Publications by authors named "Pablo Chaparro-Narvaez"

Background: Malaria is a major global public health issue with varying epidemiologies across countries. In Colombia, it is a priority endemic-epidemic event included in the national public health policy. However, evidence demonstrating nationwide variations in the disease behavior is limited.

View Article and Find Full Text PDF

Background Urban malaria is a public health problem in Colombia and there is still lack of knowledge about its epidemiological characteristics, which are key to the implementation of control measures. The presence of urban malaria cases and disease diagnosis are some of the challenges faced by malaria elimination programs. The objective of this research was to estimate malaria prevalence, explore associated factors and detect genes, in the urban area of Tumaco between July and December 2019.

View Article and Find Full Text PDF

We used a mixed design study to analyze the inequalities and inequities in Maternal Mortality (MM) for Chocó (Colombia) between 2010-2018. The quantitative component consisted of an analytical ecological design, where proportions, ratios, measures of central tendency and rates ratios, rate difference, Gini and concentration indices were calculated to measure inequalities. The qualitative component had a phenomenological and interpretive approach.

View Article and Find Full Text PDF

Heart failure (HF) is a significant clinical problem and an important public health issue due to the morbidity and mortality that it causes, especially in a population that is aging and affected by social stressors such as armed conflict. We aim to describe the inequalities and trends of HF mortality by educational level in Colombia between 1999 and 2017 compared with the cycles of the internal armed conflict during the same period. An observational study of ecological data panels, with aggregates at the national level, was conducted.

View Article and Find Full Text PDF

Objectives: This study aimed to estimate the direct medical costs due to hospitalizations by COVID-19 in Colombia and to identify their cost drivers in Colombia.

Methods: This is a retrospective cost-of-illness study of COVID-19 in Colombia. We estimated direct medical costs using data from patients insured to a Benefit Plan Administrator Company, between March 15, 2020 and May 29, 2020.

View Article and Find Full Text PDF

Objective: We aimed to estimate out-of-pocket (OOP) health expenditures and the indirect costs related to prenatal check-ups in pregnant women seen in a maternity hospital in the Colombian Caribbean region.

Methods: We described the economic costs of pregnant women, with no age limits, who attended prenatal check-ups in a maternity hospital. To estimate OOP and indirect costs owing to prenatal check-ups in pregnant women, a survey was constructed, where the woman was asked about some sociodemographic variables, to characterize those attending the prenatal check-ups.

View Article and Find Full Text PDF

Objective: To describe the mortality trends of diabetes mellitus (DM) in Colombia, by sex and age group, from 1979 to 2017.

Methods: We carried out an ecological study using mortality data from the Colombian National Administrative Department of Statistics. Crude and age-standardized annual mortality rates per 100 000 people were estimated.

View Article and Find Full Text PDF

Objective: Identify the workers knowledge involved in the production and usage, about the quality of mortality information in Bogotá during 2006.

Methods: We conducted a descriptive study using a self-administered and semi-structured questionnaire in 130 functionaries who participated in the mortality data production and use. The instruments inquired into the reliability, characteristics, qualification, reasons for that qualification and improvement proposals.

View Article and Find Full Text PDF

The objective of this study was to examine the association between acute respiratory infection recall (ARI-recall) and individual and environmental factors such as climate, precipitation, and altitude above sea level in Colombian children. A secondary analysis of 11,483 Colombian children, whose mothers were interviewed in the 2010 National Demographic and Health Survey, was carried out. The outcome variable was the mother's or caregiver's ARI-recall.

View Article and Find Full Text PDF

Introduction: Homicide is a universal indicator of social violence with large public health consequences.

Objectives: To describe mortality by homicides and to analyze its trends and geographic distribution in Colombia between 1998 and 2012.

Materials And Methods: We conducted a descriptive study of deaths by homicide in Colombia between 1998 and 2012 using official mortality databases and the population projections of the Departamento Administrativo Nacional de Estadística, DANE.

View Article and Find Full Text PDF

Introduction: Dengue in Colombia is an important public health problem due to the huge economic and social costs it has caused, especially during the disease outbreaks. 

Objective: To describe the behavior of dengue mortality in Colombia between 1985 and 2012. 

Materials And Methods: We conducted a descriptive study.

View Article and Find Full Text PDF

Purpose: To describe the injuries due to fireworks use in Colombia during the period 2008-2013 and to identify factors associated with hospitalization and death due to this cause.

Methods: A descriptive study from surveillance data was carried out. Incidence rates and relative risks were calculated.

View Article and Find Full Text PDF
Article Synopsis
  • Colombia has seen a decline in malaria cases over the past decade, but there is limited data on complicated cases and their relationship with different Plasmodium species.
  • A study analyzed 547,542 malaria cases from 2007 to 2013, identifying 2,553 complicated cases, primarily among young adult males, with a slight non-significant increase in trend over the years.
  • Complicated cases often involved late diagnosis and treatment, with hepatic and renal complications being the most common, and significant differences in complications were noted between P. vivax and P. falciparum infections.
View Article and Find Full Text PDF

Gold-mining may play an important role in the maintenance of malaria worldwide. Gold-mining, mostly illegal, has significantly expanded in Colombia during the last decade in areas with limited health care and disease prevention. We report a descriptive study that was carried out to determine the malaria prevalence in gold-mining areas of Colombia, using data from the public health surveillance system (National Health Institute) during the period 2010-2013.

View Article and Find Full Text PDF

Introduction: Poisoning due to pesticides is an important public health problem worldwide due its morbidity and mortality. In Colombia, there are no exact data on mortality due to pesticide poisoning.

Objective: To estimate the trend of mortality rate due to pesticide poisoning in Colombia between 1998 and 2011.

View Article and Find Full Text PDF

Objective: Maternal mortality reduction is a Millennium Development Goal. In Colombia, there is a large disparity in the maternal mortality ratio (MMR) between and into departments (states) and also between municipalities. We examined socioeconomics variables at the municipal and departmental levels which could be associated to the municipal maternal mortality in Colombia.

View Article and Find Full Text PDF

Malaria is currently one of the most serious public health problems in Colombia with an endemic/epidemic transmission pattern that has maintained endemic levels and an average of 105,000 annual clinical cases being reported over the last five years. Plasmodium vivax accounts for approximately 70% of reported cases with the remainder attributed almost exclusively to Plasmodium falciparum. A limited number of severe and complicated cases have resulted in mortality, which is a downward trend that has been maintained over the last few years.

View Article and Find Full Text PDF