Identify and systematize the empirical evidence available Spain WhatsApp Number List on factors and interventions that affect the working conditions and environment to increase the attraction, recruitment and retention of human resources in health in the first level of care in rural, remote or neglected areas. Methods. Rapid review of reviews, selected according to criteria of relevance, eligibility and inclusion with searches in electronic databases, gray literature and manual. The AMSTAR I was used to assess the quality Spain WhatsApp Number List of systematic reviews and a thematic analysis for synthesis of results. Results. Sixteen reviews were included, one of which contained 14 reviews. Of the total, 20 reviews analyzed factors and 9 evaluated the effectiveness of interventions. The evidence on factors is abundant, but of limited quality. Individual and family factors and “previous rural exposure” were associated with higher uptake; Organizational factors and the external context were gravitate in retention. Networking and professional support influenced recruitment and retention. The evidence on the effectiveness of interventions was limited, in quantity and quality. Spain WhatsApp Number List The type of intervention most frequently used was incentives. Conclusions. The evidence on factors that are positively related to the recruitment and retention of workers in the first level of care in rural, remote or neglected areas is sufficient and should be taken into account when designing interventions. Quality evidence on the effectiveness Spain WhatsApp Number List of interventions is scarce. More rigorously controlled studies are required, particularly in the Americas.
Responsiveness to the COVID-19 pandemic in Latin America and the Caribbean
Risk of congenital malformations associated with the Zika virus in confirmed cases in the Brazilian Amazon
Establish the risk of microcephaly in newborns of women infected with Spain WhatsApp Number List during pregnancy. Methods. A cohort of cases with laboratory-confirmed congenital ZIKV infection (109 mothers infected during pregnancy, 101 newborns) consisting of 308 suspected cases was followed in Belem, Pará, Brazil, from October 2015 to December 2017. Results. A risk of microcephaly Spain WhatsApp Number List , or 2 cases was found among the 101 newborns infected with ZIKV during pregnancy. In 72% of pregnant women, ZIKV infection during pregnancy was confirmed by RT-qPCR. Conclusions. The results showed a low incidence of congenital malformations, stillbirths and abortions associated with ZIKV, which contrasts with previous Spain WhatsApp Number List studies from other regions of Brazil. Previous exposure to the yellow fever vaccine or previous infection with various dengue virus serotypes could be implicated in protection against congenital ZIKV infection.
