Ana Lorena Ruano
Dados Biográficos
| ID | 326304 |
|---|---|
| NOME | Ana Lorena Ruano |
| PRENOMES | Ana Lorena |
| SOBRENOME | Ruano |
| ASSINATURA | RUANO A L |
| AFILIAÇÕES | Center for the Study of Equity and Governance in Health Systems |
| ORCID | 0000-0003-3913-4228 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 9 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
“A single viral video can undo months of health education”
This study examines vaccine hesitancy in wartime Ukraine, where institutional mistrust, displacement, and emotional trauma reshape parental decision-making. Drawing on in-depth interviews with mothers and pediatric professionals, we explore how caregivers navigate immunization choices amid disrupted health systems, contested information environments, and weakened trust in state and international actors. We frame hesitancy not as a static or irrat…
The impact of the United States’ distancing from the UN and withholding WHO funding on maternal and child health and nutrition in the Latin America & Caribbean region
This commentary examines the serious implications of the United States’ (US) decision to withdraw funding from the World Health Organization (WHO) and the United Nations (UN) system for maternal and child health and nutrition in Latin America and the Caribbean (LAC). The region has made significant progress in reducing maternal and infant mortality through coordinated efforts led by WHO, PAHO, and other UN agencies, as an example, infant mortalit…
Scaling up our commitment to equity in health
Health equity and the global social contract
The Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs) have been celebrated as global social contracts, yet their reliance on voluntary commitments and aspirational targets conceals a structural flaw. By divorcing poverty and inequity from colonial histories, debt regimes, and extractive global finance, these frameworks function as a neocolonial placebo: soothing global conscience while entrenching asymmetries of power a…
Youth collective action for accountability towards sexual and reproductive health (SRH) rights
In the field of sexual and reproductive health and rights (SRHR), there is a growing consensus that participation is critical to ensuring that the voices of youth are heard and their agency is exercised in a way that enables them to practice active citizenship. This includes collective action to hold duty bearers and power holders to account for their rights. Youth are increasingly being seen as important constituents; however, despite the growth…
Pregnancy, Childcare, and Pesticides
Women play a significant role in agriculture worldwide, especially in sub-Saharan Africa, where they form a large share of the workforce in horticulture. Horticulture work may expose women to pesticides during pregnancy and childcare, posing serious health risks to women and children. This study explores the experiences of women working in small-scale horticulture in Tanzania during pregnancy and childcare, to understand exposure risks and sugges…
Unmasking power as foundational to research on sexual and reproductive health and rights
Relations of power are intrinsic to the social \ndeterminants of sexual and reproductive \nhealth (SRH); they influence the content, \nquality and outcomes of SRH care; and they \nshape the negotiation and realisation of \nsexual and reproductive health and rights \n(SRHR) more broadly. Power dynamics \npervade how SRHR is understood, studied \nand acted on, in ways that are distinct from \nother health issues.1 For example, the deeply \nheld per…
Realizing the right to health in Latin America, equitably
This special issue "Realizing the Right to Health in Latin America and the Caribbean" provides an overview of one of the most challenging objectives of health systems: equity and the realization of the right to health. In particular, it concentrates on the issues associated with such a challenge in countries suffering of deep inequity. The experience in Latin America and the Caribbean demonstrates that the efforts of health systems to achieve Uni…
Health equity and Covid-19
The COVID-19 is disproportionally affecting the poor, minorities and a broad range of vulnerable populations, due to its inequitable spread in areas of dense population and limited mitigation capacity due to high prevalence of chronic conditions or poor access to high quality public health and medical care. Moreover, the collateral effects of the pandemic due to the global economic downturn, and social isolation and movement restriction measures,…
Axes of alienation
While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights (SRHR) have always been sites of power contestations within families, societies, cultures, and politics; these struggles are exacerbated by economic, racial, religious, caste, citizenship status, a…
Pathways to accountability in rural Guatemala
Strengthening citizen-led accountability initiatives is a critical rights-based strategy for improving health services for indigenous and other marginalized populations. As these initiatives have gained prominence in health and other sectors, there is great interest in how they operate and what makes them effective. Scholarly focus is shifting from measuring the efficacy of their tools and tactics to deepening understanding of the context-sensiti…
Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico
The abuse of older adults is a serious public health issue that can be difficult to identify at the first level of care. Medical and nursing personnel are sometimes unable to identify older adults who suffer family mistreatment. This can occur when victims feel shame or as a result of cultural factors. In the light of this, healthcare personnel require a screening tool that can be used to identify signs of mistreatment. The aim of this study was …
Prevalence and factors associated with violence and abuse of older adults in Mexico’s 2012 National Health and Nutrition Survey
Violence against older adults presents differently for men and women, which means it is necessary to increase knowledge about the dynamics of the social determinants of violence, particularly in regards to the role of education among men. The relatively low prevalence found in this study may reflect the difficulty and fear of discussing the topic of violence. This may occur because of cultural factors, as well as by the perception of helplessness…
Abuse and discrimination towards indigenous people in public health care facilities
Addressing mistreatment in public health settings will involve tackling the prevalent forms of discrimination, including racism. This will likely require profound, complex and sustained interventions at the programmatic and policy levels beyond the strict realm of public health services. Future studies should assess the magnitude of the occurrence of episodes of maltreatment and racism within indigenous areas and also explore the providers' perce…
Interventions in Primary Care and their contributions to improving equity in health
Primary Care constitutes the first and most important point of contact between the health system and the population it is there to serve. Through it, essential, continuous, comprehensive, and coordinated care that does not discern between gender, disease or geographical location can be provided. Whether delivered by physicians or other members of the primary care workforce, evidence shows that strong primary care is associated with better access …
From knowing our needs to enacting change
Communities are keen to participate and work with duty bearers in creating the conditions that will lead to their improved quality of life. Clear policies that recognize the status of indigenous peoples are necessary in the Bangladeshi context to allow for the development of services and infrastructure
The process of social participation in primary health care
Background In 2008, the World Health Organization issued a callback to the principles of primary health care, which renewed interests in social participation in health. In Guatemala, social participation has been the main policy for the decentralization process since the late 1990s and the social development council scheme has been the main means for participation for the country’s population since 2002. Aim The aim of this study was to explore t…
Making the post-MDG global health goals relevant for highly inequitable societies
The United Nations presented a set of Millennium Development Goals that aimed to improve social and economic development and eradicate poverty by 2015. Most low and middle-income countries will not meet these goals and today there is a need to set new development agenda, especially when it comes to health. The paper presents the findings from a community consultation process carried out within the Goals and Governance for Global Health (GO4Health…
Health, equity and the post-2015 agenda
In September 2012 the United Nations (UN) initiated a process that would extend and enhance the unfinished agenda of the Millennium Development Goals (MDGs), integrating a new vision for sustainable development beyond the year 2015. The initial consultation phase has been completed, with the UN and partner organizations undertaking eleven thematic consultations, including one on health. It is in this context that the European Commission (EC) has …
Community participation in formulating the post-2015 health and development goal agenda
Global discussion on the post-2015 development goals, to replace the Millennium Development Goals when they expire on 31 December 2015, is well underway. While the Millennium Development Goals focused on redressing extreme poverty and its antecedents for people living in developing countries, the post-2015 agenda seeks to redress inequity worldwide, regardless of a country's development status. Furthermore, to rectify the UN's top-down approach t…
Perceptions and experiences of access to public healthcare by people with disabilities and older people in Uganda
Uganda must fulfil its international obligations and take progressive measures to meet the right to health for all its peoples, but especially allocate its limited resources to proactively support its most marginalized citizens. The growing impetus within post-2015 development negotiations to redress in-country health and other inequalities through a comprehensive systems approach is of importance in the Ugandan development context. This approach…
The role of social participation in municipal-level health systems
BACKGROUND: Social participation has been recognized as an important public health policy since the declaration of Alma-Ata presented it as one of the pillars of primary health care in 1978. Since then, there have been many adaptations to the original policy but participation in health is still seen as a means to make the health system more responsive to local health needs and as a way to bring the health sector and the community closer together.…
‘If no one else stands up, you have to’
BACKGROUND: Access to water is a right and a social determinant of health that should be provided by the state. However, when it comes to access to water in rural areas, the current trend is for communities to arrange for the service themselves through locally run projects. This article presents a narrative of a single community's process of participation in implementing and running a water project in the village of El Triunfo, Guatemala. METHODS…
Social Participation within a Context of Political Violence
Social participation has been understood in many different ways, and there are even typologies classifying participation by the degree of a population's control in decision making. Participation can vary from a symbolic act, which does not involve decision making, to processes in which it constitutes the principal tool for redistributing power within a population. This article argues that analyzing social participation from a perspective of power…
Social Participation within a Context of Political Violence
Social participation has been understood in many different ways, and there are even typologies classifying participation by the degree of a population's control in decision making. Participation can vary from a symbolic act, which does not involve decision making, to processes in which it constitutes the principal tool for redistributing power within a population. This article argues that analyzing social participation from a perspective of power…
Pathways to accountability in rural Guatemala
Strengthening citizen-led accountability initiatives is a critical rights-based strategy for improving health services for indigenous and other marginalized populations. As these initiatives have gained prominence in health and other sectors, there is great interest in how they operate and what makes them effective. Scholarly focus is shifting from measuring the efficacy of their tools and tactics to deepening understanding of the context-sensiti…
Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico
The abuse of older adults is a serious public health issue that can be difficult to identify at the first level of care. Medical and nursing personnel are sometimes unable to identify older adults who suffer family mistreatment. This can occur when victims feel shame or as a result of cultural factors. In the light of this, healthcare personnel require a screening tool that can be used to identify signs of mistreatment. The aim of this study was …
Social Participation within a Context of Political Violence
Social participation has been understood in many different ways, and there are even typologies classifying participation by the degree of a population's control in decision making. Participation can vary from a symbolic act, which does not involve decision making, to processes in which it constitutes the principal tool for redistributing power within a population. This article argues that analyzing social participation from a perspective of power…
‘If no one else stands up, you have to’
BACKGROUND: Access to water is a right and a social determinant of health that should be provided by the state. However, when it comes to access to water in rural areas, the current trend is for communities to arrange for the service themselves through locally run projects. This article presents a narrative of a single community's process of participation in implementing and running a water project in the village of El Triunfo, Guatemala. METHODS…
The role of social participation in municipal-level health systems
BACKGROUND: Social participation has been recognized as an important public health policy since the declaration of Alma-Ata presented it as one of the pillars of primary health care in 1978. Since then, there have been many adaptations to the original policy but participation in health is still seen as a means to make the health system more responsive to local health needs and as a way to bring the health sector and the community closer together.…
The process of social participation in primary health care
Background In 2008, the World Health Organization issued a callback to the principles of primary health care, which renewed interests in social participation in health. In Guatemala, social participation has been the main policy for the decentralization process since the late 1990s and the social development council scheme has been the main means for participation for the country’s population since 2002. Aim The aim of this study was to explore t…
Making the post-MDG global health goals relevant for highly inequitable societies
The United Nations presented a set of Millennium Development Goals that aimed to improve social and economic development and eradicate poverty by 2015. Most low and middle-income countries will not meet these goals and today there is a need to set new development agenda, especially when it comes to health. The paper presents the findings from a community consultation process carried out within the Goals and Governance for Global Health (GO4Health…
Health, equity and the post-2015 agenda
In September 2012 the United Nations (UN) initiated a process that would extend and enhance the unfinished agenda of the Millennium Development Goals (MDGs), integrating a new vision for sustainable development beyond the year 2015. The initial consultation phase has been completed, with the UN and partner organizations undertaking eleven thematic consultations, including one on health. It is in this context that the European Commission (EC) has …
Community participation in formulating the post-2015 health and development goal agenda
Global discussion on the post-2015 development goals, to replace the Millennium Development Goals when they expire on 31 December 2015, is well underway. While the Millennium Development Goals focused on redressing extreme poverty and its antecedents for people living in developing countries, the post-2015 agenda seeks to redress inequity worldwide, regardless of a country's development status. Furthermore, to rectify the UN's top-down approach t…
Perceptions and experiences of access to public healthcare by people with disabilities and older people in Uganda
Uganda must fulfil its international obligations and take progressive measures to meet the right to health for all its peoples, but especially allocate its limited resources to proactively support its most marginalized citizens. The growing impetus within post-2015 development negotiations to redress in-country health and other inequalities through a comprehensive systems approach is of importance in the Ugandan development context. This approach…
Interventions in Primary Care and their contributions to improving equity in health
Primary Care constitutes the first and most important point of contact between the health system and the population it is there to serve. Through it, essential, continuous, comprehensive, and coordinated care that does not discern between gender, disease or geographical location can be provided. Whether delivered by physicians or other members of the primary care workforce, evidence shows that strong primary care is associated with better access …
From knowing our needs to enacting change
Communities are keen to participate and work with duty bearers in creating the conditions that will lead to their improved quality of life. Clear policies that recognize the status of indigenous peoples are necessary in the Bangladeshi context to allow for the development of services and infrastructure
Prevalence and factors associated with violence and abuse of older adults in Mexico’s 2012 National Health and Nutrition Survey
Violence against older adults presents differently for men and women, which means it is necessary to increase knowledge about the dynamics of the social determinants of violence, particularly in regards to the role of education among men. The relatively low prevalence found in this study may reflect the difficulty and fear of discussing the topic of violence. This may occur because of cultural factors, as well as by the perception of helplessness…
Abuse and discrimination towards indigenous people in public health care facilities
Addressing mistreatment in public health settings will involve tackling the prevalent forms of discrimination, including racism. This will likely require profound, complex and sustained interventions at the programmatic and policy levels beyond the strict realm of public health services. Future studies should assess the magnitude of the occurrence of episodes of maltreatment and racism within indigenous areas and also explore the providers' perce…
Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico
The abuse of older adults is a serious public health issue that can be difficult to identify at the first level of care. Medical and nursing personnel are sometimes unable to identify older adults who suffer family mistreatment. This can occur when victims feel shame or as a result of cultural factors. In the light of this, healthcare personnel require a screening tool that can be used to identify signs of mistreatment. The aim of this study was …
Pathways to accountability in rural Guatemala
Strengthening citizen-led accountability initiatives is a critical rights-based strategy for improving health services for indigenous and other marginalized populations. As these initiatives have gained prominence in health and other sectors, there is great interest in how they operate and what makes them effective. Scholarly focus is shifting from measuring the efficacy of their tools and tactics to deepening understanding of the context-sensiti…
Health equity and Covid-19
The COVID-19 is disproportionally affecting the poor, minorities and a broad range of vulnerable populations, due to its inequitable spread in areas of dense population and limited mitigation capacity due to high prevalence of chronic conditions or poor access to high quality public health and medical care. Moreover, the collateral effects of the pandemic due to the global economic downturn, and social isolation and movement restriction measures,…
Axes of alienation
While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights (SRHR) have always been sites of power contestations within families, societies, cultures, and politics; these struggles are exacerbated by economic, racial, religious, caste, citizenship status, a…
Unmasking power as foundational to research on sexual and reproductive health and rights
Relations of power are intrinsic to the social \ndeterminants of sexual and reproductive \nhealth (SRH); they influence the content, \nquality and outcomes of SRH care; and they \nshape the negotiation and realisation of \nsexual and reproductive health and rights \n(SRHR) more broadly. Power dynamics \npervade how SRHR is understood, studied \nand acted on, in ways that are distinct from \nother health issues.1 For example, the deeply \nheld per…
Realizing the right to health in Latin America, equitably
This special issue "Realizing the Right to Health in Latin America and the Caribbean" provides an overview of one of the most challenging objectives of health systems: equity and the realization of the right to health. In particular, it concentrates on the issues associated with such a challenge in countries suffering of deep inequity. The experience in Latin America and the Caribbean demonstrates that the efforts of health systems to achieve Uni…
Pregnancy, Childcare, and Pesticides
Women play a significant role in agriculture worldwide, especially in sub-Saharan Africa, where they form a large share of the workforce in horticulture. Horticulture work may expose women to pesticides during pregnancy and childcare, posing serious health risks to women and children. This study explores the experiences of women working in small-scale horticulture in Tanzania during pregnancy and childcare, to understand exposure risks and sugges…
“A single viral video can undo months of health education”
This study examines vaccine hesitancy in wartime Ukraine, where institutional mistrust, displacement, and emotional trauma reshape parental decision-making. Drawing on in-depth interviews with mothers and pediatric professionals, we explore how caregivers navigate immunization choices amid disrupted health systems, contested information environments, and weakened trust in state and international actors. We frame hesitancy not as a static or irrat…
The impact of the United States’ distancing from the UN and withholding WHO funding on maternal and child health and nutrition in the Latin America & Caribbean region
This commentary examines the serious implications of the United States’ (US) decision to withdraw funding from the World Health Organization (WHO) and the United Nations (UN) system for maternal and child health and nutrition in Latin America and the Caribbean (LAC). The region has made significant progress in reducing maternal and infant mortality through coordinated efforts led by WHO, PAHO, and other UN agencies, as an example, infant mortalit…
Scaling up our commitment to equity in health
Health equity and the global social contract
The Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs) have been celebrated as global social contracts, yet their reliance on voluntary commitments and aspirational targets conceals a structural flaw. By divorcing poverty and inequity from colonial histories, debt regimes, and extractive global finance, these frameworks function as a neocolonial placebo: soothing global conscience while entrenching asymmetries of power a…
Youth collective action for accountability towards sexual and reproductive health (SRH) rights
In the field of sexual and reproductive health and rights (SRHR), there is a growing consensus that participation is critical to ensuring that the voices of youth are heard and their agency is exercised in a way that enables them to practice active citizenship. This includes collective action to hold duty bearers and power holders to account for their rights. Youth are increasingly being seen as important constituents; however, despite the growth…
Political science (16 obras) · Sociology (12 obras) · Economic growth (11 obras) · Medicine (11 obras) · Global Maternal and Child Health (10 obras) · Health Policy (10 obras) · Public health (10 obras) · Public relations (10 obras) · Health care (9 obras) · Health services research (8 obras)