Elisa Juárez-Chávez’s research while affiliated with Universidad Científica del Sur and other places

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Publications (3)


Perceptions of primary care services among Afro-Peruvians in Lima, Peru
  • Article
  • Full-text available

January 2025

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12 Reads

Primary Health Care Research & Development

Elisa Juárez-Chávez

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Kelika A Konda

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Introduction The Peruvian public healthcare system is characterized by various shortcomings that adversely affect healthcare quality as perceived by the general and minority populations, including the Afro-Peruvian community. This population has demonstrated reduced healthcare access due to discrimination and differential treatment, reflecting broader societal inequities. Objective This study explores the experiences and perceptions of Afro-Peruvian individuals regarding the treatment they receive from public primary healthcare providers in metropolitan Lima. Methods In-depth qualitative interviews were conducted with Afro-Peruvian individuals recruited from Lima. They were selected based on their responses to a survey conducted in a previous study, which indicated a high or low perception of intercultural adaptation in healthcare. The interviews explored their experiences with healthcare services and their perceptions about their interactions with health providers. The qualitative analysis involved topic coding to interpret the data. Results We interviewed 19 Afro-Peruvians, including 15 women and 4 men, ages 26 to 70. The findings reveal that Afro-Peruvians generally experience mistreatment in the healthcare system. In their opinion, this is associated with systemic issues such as poor infrastructure, low salaries, and insufficient time allocated for patient care. Furthermore, participants perceive receiving poor quality and inefficient service not only from providers but also from the system presents difficulties in other processes, such as getting the appointment. Conclusions This study highlights significant areas for improvement in the public healthcare system, specifically enhancing the quality of patient care, improving communication, and upgrading healthcare infrastructure to serve the Afro-Peruvian community better. These insights could guide the development of targeted policy recommendations and practical interventions to address healthcare disparities and improve access to quality healthcare services for minority populations.

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Exploring the prevalence of abortion and its characteristics in Perú

July 2023

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47 Reads

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3 Citations

Contraception

Objectives: Our paper presents the analysis of a nationwide survey that explored induced abortion among women using a ballot-box technique. Our objective was to determine the prevalence of abortion and the main characteristics of the procedure. Study design: We conducted surveys in households with 2400 women aged 18 to 49 from urban areas nationwide, between October 15th and 29th, 2018. Data collection was overseen by the Instituto de Opinión Pública de la Universidad Católica del Perú (IOP-PUCP). We performed a probabilistic, multistage, and socioeconomic level-stratified sampling. Our study used the "ballot-box technique" to ensure anonymity and reduce the risk of social desirability. Results: We visited 15,433 houses nationwide. Among those households where surveys couldn't be conducted, it was due to: abandoned or inaccessible property, unwilling to participate, absent members, out of quota, or inconclusive survey. On average, 19.0% of Peruvian women at all socioeconomic levels reported having had at least one abortion in their lifetime. Induced abortion is reported at all socioeconomic levels and reported age of the abortion is concentrated between 19 and 29 years old. In 57.7% of cases, women sought healthcare personnel for their last induced abortion. Among them, procedure abortion (45.3%) stands out over medical abortions (34.0%). Thirty-three percent of women who reported having had at least one induced abortion in their lifetime were admitted to a hospital after their last abortion. Conclusions: The illegality of abortion has not prevented its occurrence in Peru. Our results suggest that, in Peru, legal restrictions on induced abortion create an unfavorable context for women's health, exposing them to services whose safety is not guaranteed. Efforts should be made to increase awareness and education about contraception and family planning methods to prevent unwanted pregnancies and reduce the need for abortion.

Citations (1)


... The lifetime prevalence of abortion is similar to the prevalence of 18.8% in a previous Iranian study, [28] and similar to rates of induced abortion between 8% and 17% in other Iranian studies [29][30][31]. Different prevalence rates of abortion have been reported in other countries including 19% in Peru [32], 16.7% in China [33], and between 7% [34] and 21% [35] in the United States. The global estimate of abortion was 30% of all pregnancies between 2015 and 2019, and approximately 61% of unintended pregnancies, ended in induced abortion [14,16]. ...

Reference:

Prevalence, reasons, and attitude towards abortion among Iranian married women of reproductive age in Qazvin province
Exploring the prevalence of abortion and its characteristics in Perú

Contraception