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Two years of school-based intervention program could improve the physical fitness among Ecuadorian adolescents at health risk Instituut voor Tropische Geneeskunde Universiteit Gent

S. Andrade, Carl Lachat, G. Cardon, A. Ochoa-Aviles, Roosmarijn Verstraeten, J. Van Camp, J Ortiz, P. Ramirez, S. Donoso, Patrick Kolsteren, et al.
BACKGROUND: Adolescents with overweight and poor physical fitness have an increased likelihood of developing cardiovascular diseases during adulthood. In Ecuador, a health promotion program improved the muscular strength and speed-agility, and reduced the decline of the moderate-to-vigorous physical activity of adolescents after 28 months. We performed a sub-group analysis to assess the differential effect of this intervention in overweight and ...

Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013 Instituut voor Tropische Geneeskunde

A.F. Auld, R.W. Shiraishi, F Mbofana, A. Couto, E.B. Fetogang, S. El-Halabi, R. Lebelonyane, P.T. Pilatwe, N. Hamunime, V. Okello, et al.
Equitable access to antiretroviral therapy (ART) for men and women with human immunodeficiency virus (HIV) infection is a principle endorsed by most countries and funding bodies, including the U.S. President's Emergency Plan for AIDS (acquired immunodeficiency syndrome) Relief (PEPFAR) (1). To evaluate gender equity in ART access among adults (defined for this report as persons aged >/=15 years), 765,087 adult ART patient medical records from ...

Effects of managed care mechanisms on access to healthcare: results from a qualitative study in Colombia Instituut voor Tropische Geneeskunde

I. Vargas, Jean-Pierre Unger, A.S. Mogollón-Pérez, María Luisa Vázquez Navarrete
BACKGROUND: Managed competition has underpinned most health sector reforms aimed at improving access and efficiency, in Latin America and other countries. The aim of the paper is to analyse barriers to healthcare that emerge from the introduction of managed care mechanisms in Colombia. METHODS: Qualitative, exploratory, and descriptive-interpretative research was carried out on the basis of case studies of four healthcare networks, comprised of ...