Luis Huicho
Biographic Data
| ID | 94254 |
|---|---|
| NAME | Luis Huicho |
| GIVEN NAMES | Luis |
| FAMILY NAME | Huicho |
| SIGNATURE | HUICHO L |
| AFFILIATIONS | Universidad Peruana Cayetano Heredia |
| ORCID | 0000-0002-5272-5885 |
| VERIFIED | Yes |
| TOTAL WORKS | 48 |
| TOTAL CITATIONS | 26 |
| AUTHOR COUNT | 48 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1995 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Pathways of change for essential newborn care practices and health care seeking
In rural Indigenous communities in the Peruvian Amazon, access to quality care is difficult, home births are frequent, and neonatal mortality remains high. Peru has a large cadre of Community health workers (CHW), yet their potential is not harnessed. A recent outcome evaluation of a community-based intervention showed improvements in essential newborn care (ENC) for home births and small increases in facility births. To explain these findings, e…
Impact of the Covid-19 pandemic on small vulnerable newborns
Background: We examined COVID-19's impact on the number of small vulnerable newborns (SVN) at national and regional levels in Peru and Brazil. Methods: Using national birth registries, we examined monthly numbers of preterm (PT), low birthweight (LBW), and small for gestational age (SGA) newborns. We analysed COVID-19's impact on SVN using two interrupted time series models. We estimated SVN's expected numbers in the absence of the pandemic using…
The impact Covid-19 pandemic on coverage and inequalities in childhood immunization in Peru
The COVID-19 pandemic temporarily disrupted Peru's childhood immunization efforts, particularly affecting poorer populations, but coverage rebounded to pre-pandemic levels by 2022. These findings contribute to the scant literature on the pandemic's impact on vaccine equity
Standardising the measurement of child health indicators within global climate adaptation
Unveiling the dimension of regional disparities
Background: The coronavirus disease 2019 (COVID-19) pandemic disrupted essential health care services worldwide, including those related to immunisation. National data from Bangladesh shows that child immunisation may have been adversely affected by the pandemic but regional evidence is limited. We therefore aimed to explore the regional differences in the indirect effects of COVID-19 on child immunisation in Bangladesh. Methods: We extracted dat…
Impact of Covid-19 on the utilisation of maternal and child health services in Peru at national and subnational levels
Background: The resilience of Peru ́s health system was weakened by a political crisis that started in 2016 and was further challenged by the coronavirus 2019 (COVID-19) pandemic. We assessed the indirect impact of the pandemic on the utilisation of essential maternal and child health (MCH) services in Peru at national and subnational levels. Methods: We assessed the trends in MCH services utilisation and the percentage change from 2018 to 2021, …
Impact of Covid-19 on the utilisation of maternal health services in Bangladesh
Background: The coronavirus disease 2019 (COVID-19) pandemic had substantially disrupted maternal health care provision and utilisation in Bangladesh. However, the extent of geographical disparities in service utilisation and how the health system withstood these challenges have not been studied. This study explores the divisional disparities in trends and disruptions in maternal health service utilisation caused by the COVID-19 pandemic. Methods…
The impact of the Covid-19 pandemic on trends in stillbirths, under-5 and maternal mortality in Brazil
Background: Despite the proliferation of studies on the impact of the coronavirus disease 2019 (COVID-19) pandemic, there is less evidence on the indirect death toll compared to the health system and service provision disruptions. We assessed the impact of the COVID-19 pandemic on national and regional trends and differences in stillbirths, under-5 and maternal deaths in Brazil. Methods: We used the nationwide routine health information system da…
Changes in preterm birth and stillbirth during Covid-19 lockdowns in 26 countries
Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data f…
Geographic inequalities in health intervention coverage – mapping the composite coverage index in Peru using geospatial modelling
Our study highlighted provinces with high levels of inequality in CCI coverage indicating areas, mostly low-populated jungle areas, where more attention is needed. We also uncovered other areas, such as the border with Bolivia, where coverage is lower than the coastal provinces and should receive increased efforts. More generally, our results make the case for high-resolution estimates to unveil geographic inequities otherwise hidden by the usual…
Measurement and accountability for maternal, newborn and child health
At the onset of the Sustainable Development Goals, in 2015, a group of global health experts delivered a call to action for an improved measurement system for women's and children's health. Five principles were defined, including having a focused set of core indicators, making data relevant to countries, investing in innovations, embedding equity measures and supportive global leadership. Five years later, in 2020, a second meeting reviewed progr…
Global strategies and local implementation of health and health-related SDGs
Evidence on early achievements, challenges and opportunities would help low-income and middle-income countries (LMICs) accelerate implementation of health and health-related sustainable development goals (HHSDGs). A series of country-specific and multicountry consultative meetings were conducted during 2018–2019 that involved 15 countries across five regions to determine the status of implementation of HHSDGs. Almost 120 representatives from heal…
What will it take to implement health and health-related sustainable development goals
box In two previous publications, we have described and summarised key findings from the global systematic review and country consultations related to our assessment of the progress in implementing the health and health-related sustainable development goals (HHSDGs). Although it has been only 5 years but current evidence on the implementation of sustainable development goal (SDG) evaluations to date suggests that a vast majority of countries are …
Drivers of the progress achieved by Peru in reducing childhood diarrhoea mortality
BACKGROUND: Childhood diarrhoea mortality has declined substantially in Peru in recent decades. We documented trends in childhood diarrhoea mortality from 1980 to 2015, along with trends in coverage of diarrhoea-related interventions and risk factors, to identify the main drivers of mortality reduction. METHODS: ) to help explain the reasons for the decline in diarrhoea mortality from 1980 to 2015 and to predict additional reduction with further …
Drivers of the reduction in childhood diarrhea mortality 1980-2015 and interventions to eliminate preventable diarrhea deaths by 2030
BACKGROUND: Childhood diarrhea deaths have declined more than 80% from 1980 to 2015, in spite of an increase in the number of children in low- and middle-income countries (LMIC). Possible drivers of this remarkable accomplishment can guide the further reduction of the half million annual child deaths from diarrhea that still occur. METHODS: We used the Lives Saved Tool, which models effects on mortality due to changes in coverage of preventive or…
Drivers of the progress achieved by Peru in reducing childhood diarrhoea mortality
BACKGROUND: India has achieved 86% reduction in the number of under-five diarrheal deaths from 1980 to 2015. Nonetheless diarrhea is still among the leading causes of under-five deaths. The aim of this analysis was to study the contribution of factors that led to decline in diarrheal deaths in the country and the effect of scaling up of intervention packages to address the remaining diarrheal deaths. METHODS: We assessed the attribution of differ…
Countdown to 2030
Reporte de caso de enfermedad de Pott en vértebras torácicas altas en un niño de dos años
Pott's disease is a health problem in developing countries and its diagnosis in children is a challenge. Here we present the case of a two-year-old boy with Pott's disease involving T1 to T3 thoracic vertebrae. The clinical presentation was characterized by difficulty walking, fever, cough, and dyspnea. At physical examination, kyphosis and bony prominence were observed in the cervicodorsal area. A positive tuberculin test was obtained, and Mycob…
Prioritizing research for integrated implementation of early childhood development and maternal, newborn, child and adolescent health and nutrition platforms
BACKGROUND: Existing health and nutrition services present potential platforms for scaling up delivery of early childhood development (ECD) interventions within sensitive windows across the life course, especially in the first 1000 days from conception to age 2 years. However, there is insufficient knowledge on how to optimize implementation for such strategies in an integrated manner. In light of this knowledge gap, we aimed to systematically id…
Towards sustainable partnerships in global health
Human capital requires opportunities to develop and capacity to overcome challenges, together with an enabling environment that fosters critical and disruptive innovation. Exploring such features is necessary to establish the foundation of solid long-term partnerships. In this paper we describe the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for …
Examining national and district-level trends in neonatal health in Peru through an equity lens
Although progress in Peru for reducing NMR has been remarkable, future challenges include closing remaining gaps for urban and rural populations and improving newborn health with qualified staff and intermediate- and intensive-level health facilities
Countdown to 2015 country case studies
Increases in health and RMNCH funding accompanied improvements in outcomes, though low-income countries are still very reliant on external financing, and out-of-pocket comprising a growing share of funds in middle-income settings. Enhancements in tracking RMNCH expenditures across countries are still needed to better understand whether domestic and global health financing initiatives lead to improved outcomes as RMNCH continues to be a priority u…
Remaining missed opportunities of child survival in Peru
Although Peru has made great strides in improving child survival, further improvement in child health, especially in newborn health can be achieved if there is universal and equitable coverage of proven, quality health facility-based interventions. The magnitude of reduction in mortality will be similar to what has been achieved in the past decade. Strengthening health system to identify, understand, and direct resources to the poor and rural are…
Countdown to 2015 country case studies
These are the first HSP tools using mixed methods to systematically analyse and describe RMNCH changes within and across countries, important in informing accelerated progress for ending preventable maternal, newborn and child mortality in the post-2015 era
Incremento en el gasto por inversión en el sector salud
serotipo y la circulacin del mismo en la trifrontera. Por ahora, ninguna muestra result positiva para CHIKV
Context matters
Appropriate consideration of contextual factors is essential for ensuring internal and external validity of randomized and non-randomized evaluations. Contextual factors may confound the association between delivery of the intervention and its potential health impact. They may also modify the effect of the intervention or programme, thus affecting the generalizability of results. This is particularly true for large-scale health programmes, for wh…
Scaling up Integrated Management of Childhood Illness to the national level
This paper presents the first published report of a national-level effort to implement the Integrated Management of Childhood Illness (IMCI) strategy at scale. IMCI was introduced in Peru in late 1996, the early implementation phase started in 1997, with the expansion phase starting in 1998. Here we report on a retrospective evaluation designed to describe and analyze the process of taking IMCI to scale in Peru, conducted as one of five studies w…
Implementation of the Integrated Management of Childhood Illness strategy in Peru and its association with health indicators
The Multi-Country Evaluation of Integrated Management of Childhood Illness (IMCI) Effectiveness, Cost and Impact (MCE) was launched to assess the global effectiveness of this strategy. Impact evaluations were started in five countries. The objectives of the Peru MCE were: (1) to document trends in IMCI implementation in the 24 departments of Peru from 1996 to 2000; (2) to document trends in indicators of health services coverage and impact (morta…
Changes in preterm birth and stillbirth during Covid-19 lockdowns in 26 countries
Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data f…
Diagnostic approach to acute infectious diarrhea
Diagnostic des diarrhées infectieuses aiguës : le point sur la question On reconnaît actuellement un nombre croissant de micro-organismes responsables de la production de diarrhées infectieuses aiguës. Il est donc nécessaire pour les médecins et les autorités administratives médicales de compter sur un système de diagnostic efficace et peu coûteux. C'est ce que nous étudions dans cet article. Nous essayons de déterminer si la présence de leucocyt…
Oxygen saturation and heart rate in healthy school children and adolescents living at high altitude
This study was conducted to establish reference values for percent oxygen saturation of hemoglobin (SaO 2 , %) and heart rate (HR, bpm) in children living at high altitude (4,100 m) and to relate possible differences in the variables with ethnic origin. Healthy children from a mine‐located school (Tintaya, n = 417), a nearby school (Marquiri, n = 474), and a rural Andean community (Nuñoa, n = 373) were investigated. The samples included different…
Growth of children in two economically diverse Peruvian high‐altitude communities
The growth of children living in two high‐altitude communities associated with an active copper mine in southern Peru was examined. In the community directly associated with mining operations, nutritional and health conditions were believed to be relatively favorable as a result of the substantial mine‐related infrastructure that had developed over the previous 12 years. In contrast, few such benefits were available in the other community, which …
Growth of children in two economically diverse Peruvian high‐altitude communities
The growth of children living in two high-altitude communities associated with an active copper mine in southern Peru was examined. In the community directly associated with mining operations, nutritional and health conditions were believed to be relatively favorable as a result of the substantial mine-related infrastructure that had developed over the previous 12 years. In contrast, few such benefits were available in the other community, which …
Cross-sectional study of echocardiographic characteristics in healthy children living at high altitude
Non-echocardiographic studies in healthy high altitude children have shown right ventricle predominance during infancy and childhood, associated to asymptomatic pulmonary hypertension and an increased pulmonary artery pressure. Systematic studies on echocardiography in such children have not been performed. In a cross-sectional study, we measured right and left heart morphologic and functional parameters, through M-mode, two-dimensional Doppler, …
Implementation of the Integrated Management of Childhood Illness strategy in Peru and its association with health indicators
The Multi-Country Evaluation of Integrated Management of Childhood Illness (IMCI) Effectiveness, Cost and Impact (MCE) was launched to assess the global effectiveness of this strategy. Impact evaluations were started in five countries. The objectives of the Peru MCE were: (1) to document trends in IMCI implementation in the 24 departments of Peru from 1996 to 2000; (2) to document trends in indicators of health services coverage and impact (morta…
Scaling up Integrated Management of Childhood Illness to the national level
This paper presents the first published report of a national-level effort to implement the Integrated Management of Childhood Illness (IMCI) strategy at scale. IMCI was introduced in Peru in late 1996, the early implementation phase started in 1997, with the expansion phase starting in 1998. Here we report on a retrospective evaluation designed to describe and analyze the process of taking IMCI to scale in Peru, conducted as one of five studies w…
Context matters
Appropriate consideration of contextual factors is essential for ensuring internal and external validity of randomized and non-randomized evaluations. Contextual factors may confound the association between delivery of the intervention and its potential health impact. They may also modify the effect of the intervention or programme, thus affecting the generalizability of results. This is particularly true for large-scale health programmes, for wh…
National and sub-national under-five mortality profiles in Peru
Under-five mortality declined substantially in all departments from 1996 to 2000, which is explained mostly by reduction in diarrhoea and pneumonia deaths, particularly in the andean region. There is the need to emphasize interventions to reduce neonatal deaths and emerging causes of death such as injuries and congenital anomalies
Cross‐sectional study of electrocardiographic pattern in healthy children resident at high altitude
Electrocardiographic studies have reported persistent right ventricle predominance in high altitude children as an adaptive response. No information was provided on ethnicity and environmental factors in those studies. We assessed the electrocardiographic characteristics in healthy high altitude children with mixed ancestry and relatively high mobility to lower altitudes. A cross‐sectional study of 321 children aged 2 months through 19 years old …
Mortality profiles in a country facing epidemiological transition
Peruvian mortality shows a double burden of communicable and non-communicable, with increasing importance of non-communicable diseases and injuries. This challenges national and sub-national health system performance and policy making
Persistence of growth stunting in a Peruvian high altitude community, 1964–1999
The growth of children living in Nuñoa, a Peruvian high‐altitude community, was studied over a 35‐year period using data collected in 1964 and 1999. There had been evidence of a secular trend in growth in the mid‐1980s, but this was before a period of sociopolitical upheaval lasting until the late 1990s partly linked to the activities of the Shining Path group and the Peruvian government's response. Anthropometric data for 576 children examined i…
Evaluación situacional, estructura, dinámica y monitoreo de los sistemas de información en accidentes de tránsito en el Perú - 2009
Current information systems for road traffic injuries have limitations. The actual use and utility of the information for decision-making for prevention of road traffic injuries nationwide is limited
Evaluación situacional, estructura, dinámica y monitoreo de los sistemas de información en accidentes de tránsito en el Perú - 2009
Objective: A baseline assessment of the structure, dynamics, and monitoring capabilities of the information systems for road traffic injuries was conducted in three Peruvian cities: Lima, Huamanga and Pucallpa. Material and methods. 50 in-depth interviews were performed with key stakeholders, including managers and operators of information systems. The instrument was developed taking into account international standards and recommendations for in…
Cobertura real de la ley de atención de emergencia y del Seguro Obligatorio contra Accidentes de Tránsito (Soat)
In this study, the lack of knowledge about the provision of emergency health care law was important, and the coverage of care was deficient as nearly half of participants reported not to be treated by one or more of the entitlements stated in such law. Road traffic injuriesrelated health care costs were not covered by any insurance scheme in one of three victims. Improvements on citizens information about their rights and of effective law enforce…
Traumatismos causados por el tránsito en el Perú. ¿Dónde estamos y hacia dónde vamos
Americanae nace como un proyecto conjunto que surge dentro de la Red Europea de Información y Documentación sobre América Latina (REDIAL), y que ha afrontado la Biblioteca de la Agencia Española de Cooperación Internacional para el Desarrollo (AECID). Esta nueva biblioteca virtual hace más accesibles los libros digitales de tema americanista a los investigadores y usuarios interesados de cualquier parte del mundo
Cobertura real de la Ley de Atención de Emergencia y del Seguro Obligatorio contra Accidentes de Tránsito (Soat)
Objective. The aim of this study was to ascertain, from patients’ perspective, the degree of knowledge and the actual coverage of the Emergency Health Care Law and the Compulsory Insurance against Road Traffic Crashes (SOAT). Material and methods. A cross-sectional, active surveillance of emergency wards of selected health facilities in three Peruvian cities (Lima, Pucallpa y Ayacucho) was conducted. Results. Out of 644 surveyed victims, 77% did …
Recursos y capacidades de servicios de emergencia para atención de lesiones por traumas en Perú
Los objetivos de este trabajo fueron determinar la percepción de los recursos y capacidades de los servicios de emergencia en tres ciudades del Perú, utilizando las guías publicadas por la Organización Mundial de la Salud: Guidelines for Essential Trauma Care. Estudio transversal, realizado en 8 establecimientos de salud públicos y privados, en las ciudades de Lima, Ayacucho y Pucallpa. Se aplicaron cuestionarios semi-estructurados a los responsa…
Niveles de insatisfacción del usuario externo en el Instituto Nacional de Salud del Niño de Lima, Perú
The dimensions showing an increase in the dissatisfaction index were tangible aspects, hygiene and others for hospitalization and emergency services. On the other hand, the medical capabilities dimension for outpatient visits showed a decrease in the level of dissatisfaction over the evaluated period
Evaluation of interventions on road traffic injuries in Peru
Our approach revealed substantial caveats in current RTI interventions in Peru, and fundamental negative effects on several components of the sectors and systems involved. It also highlighted programmatic issues that should be applied to guarantee an effective implementation and evaluation of these policies. The findings from this study were discussed with key stakeholders for consideration in further designing and planning RTI control interventi…
Incentivos para atraer y retener personal de salud de zonas rurales del Perú
El objetivo fue identificar incentivos de atracción y retención en zonas rurales y distantes de Ayacucho, Perú. Fueron realizadas entrevistas en profundidad con 80 médicos, enfermeras, obstetras y técnicos (20 por grupo) de las zonas más pobres y con 11 funcionarios. No existen políticas sistemáticas de atracción y retención de personal de salud en Ayacucho. Los principales incentivos, en orden de importancia, fueron mejoras salariales, oportunid…
Precisión de la taquipnea y las retracciones subcostales como signos clínicos para diagnóstico de neumonía adquirida en la comunidad en niños
Objectives. Determine whether tachypnea and subcostal retractions can be efficient predictors for the diagnosis of Community-Acquired Pneumonia (CAP) among children. Materials and methods. These were the databases used: PubMed, LILACS, The African Journal Database and The Cochrane Central Library. Original studies were included which assessed the diagnostic performance of the clinical criteria for tachypnea or subcostal retraction defined in acco…
Niveles de insatisfacción del usuario externo en el Instituto Nacional de Salud del Niño de Lima, Perú
Objectives. To determine the changes in the levels of dissatisfaction of the external users of the Instituto Nacional de Salud del Niño, in Lima, Peru. Materials and methods. Observational study based on a software to evaluate surveys completed by health care users (Software de Evaluación de Encuestas de Usuarios en Salud - SEEUS). The population consisted of every person accompanying external users to outpatient visits, inpatient visits or emerg…
Incremento en el gasto por inversión en el sector salud
serotipo y la circulacin del mismo en la trifrontera. Por ahora, ninguna muestra result positiva para CHIKV
Towards sustainable partnerships in global health
Human capital requires opportunities to develop and capacity to overcome challenges, together with an enabling environment that fosters critical and disruptive innovation. Exploring such features is necessary to establish the foundation of solid long-term partnerships. In this paper we describe the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for …
Medicine (38 works) · Environmental health (25 works) · Global Maternal and Child Health (22 works) · Child Nutrition and Water Access (17 works) · Population (17 works) · Political science (16 works) · Demography (13 works) · Nursing (13 works) · Psychological intervention (12 works) · Economic growth (11 works)