Public Policy for the Poor? A Randomised Assessment of the Mexican Universal Health Insurance Programme

Background: We assessed aspects of Seguro Popular, a programme aimed to deliver health insurance, regular and preventive medical care, medicines, and health facilities to 50 million uninsured Mexicans. Methods: We randomly assigned treatment within 74 matched pairs of health clusters—ie, health facility catchment areas—representing 118 569 households in seven Mexican states, and measured outcomes in a 2005 baseline survey (August, 2005, to September, 2005) and follow-up survey 10 months later (July, 2006, to August, 2006) in 50 pairs (n=32 515). The treatment consisted of encouragement to enrol in a health-insurance programme and upgraded medical facilities. Participant states also received funds to improve health facilities and to provide medications for services in treated clusters. We estimated intention to treat and complier average causal effects non-parametrically. Findings: Intention-to-treat estimates indicated a 23% reduction from baseline in catastrophic expenditures (1·9% points; 95% CI 0·14–3·66). The effect in poor households was 3·0% points (0·46–5·54) and in experimental compliers was 6·5% points (1·65–11·28), 30% and 59% reductions, respectively. The intention-to-treat effect on health spending in poor households was 426 pesos (39–812), and the complier average causal effect was 915 pesos (147–1684). Contrary to expectations and previous observational research, we found no effects on medication spending, health outcomes, or utilisation. Interpretation: Programme resources reached the poor. However, the programme did not show some other effects, possibly due to the short duration of treatment (10 months). Although Seguro Popular seems to be successful at this early stage, further experiments and follow-up studies, with longer assessment periods, are needed to ascertain the long-term effects of the programme. Funding: Mexican Ministry of Health, the National Institute of Public Health of Mexico, and Harvard University Institute for Quantitative Social ScienceGovernmen

Influencia de factores socioculturales en la percepción de adolescentes mexicanos sobre conductas sexuales de riesgo

The following research was developed aiming to analyze the individual and relational factors that affect the adolescent perception of sexual behavior. The study was conducted with a mixed approach with qualitative and quantitative analysis. The sample was composed of 313 junior high school adolescents. Poor family functioning, low resistance to peer influence and less egalitarian gender ideology are related to being sexually active, while a low religiosity, high resistance to peer influence and a high egalitarian gender ideology are linked to a high sexual resilience. There were differences between the adolescents according to sociodemographic variables. The psychological meaning of teenage pregnancy implied responsibility, baby, abortion, irresponsibility; safe sex was a synonym of condom. There is a relationship between some measured variables with sexual resilience, being that the effect is clear with the individual factors; sexual education implications are discussed.El objetivo de esta investigación fue analizar factores socioculturales que repercuten en la percepción de conductas sexuales. El estudio tiene un enfoque mixto, con análisis cuali-cuantitativo. Participaron 313 adolescentes de tercer año de secundaria. Un bajo funcionamiento familiar, una baja resistencia a la influencia de pares y una adherencia ideológica a los roles de género tradicionales se relacionaron con ser sexualmente activos, mientras que una baja religiosidad, una alta resistencia a la influencia de pares y una ideología de género más igualitaria, con una alta resiliencia sexual. Hubo diferencias entre los adolescentes conforme a variables sociodemográficas. En cuanto al significado psicológico, el embarazo adolescente se identificó responsabilidad, bebé, aborto e irresponsabilidad, y sexo seguro fue sinónimo de condón. Se concluye que sí existe relación de variables medidas con la resiliencia sexual, particularmente con los factores individuales; sus implicaciones para la educación sexual son discutidas

Protein requirement in masculinized and non-masculinized juveniles of Bay Snook Petenia splendida

The effect of the dietary protein level on growth and total body chemical composition of the native cichlid Bay snook (Petenia splendida), masculinized and non-masculinized, was studied. Five semi-purified diets with protein levels 35, 40, 45, 50 and 55% crude protein (CP) were formulated and evaluated by triplicate. Groups of 50 juveniles were each stocked in 70 L tanks and fed to apparent satiation for 42 days trial. At the end, weight gain (WG) (403.41%), body length (BL) (6.58 ± 0.10 cm) and specific growth rate (SRG) (1.67%/day) of the masculinized fish were obtained with the 45% CP diet, and they were significantly different (p = 0.002) from the other treatments. In the case of non-masculinized fish, the 45 and 55% CP treatments showed significant differences (p = 0.00001), with respect to other treatments, with a WG of 398 and 394%, SGR of 1.66 and 1.63%/day, protein productive value (PPV) of 28.91 and 29.21%, and feed conversion rate (FCR) of 1.23 and 1.08 respectively. Protein body composition for masculinized fish was different (p = 0.0001) only for fish fed 35% CP compared with fish at the beginning of the experiment. We conclude that the optimum protein requirement, estimated by the broken-line model for masculinized and non-masculinized P. splendida was 45 and 44.8% PC respectivel

MAREJADAS RURALES Y LUCHA POR LA VIDA, VOL. I:CONSTRUCCIÓN SOCIOCULTURAL Y ECONÓMICA DEL CAMPO.

Este volumen incluye trabajos que abordan temáticas que demuestran que el campo es una construcción sociocultural, por lo tanto, el medio rural es diferenciado y está en constante cambio y adaptación a los procesos globales y locales. Son 19 trabajos divididos en dos secciones, la primera, denominada Nuevas dinámicas sociales, económicas y culturales en el medio rural, está compuesta por 8 capítulos, en esta sección se incluyen aquellos trabajos que analizan de manera concreta los cambios perceptibles en las relaciones rurales y en las actividades económicas; procesos como desagrarización y nuevas actividades económicas son abordados aquí, así como propuestas metodológicas para el estudio de lo rural considerando los cambios y adaptaciones que se registran en los territorios. La segunda sección, Resistencias y alternativas al modelo neoliberal en la producción agrícola y alimentaria, está integrada por 11 trabajos que abordan las diversas formas en que los campesinos y productores agrícolas resisten y se adaptan a los cambios globales y a las modificaciones de política pública, desde los mercados alternativos hasta la producción de nuevos cultivos que generan un mercado nuevo a su producción, hasta las resistencias y defensa de la milpa, las reflexiones que nos ofrecen dan idea de la diversidad de formas en que la vida campesina se mantiene a pesar de todos los embates.INSTITUTO DE CIENCIAS AGROPECUARIAS Y RURALES (ICAR), UNIVERSIDAD DE GUADALAJARA, EL COLEGIO DE MICHOACÁN A.C., CUCOSTA SUR GRANA, FACULTAD DE ESTUDIOS SUPERIORES ACATLÁN-UNAM, ECOSU

EDUCACIÓN AMBIENTAL Y SOCIEDAD. SABERES LOCALES PARA EL DESARROLLO Y LA SUSTENTABILIDAD

Este texto contribuye al análisis científico de varias áreas del conocimiento como la filosofía social, la patología, la educación para el cuidado del medio ambiente y la sustentabilidad que inciden en diversas unidades de aprendizaje de la Licenciatura en Educación para la Salud y de la Maestría en Sociología de la SaludLas comunidades indígenas de la sierra norte de Oaxaca México, habitan un territorio extenso de biodiversidad. Sin que sea una área protegida y sustentable, la propia naturaleza de la región ofrece a sus visitantes la riqueza de la vegetación caracterizada por sus especies endémicas que componen un paisaje de suma belleza

Educación ambiental y sociedad. Saberes locales para el desarrollo y la sustentabilidad

EL LIBRO PERMITE REFLEXIONAR SOBRE LA IMPORTANCIA DE FOMENTAL LA EDUCACIÓN AMBIENTAL PARA RESOLVER LA PROBLEMÁTICA AMBIENTALEL LIBRO PRESENTA DIFERENTES TRABAJOS QUE ESTUDIAN EL TEMA D ELA SUSTENTABILIDAD, ENFATIZANDO LA IMPORTANCIA DE LA EDUCACIÓN AMBIENTAL Y LA TRANSDISCIPLINANINGUN

Ten millennia of hepatitis B virus evolution

Hepatitis B virus (HBV) has been infecting humans for millennia and remains a global health problem, but its past diversity and dispersal routes are largely unknown. We generated HBV genomic data from 137 Eurasians and Native Americans dated between ~10,500 and ~400 years ago. We date the most recent common ancestor of all HBV lineages to between ~20,000 and 12,000 years ago, with the virus present in European and South American hunter-gatherers during the early Holocene. After the European Neolithic transition, Mesolithic HBV strains were replaced by a lineage likely disseminated by early farmers that prevailed throughout western Eurasia for ~4000 years, declining around the end of the 2nd millennium BCE. The only remnant of this prehistoric HBV diversity is the rare genotype G, which appears to have reemerged during the HIV pandemic