Estimate the acceptability and adoption of clinical practice guidelines (Ecuador Email Address) and protocols for the care of women with preeclampsia-eclampsia by health service providers, and identify the facilitating factors and barriers to their implementation. Methods. A qualitative study was developed through semi-structured interviews and focus groups in five maternity hospitals Ecuador Email Address . Interviews were compiled for analysis and barriers and facilitators were characterized . Results. Seventy health professionals participated (52 female and 18 male) who work at different levels of the health system. Most providers and managers are aware of the existence of eclampsia-pre-eclampsia CPGs and their content, especially those participants with more time in the service. For the facilitators, a positive assessment Ecuador Email Address was established among the medical and nursing staff regarding the process of continuing with the development and implementation of high-quality CPGs. There was consensus regarding the existence of limitations, above all, due to the lack of drugs, supplies and equipment required to comply with and apply the recommendations made.
Effect of public health policies in the early stages
Estimate the basic reproduction number ( Ecuador Email Address) and the effective reproduction number ( R t ) of COVID-19 and contrast them with the public health measures implemented in ten South American countries. Methods. Data were obtained from the European Center for Disease Prevention and Control. Ecuador Email Address The R 0 of each country was estimated during the first two weeks of the outbreak and the R t after 90 days Countries used a combination of isolation, physical distancing, quarantine, and community-wide containment measures to stop the spread of COVID-19 at different times. The R 0 ranged between in Venezuela and in Chile, while the R t after 90 days it ranged between credibility interval: in Uruguay and credibility interval:) in Brazil. The different values of R 0 and R t may be related to the ability to carry out viral detection tests in each country. Conclusion. Ecuador Email Address The R 0 values in the initial phase of the outbreak varied among South American countries. Public health measures taken in the initial period of the pandemic appear to have reduced R t over time in each country, albeit at different levels.