En América Latina, el término gringo significa alguien (hombre, ya que una . Years ago we wrote about what a Hispanic girl should expect when dating a gringo. . en la experiencia de citas en línea es este nivel básico de atracción humana. .. Cuando se va de vacaciones o simplemente se va para el fin de semana. Perinatología y reproducción humana Ending Preventable Child and Maternal Deaths in Latin American and Caribbean Countries (LAC). Fin a las muertes evitables maternas e infantiles en los países de .. Below are but a few examples that provide insight into the factors leading to the success seen to date in this. En el futuro se deberá dar énfasis a los programas de intercambio juvenil entre países del de vida de la familia rural El fin de todos los programas, es el desarrollo del ser humano. La producción es sólo uno de los medios para alcanzar el fin. Some of the recommendations made by the 78 representatives from 15 Latin.
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Selected high-impact, low-cost interventions could further reduce the number of deaths, but levels of coverage need to be adequate among populations with higher mortality. Despite two decades of development gains and the recent economic growth in LAC countries, large health disparities remain among and within countries with regard to access and quality of reproductive health services.
Investments in voluntary family planning dramatically improve maternal and child health, and more broadly can contribute to economic and social development and stability. Family planning plays a critical role in ending preventable child and maternal deaths. As more women gain voluntary access to family planning, and as more unintended pregnancies are prevented, more children will survive and be healthy.
Use of family planning for spacing and limiting the number of children according couples' desires helps women bear children at the healthiest times in their lives. Family planning has powerful life-saving impacts for mothers and infants. Findings of key studies on family planning's overall contribution to child and maternal survival globally include: Family planning interventions make vital contributions to preventing child and maternal deaths and helping women survive and prosper.
Fertility and contraceptive prevalence indicators have been slow to improve among poor, rural, or otherwise marginalized groups. In LAC, more than one-half of pregnancies are unintended, even though about 65 percent of married women of reproductive age use modern contraceptives. Address the broader context: These policies and programs include education, infrastructure development, water supply, sanitation, and income generation.
Progress toward reaching the MDGs has been inconsistent within and across countries, with frequent neglect of the poorest groups often girls and indigenous populations and those lacking access to education often populations living in remote areas. Early childhood development programs have low coverage, and many child survival strategies still use a vertical approach that fails to consider the environmental situation and other social determinants of health.
These constraints are major obstacles to meeting the needs of children, improving their living conditions, protecting their fundamental rights, and to achieving greater equality among different social sectors.
It is noteworthy that basic education and literacy remain major challenges in many LAC countries despite generally high levels of school enrollment. The education of girls in particular is closely correlated with improved child health and survival, bolstering the already strong case for improving primary and secondary education systems in the LAC region.
Ensure mutual accountability for ending preventable child deaths Governments will lead the effort by sharpening their national action plans with costed strategies for maternal and child survival, and by setting and monitoring five-year milestones. Development partners can support the national targets by pledging to align their support with government-led action plans and priorities; private sector partners can spur innovation and help identify new resources for child survival; and, through action and advocacy, civil society and faith leaders can support the communities and families whose decisions profoundly influence prospects for maternal and child survival.
The " A Promise Renewed for the Americas: Reducing Inequities in Reproductive, Maternal and Child Health" event in Panama will provide countries the opportunity to formulate their own responses to the recommended strategic shifts described here. At the same time, the region should also take the opportunity to celebrate the tremendous successes already achieved by many countries and identify the lessons learned from those successes. Below are but a few examples that provide insight into the factors leading to the success seen to date in this region: It built on existing efforts to integrate child survival programing that the countries had already begun.
Similarly, many of the LAC countries were the first to include integrated child survival programs at the community level.
These strategies represent early successful efforts to apply cost-effective solutions to the major causes of under-five mortality. Starting in the late s, Brazil and Mexico began experimenting with conditional cash transfer programs, which aimed to reduce poverty and improve health and other outcomes through provision of incentive payments for certain behaviors. The innovative approach spread throughout the region, so that by eighteen countries had a CCT program, with a total of million beneficiaries.
Under USAID's leadership many of the countries of the region have been working together to strengthen supply chains. Periodic meetings enable the sharing of experiences and progress. Although the efforts started with a focus on contraceptive security in the face of graduation from USAID assistance - these commodity security committees often now support integrated supply chains that deliver a full range of medications and supplies for health care systems.
In the past twenty years, a number of LAC countries have made strides toward greater access to health coverage for their populations. Significant health reforms have included the Unified Health System in Brazil, which includes a strong emphasis on primary care for all Brazilians; nearly universal coverage for Chileans through the Social Health Insurance program; a constitutional right to healthcare and subsidized national insurance system in Colombia; and coverage for 50 million Mexicans under the Popular Health Insurance program.
However these examples exemplify a mindset to target resources toward underserved populations. Conclusion As Latin America and the Caribbean continue to develop, the role of international donor agencies will continue to evolve.
Gains in the health status of the region have paralleled significant gains in economic development since The region has been growing even in during the recent global economic slowdown, with a 3. However, USAID will continue to provide technical assistance through regional programs aimed at building country capacity on key issues in health systems, tuberculosis control, family planning, and maternal and child health.
In the meantime, several countries, including Brazil and Mexico, have been reaching out with their own know-how and funding and have begun to forge their own approach to development assistance.
As noted above there is great potential for continued region-wide collaboration and exchange to take the next steps toward full realization of "A Promise Renewed. You're a great gadabout, my boy. It's too far to walk. The train began to move. Is that clock going? I've been chasing around all day.
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He didn't win the prize, but he came close to it. The child's going on seven. The jockey fell right by the rail. He gave her a diamond ring. The liveliness of the gathering surprised me. Don't be a jackass! Let's encourage the players. His arrival pepped up the party. I'm urging him to come with us. He was in good spirits. She cheered him up because he was depressed.
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She does whatever comes into her mind. Lo hago porque se me antoja. I do it because I take a notion to.
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I'm twenty years old. Put out the light. The lights went out. He sells radio sets. He didn't show up. He was surprised by the sudden appearance of his friend. I don't like his looks. That's a separate question.
Put this package aside. Don't get off while the vehicle's in motion. They were grieved by the illness of their aunt. We were worried because we weren't getting any news. He can hardly walk. Let me know as soon as he comes.
He got very depressed after his failure. They crushed all resistance. They flattened his nose.