Adaptation and Validation of the CAHPS survey (Consumer Assesment of Health Plans Survey) / Adaptación y Validación del Cuestionario CAHPS (Consumer Assesment of Health Plans Survey)

OBJECTIVE: to adapt an validate the CAHPS survey.(Consumer Assesment of Health Plans Survey). DESIGN: cross-cultural adaptation and empirical validation of questionnaires. FUNDING: IECS, Hospital Italiano de Buenos Aires and CEMIC

  Health Questionnaire for OMINT / Cuestionario de Salud para OMINT

OBJECTIVE: Development and validation of a questionnaire to measure satisfaction. FUNDING: OMINT (Company prepaid medical)

  Effectiveness of a surveillance program and the implementation of clinical guidelines to improve Preoperative Antibiotic Prophylaxis indications in public hospitals of Buenos Aires City / Efectividad de un programa de normatización y vigilancia para mejorar la adecuación de la profilaxis antibióitica prequirúrgica en hospitales públicos de la ciudad de Buenos Aires

OBJECTIVE: To analyze the effectiveness of a surveillance program and the implementation of clinical guidelines to improve Preoperative Antibiotic Prophylaxis indications, comparing it adequacy before and after the intervention. METHODS: prospective, multicenter, quasi-experimental before/after study. FUNDING: Scholarship “Carrillo-Oñativia” from the Argentine Ministry of Health 2003

  Effectiveness of a Clinical Practice Guideline and a surveillance program to reduce unnecessary preoperative tests in public hospitals of Buenos Aires City / Efectividad de una guía de práctica clínica para mejorar la calidad de la evaluación prequirúrgica en hospitales públicos de la Ciudad de Buenos Aires

OBJECTIVE: To analyze the effectiveness of a Clinical Practice Guideline (GPC) and a program for its diffusion and monitoring to reduce the use of unnecessary tests in the preoperative assessment, comparing the amount of studies per patient, before and after the intervention. DESIGN: prospective, multicenter, quasi-experimental before/after study. FUNDING: Scholarship “Carrillo-Oñativia” from the Argentine Ministry of Health.

  Barriers for the Clinical Practice Guidelines (CPGs) implementation in Buenos Aires City public hospitals. Descriptive qualitative and quantitative study. / Estudio cuali-cuantitativo para la identificación de barreras en la incorporación de Guías de Práctica Clínica (GPC) en hospitales públicos de la Ciudad de Buenos Aires

OBJECTIVE: The purpose of this project is to identify factors that facilitate or hinder CPGs implementation in GCBA’s public hospitals. DESIGN: Descriptive qualitative and quantitative study. FUNDING: Scholarship “Carrillo-Oñativia 2004” from the Argentine Ministry of Health.

  Adaptation and Validation of the Hospital-CAHPS survey (Hospital Consumer Assesment of Health Plans Survey) / Adaptación y Validación del Cuestionario Hospital-CAHPS (Hospital Consumer Assesment of Health Plans Survey)

OBJECTIVE: to adapt an validate the Hospital-CAHPS survey.(Consumer Assesment of Health Plans Survey). DESIGN: cross-cultural adaptation and empirical validation of questionnaires.

  Instruments to evaluate satisfaction of women with pregnancy and delivery care / Desarrollo de un cuestionario para evaluar satisfacción de las mujeres con la atención del embarazo, parto y puerperio

OBJECTIVE: to develop a set of instruments to evaluate satisfaction of women with pregnancy and delivery care. DESIGN: Questionnaires development and adaptation.

  Spanish Cross-Cultural Adaptation and Validation of the National Institutes of Health Stroke Scale / Adaptación transcultural y validación de la Escala de Enfermedad Cerebrovascular del NIH

OBJECTIVES: To adapt and validate a Spanish version (SV) of the National Institutes of Health Stroke Scale (NIHSS) to facilitate its use in Spanish-speaking contexts. DESIGN: Cross Cultural adaptation and validation of questionnaire. FUNDING: partially funded by Aventis Pharma

  CARMELA STUDY IECS AGREEMENT / CARMELA STUDY IECS AGREEMENT

  EQ-5D social values in the Argentine population / Euroqol. Validación Argentina del EQ-5D

OBJECTIVES: The main objectives of the study were: 1) To obtain health valuations for the EQ-5D set of health states from an Argentinean general population sample using the Time Trade Off (TTO) valuation technique; and 2) To describe the general population health status. METHODS: Cross-sectional study undertaken in consecutive subjects attending four primary care centers in large and small urban areas, with quota sampling according to demographic characteristics. FUNDING: Scholarship “Carrillo-Oñativia 2003” from the Argentine Ministry of Health.

  Evidence based recommendations for medical abortion / Evidence based recommendations for medical abortion

  Statistical Data Analysis CARMELA project: CArdiovascular Risk factor Multiple Evaluation in Latin American. / Análisis estadístico del estudio CARMELA: CArdiovascular Risk factor Multiple Evaluation in Latin American.

OBJECTIVE: Statistical analysis of data FUNDING: Study Carmela

  Statistical analysis for the project Rayuela: Smoking in schools / Análisis estadístico para el proyecto Rayuela: Tabaquismo en las escuelas

  Health Questionnaire for OMINT / Cuestionario de Salud para OMINT

OBJECTIVE: Development and validation of a questionnaire to measure satisfaction. FUNDING: OMINT (Company prepaid medical)

  Study of Bone Marrow Transplantation / Estudio de trasplante de médula osea

Finantial Source: GATMO

  GYTS / GYTS

OBJECTIVE: Adaptation of a Transcultural questionnaire

  Nesiritide to patients with heart failure / Nesiritide a pacientes con insuficiencia cardíaca

Objective: Data management and Statistical analysis of the project. Finantial Source: Janssen Cilag

  Pneumococcal Vaccine. Otamendi-Clinics / Vacuna Neumococo Otamendi-Clínicas

Finantial Source: Aventis-Pharma

  Generalized Cost-Effectiveness Analysis of a Package of Interventions to Reduce Cardiovascular Disease / Análisis de Costo Efectividad Sectorial de un conjunto de Intervenciones para la Prevención de la Enfermedad Cardiovascular

OBJECTIVES: to use Generalized Cost-Effectiveness (GCE) analysis to identify the best mix of interventions to diminish Cardio-Vascular Disease from the perspective of the Health Secretariat of Buenos Aires. DESIGN: GCE analysis is a methodology designed by WHO to inform decision makers about coverage of interventions based on allocative efficiency. FUNDING: VIGI+A, Argentine Ministry of Health

  Cost effectiveness Consta- Risperidone injection / Costo efectividad Consta - Risperidona inyectable

Finanial Source: Janssen Cilag

  Cost effectiveness ziprasidone (atypical antipsychotic) / Costo efectividad ziprasidona (antipsicótico atípico)

Finantial Source: Pfizer

  Effectiveness of a surveillance program and the implementation of clinical guidelines to improve Preoperative Antibiotic Prophylaxis indications in public hospitals of Buenos Aires City / Efectividad de un programa de normatización y vigilancia para mejorar la adecuación de la profilaxis antibióitica prequirúrgica en hospitales públicos de la ciudad de Buenos Aires

OBJECTIVE: To analyze the effectiveness of a surveillance program and the implementation of clinical guidelines to improve Preoperative Antibiotic Prophylaxis indications, comparing it adequacy before and after the intervention. METHODS: prospective, multicenter, quasi-experimental before/after study. FUNDING: Scholarship “Carrillo-Oñativia” from the Argentine Ministry of Health 2003

  Effectiveness of a Clinical Practice Guideline and a surveillance program to reduce unnecessary preoperative tests in public hospitals of Buenos Aires City / Efectividad de una guía de práctica clínica para mejorar la calidad de la evaluación prequirúrgica en hospitales públicos de la Ciudad de Buenos Aires

OBJECTIVE: To analyze the effectiveness of a Clinical Practice Guideline (GPC) and a program for its diffusion and monitoring to reduce the use of unnecessary tests in the preoperative assessment, comparing the amount of studies per patient, before and after the intervention. DESIGN: prospective, multicenter, quasi-experimental before/after study. FUNDING: Scholarship “Carrillo-Oñativia” from the Argentine Ministry of Health.

  Generalizability of Health Economic Evaluations in Latin America / Generalibizabilidad de Evaluaciones Económicas en Latino América

OBJECTIVE:This work has been conceived and undertaken partly with the support to Dr. Augustovski from the Program Alban, Program of high level scholarships of the European Union to Latin America, identification number (E03E17444AR), as well as by the Institute for Clinical Effectiveness and Health Policy, and the Centre for Health Economics.

  Nevalat WP 2&3: Database on Economic Evaluation studies in Argentina (WP2) and Database on researchers and resources for economic evaluation (WP3) / Nevalat WP 2&3: Base de datos sobre evaluaciones económicas en la Argentina (WP2) y registro de investigadores (WP3).

OBJECTIVE: To set up a database including all available studies published and a directory of institutions and individual researchers in Argentina. DESIGN: Descriptive Multicenter Collaborative Study. FUNDING: FUNSALUD, México, to NEVALAT

  Qualitative study to identify criteria used in decision-making process as regards health resources allocated / Nevalat WP 6. Estudio cualitativo sobre los criterios utilizados para la toma de decisiones que implique la asignación de recursos en salud.

OBJECTIVE: to check if Economic Evaluations (EEs) are considered and used as part of the decision-making process as regards health resources allocated by decision makers belonging to different levels of Argentina’s health sectors. DESIGN: qualitative study with focus groups and semi-structure interviews. FUNDING: FUNSALUD, México, to NEVALAT.

  Nevalat WP 8 / Nevalat WP 8: Base de datos de costos unitarios argentinos y puesta a punto de software de evaluaciones económicas (PREVE)

OBJECTIVE: To evaluate the PREVE, a software programme for the presentation of the results of economic evaluations and the UNIT COSTS database, a software programme for collecting and manipulating available unit cost data required for economic evaluations. DESIGN: Descriptive Study. FUNDING: FUNSALUD, México, to NEVALAT

  Nevalat: Database of economic evaluations in Argentina (WP2) and registration of researchers (WP3) / Nevalat: Base de datos sobre evaluaciones económicas en la Argentina (WP2) y registro de investigadores (WP3)

Finantial Source: Nevalat

  Cost effectiveness of a national immunization program for pneumococcal / Costo efectividad de un programa nacional de inmunización para neumococo

  Cost effectiveness of a national immunization program for rotavirus / Costo efectividad de un programa nacional de inmunización para rotavirus

  Health System Reform Impact on the Regulation of Medical Practices and Primary Care Professionals / Impacto de la refoma de salud en la regulación de los proveedores de atención primaria en la Argentina

OBJECTIVE: To analyze the impact of regulatory changes, different payment mechanisms and recruitment of professionals and new managerial strategies, professional practice in the various subsectors health. Explore factors facilitators and barriers to the development of systems for Primary Care. DESIGN: descriptive using qualitative techniques and data collection side. FUNDING: Grant Ramon Carrillo-2004, CONAPRIS, Ministry of Health and Environment of the Nation, Argentina

  Barriers for the Clinical Practice Guidelines (CPGs) implementation in Buenos Aires City public hospitals. Descriptive qualitative and quantitative study. / Estudio cuali-cuantitativo para la identificación de barreras en la incorporación de Guías de Práctica Clínica (GPC) en hospitales públicos de la Ciudad de Buenos Aires

OBJECTIVE: The purpose of this project is to identify factors that facilitate or hinder CPGs implementation in GCBA’s public hospitals. DESIGN: Descriptive qualitative and quantitative study. FUNDING: Scholarship “Carrillo-Oñativia 2004” from the Argentine Ministry of Health.

  Multidimensional Study of Factors related to Uncontrolled Hypertension: A cualitative and cuantitative genuine study / Factores Asociados al no Control de la Hipertensión Arterial: Estudio Cuali-Cuantitativo

The aim of the study is to identify variables related to poor hypertension control and explore factors related to beliefs and attitudes of patients towards their chronic disease. DESIGN: Qualitative and Quantitative Study. FINANCIAL SOURCE: Beca \"Ramón Carrillo- Arturo Oñativia\", CONAPRIS, Ministerio de Salud y Ambiente, Argentina

  Survey about tobacco in pregnant / Encuesta sobre tabaco en embarazadas

OBJECTIVE: To obtain information about the knowledge, attitudes and behaviors related to snuff products in pregnant women in various populations. DESIGN: A multicenter descriptive study FUNDING: Global Maternal and Infant Health

  Neonatal Resuscitation Program (NRP) FIRST BREATH / Proyecto Entrenamiento en Reanimación Neonatal (RPN). Investigación clínica aleatorizada por clusters.

OBJECTIVES: to develop a community-based training in neonatal resuscitation to reduce asphyxia. DESIGN: multi-country cluster randomized trial FUNDING: Maternal and Infant Health Global Network - NIH

  Guidelines Trial / Proyecto Guías

OBJECTIVES: To perform in Argentina and Uruguay a behavioral intervention to increase the use of two evidence-based birth practices, the selective use of episiotomies and active management of the third stage of labor. DESIGN: cluster randomized controlled trial. FUNDING: Maternal and Infant Health Global Network - NIH

  READY-TO-USE BOXES WITH MAGNESIUM SULFATE TREATMENT FOR ECLAMPSIA TO REDUCE MATERNAL MORTALITY / Cajas de Sulfato de Magnesio

This project will measure the effectiveness of a strategy to facilitate the use of magnesium sulphate to women with severe pre-eclampsia and eclampsia (PE-E) at all levels of care throughout the use of a ready-to-use box containing all the elements needed for the first 24 hours treatments, instructions for the administration and guidelines for management and monitoring. It will be implemented at large scale in developing countries and evaluated through an operational research design.  It is expected that this strategy will facilitate skilled attendants the selection of the effective treatment and its use in a timely and appropriate manner, reducing PE-E related maternal mortality.

  Components of the active management of childbirth / Componentes del manejo activo del alumbramiento

  Received Care during prenatal care, labor, delivery and postpartum: Users Satisfaction / Cuidados recibidos durante la atención prenatal, el trabajo de parto, parto y puerperio: Satisfacción de las usuarias.

The quality of health care, refers to the levels of excellence that characterize the care provided. An important indicator of quality of care is the satisfaction of people using the services. The satisfaction with care is associated with greater adherence to treatment and with a better and greater use of health services. This study aims to develop a set of tools to measure user satisfaction with care during pregnancy and childbirth, their relationship to the fulfillment of expectations and their relationship to the quality of care received by patients attending the Network Perinatal Centers in the metropolitan area of Buenos Aires and South of the Province of Buenos Aires. As a result of this study to be carried out two surveys to apply to women: A) Satisfaction Survey with regard to prenatal care controls, and B) Satisfaction Survey with regard to the attention of labor, delivery and postpartum immediately. This toolkit as a whole or separately may be used in care during pregnancy and childbirth public or private Argentina and elsewhere in Latin America.

  Instruments to evaluate satisfaction of women with pregnancy and delivery care / Desarrollo de un cuestionario para evaluar satisfacción de las mujeres con la atención del embarazo, parto y puerperio

OBJECTIVE: to develop a set of instruments to evaluate satisfaction of women with pregnancy and delivery care. DESIGN: Questionnaires development and adaptation.

  PREVALENCE OF UNINTENDED PREGNANCY IN LATIN AMERICA AND THE CARIBBEAN AND IT’S ASSOCIATION WITH MATERNAL AND FETAL OUTCOMES AND BEHAVIORS / Embarazo no deseado

This is an investigation to determine the prevalence of unintended pregnancy in Latin America and to determine if unintended pregnancy is associated with poor perinatal, maternal and child outcomes. An epidemiologic study will be conducted in the associated centers of IECS in countries with high rate of institutional deliveries (over 90%). The first hypothesis is that the prevalence of unintended pregnancies in these countries is similar to that of other Latin American countries, between 30 and 50%. The second hypothesis to be tested is that as compared to intended pregnancy, unintended pregnancies increase the risk of perinatal death, childhood death in the first year of life, low birth weight, preterm birth, intrauterine growth retardation, low Apgar scores, alcohol consumption during pregnancy, smoking during pregnancy, not breastfeeding, and delayed initiation of prenatal care.

  WOMAN’S RIGHT TO A CHILDBIRTH WITH EQUITY AND QUALITY. Educative intervention at community level / Empoderamiento de mujeres para mejor asistencia del embarazo y parto

This is a project to design, apply and evaluate an educative intervention at community level, directed to empower women through knowledge and to train health workers. The purpose is to modify a set of medical procedures commonly used during childbirth, that have been shown to be either ineffective, or even harmful to women, and introduce other procedures that have been proven to be beneficial.

  A PROPOSAL TO SCALE UP CALCIUM SUPPLEMENTATION AS A PREVENTIVE INTERVENTION TO REDUCE MATERNAL AND NEWBORN MORTALITY AT POPULATION LEVEL / Fortificación con calcio

The objective of this study is to assess if the increase of calcium intake at population level by means of the fortification of staple food implies a better pregnancy outcome and a decrease of hypertension in children. 

  EARLY VERSUS DELAYED UMBILICAL CORD CLAMPING DURING THE THIRD STAGE OF LABOR IN TERM INFANTS / Ligadura de cordón

This is a protocol for a two arms randomized controlled clinical trial in which women having a term vaginal delivery will be randomized to one of two interventions: early (<10 seconds) or delayed umbilical cord clamping (>3 minutes) The trial will test the hypothesis that in term newborns, born vaginally, delaying the clamping of the cord at the time of birth will result in a lower incidence of anemia at 3 month of age when compared with immediate cord clamping, without increasing neonatal morbidity and mortality. Two pre-specified subgroup analyses will be conducted, to assess if the study effect is modified by maternal anemia and the use of prophylactic oxytocics. In summary, this is a protocol for a large multi-centric trial that should provide conclusive evidence about the best timing of umbilical cord clamping on neonatal outcomes in term infants. Such evidence would be critical to guide the assistance of deliveries around the world in both hospitals and community settings.

  Maternal and infant health in Latin America. Improving pregnancy outcome in six low- and middle income countries. / Mejoría de la salud materna y perinatal en 6 países de Latinoamérica basado en el trabajo en Red.

This project’s main objective is directed to improve maternal morbidity and mortality, as well as perinatal and neonatal health in Latin American countries collaborating in IECS Network. The specific objectives of the proposal are: a) training of professionals in the six centers and their associated clinics, in evidence-based perinatal and maternal health, epidemiologic surveillance and research methodology; b) establishment in each of the associated clinics of the centers of the six countries of a common system of epidemiologic surveillance of maternal morbidity and mortality with the Perinatal Information System; c) identification of the associated factors of maternal and perinatal morbidity and mortality; d) asses quality of care by measuring the use of evidence-based practices of care; e) improve quality of care by promoting the use of evidence-based practices of care, including skills training (ALSO) f) design research and care strategies to improve maternal and perinatal condition in the region.

  Prevalence of Unintended Pregnancy in Latin America and it’s Association with Maternal and Fetal Outcomes and Behaviors / Prevalencia de embarazo no planeado en América Latina y su asociación con resultados maternos, fetales e infantiles

The main objective of the study is to determine the prevalence of unplanned pregnancy in hospitals in Latin America and whether the unplanned pregnancy is associated with perinatal death, death of the child within the first year of life, low birthweight, preterm delivery, intrauterine growth retardation, low Apgar score at birth, alcohol consumption during pregnancy, smoking during pregnancy, not breast-feeding, or delay in the initiation of prenatal care.

  Simple intervention to reduce episiotomy rates: A cluster randomized controlled trial / Reducción de Episiotomías con guías y recordatorios

This proposal intends to evaluate the efficacy and effectiveness of a simple, inexpensive and easy to implement intervention to reduce episiotomy rates at health facilities. We propose a cluster randomized controlled trial to evaluate an intervention consisting in the delivery of guidelines and the placing of reminders at health facilities assigned to the intervention group, during a one-year period.