexico After 25 Years of Social Policies
Ethnic Disparities in Effective Coverage of Maternal Healthcare in Mexico, 2006–2018
Public health insurance and ethnic disparities in maternal health care
This article examines the coverage in the continuum of antenatal–postnatal care for vulnerable women in Mexico according to indigenous status and assesses the influence of public health insurance strategies on the evolution of coverage over the last 25 years. We studied a total of 19 613 567 Mexican women, aged 12–54 years at last birth, based on a pooled cross-sectional analysis of data from the 1997, 2009, 2014 and 2018 waves of the National Su…
The Sustainable Development Goals and Technological Capacity
In order to achieve the Sustainable Development and Health Goals, it is essential to increase the technological capacity of the most disadvantaged populations. In the 21st century, the necessary technologies for this exist. The gap in technological capacity reflects the existence of a technological gradient between large- and smallscale production, due to an absence of incentives for innovation and a lack of technological dissemination in small b…
Barreras en mujeres indígenas para acceder a servicios obstétricos en el marco de redes integradas de servicios de salud
Analizar las barreras que enfrentan las mujeres indígenas para acceder a la red de servicios obstétricos en el marco de Redes Integradas de Servicios de Salud. Se diseñó un estudio transversal descriptivo que integró métodos cuantitativos y cualitativos. La muestra fue intencionada, no probabilística. La recolección de datos se hizo en Oaxaca, México, durante 2017 y 2018. Se encuestó a 149 mujeres indígenas usuarias de servicios obstétricos para …
Regulación de la enfermería en México
El objetivo de este artículo es analizar la estructura regulatoria de la enfermería en México, a través de la normatividad y los actores involucrados. Se desarrolló un estudio de caso con uso de fuentes de información cualitativa, cuantitativa y revisión de documentación oficial. El análisis integró los datos obtenidos de las fuentes de acuerdo con cuatro dimensiones propuestas por Moran & Wood (1993). La dimensión con mayores avances es el ingre…
Los Objetivos de Desarrollo Sostenible y las capacidades tecnológicas
Para lograr los objetivos de desarrollo y salud sostenibles, es esencial incrementar las capacidades tecnológicas de las poblaciones más desfavorecidas. Entrado el siglo XXI, existen las tecnologías necesarias para ello. El déficit en capacidades tecnológicas se debe a la existencia de un gradiente tecnológico entre la producción de gran y de pequeña escalas, debido a la falta de incentivos para la innovación y la difusión en empresas y comunidad…
Prevalence of Depression and Generalized Anxiety Disorder Among Mexican Indigenous Adolescents and Young Adults
Measuring and analysing social efficiency in the production of maternal health services in Mexico, 2008–15
‘Social efficiency’ (SE) denotes the capacity of health systems to ensure equitable access to quality health services at no financial risk to users. Mexico and other low- and middle-income countries have rarely studied the performance of their health systems from an SE perspective. We propose a metric for assessing SE in the production of maternal health services in the public sector among populations without social security, analysing contextual…
Improving the effective maternal-child health care coverage through synergies between supply and demand-side interventions
BACKGROUND: Over the last two decades, the Mexican government has released several efforts to achieve universal health coverage (UHC), based on the principles of fairness and social protection, to reduce the inequities in utilization, access, and quality of care existing in the health system. Two of the most important social public policies that have targeted the population without access to social security include the 1997 conditional cash trans…
The importance of the cultural dimension of food in understanding the lack of adherence to diet regimens among Mayan people with diabetes
Objective: To understand non-adherence to medically recommended diets among Mayans with diabetes. Design: Using partially sequential mixed methods, questionnaires, semi-structured brief and in-depth interviews were applied. Questionnaire data were analysed with Pearson’s χ 2 and Student’s t tests and qualitative interviews with grounded theory microanalysis. Setting: Rural, predominantly Mayan communities in Chiapas, Quintana Roo and Yucatan, Mex…
Rectoría y gobernanza
Este estudio analiza las modalidades de conducción en la implementación de la Atención Primaria de Salud (APS) en Paraguay en tres periodos gubernamentales (2008 -2012, 2012 – 2013 y 2013 - 2017) y en tres niveles de gestión (nacional, regional y local). La metodología se basó en el análisis de categorías a priori seleccionadas sobre dimensiones y sub-dimensiones de la Rectoría y gobernanza de esta política pública, con enfoque cualitativo, basad…
Implementation and clinical effectiveness of a community-based non-communicable disease treatment programme in rural Mexico
Non-communicable diseases (NCDs) account for the five largest contributors to burden of disease in Mexico, with diabetes representing the greatest contributor. However, evidence supporting chronic disease programmes in Mexico is limited, especially in rural communities. Compañeros En Salud (CES) partnered with the Secretariat of Health of Chiapas, Mexico to implement a novel community-based NCD treatment programme. We describe the implementation …
A longitudinal assessment of technical efficiency in the outpatient production of maternal health services in México
We assess technical efficiency (TE) level for Mexican Ministry of Health (MoH) primary care units. Assessment was focused on the production of adequate maternal health services defined as the coverage level of women who received timely and frequent antenatal care, and institutional and medical care during childbirth. We conducted a longitudinal analysis of administrative and socio-demographic information concerning 233 health jurisdictions for th…
Use of performance metrics for the measurement of universal coverage for maternal care in Mexico
This study provides evidence for those working in the maternal health metrics and health system performance fields, as well as those interested in achieving universal and effective health care coverage. Based on the perspective of continuity of health care and applying quasi-experimental methods to analyse the cross-sectional 2009 National Demographic Dynamics Survey (n = 14 414 women), we estimated the middle-term effects of Mexico's new public …
Non-biomedical health care practices in the State of Morelos, Mexico
This paper gives the results of one of the first studies of non-biomedical health care services in the State of Morelos, Mexico. The socio-cultural matrix of the population of Morelos has attracted many practitioners of medical models which have no foundation in the rationale of the biomedical-scientific model. There is a considerable variety of non-biomedical therapists in the area of study which may be categorised in three groups: (a) tradition…
Patterns of medical employment
This article quantifies the magnitude and correlates of the major imbalances affecting the employment of physicians in the urban areas of Mexico. Since the early 1970s the country has experienced a rapid increase in the supply of doctors, which its health system was unable to absorb fully. In 1986, we conducted a survey in the 16 most important cities based on a probability sample of households where someone with an MD degree lived. A total of 60…
Ethnic Disparities in Effective Coverage of Maternal Healthcare in Mexico, 2006–2018
Redesigning Primary Care to Tackle the Global Epidemic of Noncommunicable Disease
Noncommunicable diseases (NCDs) have become the major contributors to death and disability worldwide. Nearly 80% of the deaths in 2010 occurred in low- and middle-income countries, which have experienced rapid population aging, urbanization, rise in smoking, and changes in diet and activity. Yet the health systems of low- and middle-income countries, historically oriented to infectious disease and often severely underfunded, are poorly prepared f…
Breast cancer in Mexico
Breast cancer is a serious threat to the health of women globally, and an unrecognised priority in middle-income countries. This paper presents data from Mexico. It shows that breast cancer accounts for more deaths than cervical cancer since 2006. It is the second cause of death for women aged 30–54 and affects all socio-economic groups. Data on detection, although under-reported, show 6,000 new cases in 1990, and a projected increase to over 16,…
Motivos de no vacunación
En muchos países se reconoce que los programas de vacunación requieren del dominio de elementos técnicos y organizacionales para ser accesibles a las poblaciones. Uno de ellos ha sido menospreciado de manera importante: la participación de la población y las causas que la motivan. El presente trabajo analiza experiencias de diversos países, a partir de una revisión bibliográfica del período 1950-1990. Los resultados muestran que los estudios exis…
Ethnic Disparities in Sexual and Reproductive Health in Mexico After 25 Years of Social Policies
A longitudinal assessment of technical efficiency in the outpatient production of maternal health services in México
We assess technical efficiency (TE) level for Mexican Ministry of Health (MoH) primary care units. Assessment was focused on the production of adequate maternal health services defined as the coverage level of women who received timely and frequent antenatal care, and institutional and medical care during childbirth. We conducted a longitudinal analysis of administrative and socio-demographic information concerning 233 health jurisdictions for th…
Modelos de regulación profesional de los médicos en América Latina
El presente trabajo discute el fenómeno de la regulación del trabajo médico utilizando conceptos disponibles en la literatura especializada. Se propone el modelo desarrollado por Moran y Wood como un buen punto de partida para esta discusión en el ámbito de América Latina. Sin embargo, se considera que cualquier modelo conceptual utilizado para la comprensión del fenómeno debe considerar los cambios generados por la reforma en la interacción entr…
Patterns of medical employment
This article quantifies the magnitude and correlates of the major imbalances affecting the employment of physicians in the urban areas of Mexico. Since the early 1970s the country has experienced a rapid increase in the supply of doctors, which its health system was unable to absorb fully. In 1986, we conducted a survey in the 16 most important cities based on a probability sample of households where someone with an MD degree lived. A total of 60…
Motivos de no vacunación
En muchos países se reconoce que los programas de vacunación requieren del dominio de elementos técnicos y organizacionales para ser accesibles a las poblaciones. Uno de ellos ha sido menospreciado de manera importante: la participación de la población y las causas que la motivan. El presente trabajo analiza experiencias de diversos países, a partir de una revisión bibliográfica del período 1950-1990. Los resultados muestran que los estudios exis…
Modelos de regulación profesional de los médicos en América Latina
El presente trabajo discute el fenómeno de la regulación del trabajo médico utilizando conceptos disponibles en la literatura especializada. Se propone el modelo desarrollado por Moran y Wood como un buen punto de partida para esta discusión en el ámbito de América Latina. Sin embargo, se considera que cualquier modelo conceptual utilizado para la comprensión del fenómeno debe considerar los cambios generados por la reforma en la interacción entr…
Trends in medical employment
OBJECTIVES: This study examined the extreme medical unemployment and underemployment in the urban areas of Mexico. The conceptual and methodological approach may be relevant to many countries that have experienced substantial increases in the supply of physicians during the last decades. METHODS: On the basis of 2 surveys carried out in 1986 and 1993, the study analyzed the performance of physicians in the labor market as a function of ascription…
From State to market
Few countries in Latin America have experienced in such a short period the shift from a socialist government and centrally planned economy to a liberal market economy as Nicaragua. The impact of such a change in the health field has been supported by the quest for reform of the health system and the involvement of external financial agencies aimed at leading the process. However, this change has not been reflected in the planning of human resourc…
WHO antenatal care randomised trial for the evaluation of a new model of routine antenatal care
Determinants of Medical Employment in Urban Mexico
This study examines unemployment and underemployment of physicians in urban Mexico. The framework is relevant to countries with substantial increases in physician supply. Based on surveys from 1986 and 1993, the study analyses physician performance in the labour market as a function of ascription (social origin and gender), achievement (quality of medical education and specialization) and contextual variables (policy environments). By comparing t…
Non-biomedical health care practices in the State of Morelos, Mexico
This paper gives the results of one of the first studies of non-biomedical health care services in the State of Morelos, Mexico. The socio-cultural matrix of the population of Morelos has attracted many practitioners of medical models which have no foundation in the rationale of the biomedical-scientific model. There is a considerable variety of non-biomedical therapists in the area of study which may be categorised in three groups: (a) tradition…
Womens' opinions on antenatal care in developing countries
Recommendations to improve ANC services performance are being proposed. Any country interested in the application of a new ANC protocol should regard the opinion and acceptability of women towards changes
Políticas nacionales de salud y decisiones locales en México
OBJECTIVE: To identify the changes brought about by various national and international factors in an intercultural hospital of the municipality of Cuetzalán, Puebla. MATERIAL AND METHODS: A case study was conducted during 2000 and 2001 in two Intercultural Hospitals of Mexico; the Cuetzalán Hospital in Puebla and the Jesús María Hospital in Nayarit State. Data were collected by means of 72 semi-structured interviews with allopathic therapists, in…
Breast cancer in Mexico
Breast cancer is a serious threat to the health of women globally, and an unrecognised priority in middle-income countries. This paper presents data from Mexico. It shows that breast cancer accounts for more deaths than cervical cancer since 2006. It is the second cause of death for women aged 30–54 and affects all socio-economic groups. Data on detection, although under-reported, show 6,000 new cases in 1990, and a projected increase to over 16,…
The quest for universal health coverage
Formulación de políticas públicas sobre el cáncer de mama en América Latina
The results point to significant differences in public policy-making related to breast cancer in the Region. They also show that greater progress has been made in countries where policies have been developed through inclusive participation processes
Redesigning Primary Care to Tackle the Global Epidemic of Noncommunicable Disease
Noncommunicable diseases (NCDs) have become the major contributors to death and disability worldwide. Nearly 80% of the deaths in 2010 occurred in low- and middle-income countries, which have experienced rapid population aging, urbanization, rise in smoking, and changes in diet and activity. Yet the health systems of low- and middle-income countries, historically oriented to infectious disease and often severely underfunded, are poorly prepared f…
Breast cancer policy in Latin America
BACKGROUND: The recent increase of breast cancer mortality has put on alert to most countries in the region. However it has taken some time before breast cancer could be considered as a relevant problem. Only in recent years breast cancer has been considered a priority in some Latin American countries and resources have been mobilized to confront the problem at the institutional level. The article analyzes the efforts made in five Latin American …
Use of performance metrics for the measurement of universal coverage for maternal care in Mexico
This study provides evidence for those working in the maternal health metrics and health system performance fields, as well as those interested in achieving universal and effective health care coverage. Based on the perspective of continuity of health care and applying quasi-experimental methods to analyse the cross-sectional 2009 National Demographic Dynamics Survey (n = 14 414 women), we estimated the middle-term effects of Mexico's new public …
Rectoría y gobernanza
Este estudio analiza las modalidades de conducción en la implementación de la Atención Primaria de Salud (APS) en Paraguay en tres periodos gubernamentales (2008 -2012, 2012 – 2013 y 2013 - 2017) y en tres niveles de gestión (nacional, regional y local). La metodología se basó en el análisis de categorías a priori seleccionadas sobre dimensiones y sub-dimensiones de la Rectoría y gobernanza de esta política pública, con enfoque cualitativo, basad…
Implementation and clinical effectiveness of a community-based non-communicable disease treatment programme in rural Mexico
Non-communicable diseases (NCDs) account for the five largest contributors to burden of disease in Mexico, with diabetes representing the greatest contributor. However, evidence supporting chronic disease programmes in Mexico is limited, especially in rural communities. Compañeros En Salud (CES) partnered with the Secretariat of Health of Chiapas, Mexico to implement a novel community-based NCD treatment programme. We describe the implementation …
A longitudinal assessment of technical efficiency in the outpatient production of maternal health services in México
We assess technical efficiency (TE) level for Mexican Ministry of Health (MoH) primary care units. Assessment was focused on the production of adequate maternal health services defined as the coverage level of women who received timely and frequent antenatal care, and institutional and medical care during childbirth. We conducted a longitudinal analysis of administrative and socio-demographic information concerning 233 health jurisdictions for th…
Improving the effective maternal-child health care coverage through synergies between supply and demand-side interventions
BACKGROUND: Over the last two decades, the Mexican government has released several efforts to achieve universal health coverage (UHC), based on the principles of fairness and social protection, to reduce the inequities in utilization, access, and quality of care existing in the health system. Two of the most important social public policies that have targeted the population without access to social security include the 1997 conditional cash trans…
The importance of the cultural dimension of food in understanding the lack of adherence to diet regimens among Mayan people with diabetes
Objective: To understand non-adherence to medically recommended diets among Mayans with diabetes. Design: Using partially sequential mixed methods, questionnaires, semi-structured brief and in-depth interviews were applied. Questionnaire data were analysed with Pearson’s χ 2 and Student’s t tests and qualitative interviews with grounded theory microanalysis. Setting: Rural, predominantly Mayan communities in Chiapas, Quintana Roo and Yucatan, Mex…
Barreras en mujeres indígenas para acceder a servicios obstétricos en el marco de redes integradas de servicios de salud
Analizar las barreras que enfrentan las mujeres indígenas para acceder a la red de servicios obstétricos en el marco de Redes Integradas de Servicios de Salud. Se diseñó un estudio transversal descriptivo que integró métodos cuantitativos y cualitativos. La muestra fue intencionada, no probabilística. La recolección de datos se hizo en Oaxaca, México, durante 2017 y 2018. Se encuestó a 149 mujeres indígenas usuarias de servicios obstétricos para …
Regulación de la enfermería en México
El objetivo de este artículo es analizar la estructura regulatoria de la enfermería en México, a través de la normatividad y los actores involucrados. Se desarrolló un estudio de caso con uso de fuentes de información cualitativa, cuantitativa y revisión de documentación oficial. El análisis integró los datos obtenidos de las fuentes de acuerdo con cuatro dimensiones propuestas por Moran & Wood (1993). La dimensión con mayores avances es el ingre…
Los Objetivos de Desarrollo Sostenible y las capacidades tecnológicas
Para lograr los objetivos de desarrollo y salud sostenibles, es esencial incrementar las capacidades tecnológicas de las poblaciones más desfavorecidas. Entrado el siglo XXI, existen las tecnologías necesarias para ello. El déficit en capacidades tecnológicas se debe a la existencia de un gradiente tecnológico entre la producción de gran y de pequeña escalas, debido a la falta de incentivos para la innovación y la difusión en empresas y comunidad…
Prevalence of Depression and Generalized Anxiety Disorder Among Mexican Indigenous Adolescents and Young Adults
Medicine (32 obras) · Political science (21 obras) · Environmental health (19 obras) · Economic growth (18 obras) · Global Maternal and Child Health (17 obras) · Health care (17 obras) · Healthcare Systems and Reforms (17 obras) · Nursing (17 obras) · Population (17 obras) · Economics (15 obras)