Centro de Investigaciones en Salud Indígena
PROPÓSITO
El Centro de Investigación de Salud Indígena (CISI) fue creado en el año 2007 por un grupo multidisciplinario de investigadores de Wuqu´ Kawoq | Maya Health Alliance , con el objetivo de avanzar en las investigaciones científicas sobre las necesidades de salud de las comunidades, basados en nuestra trayectoria de liderazgo en el desarrollo de soluciones prácticas para mejorar la calidad de atención médica en comunidades rurales e indígenas de Guatemala.
TEMAS CENTRALES DE INVESTIGACIÓN
Los temas centrales de Investigación del CISI comparten enfoques metodológicos, especialmente métodos mixtos, antropología aplicada y ciencia de la implementación:
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Desnutrición Crónica y Seguridad Alimentaria
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Enfermedades no transmisibles, como el cáncer, diabetes y enfermedad renal crónica
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Sociedad Civil y el estudio del Desarrollo y Equidad de Género en la salud
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Desarrollo Infantil temprano
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Planificación Familiar
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Partería y Emergencia Obstétrica
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Antropología Médica
EQUIPO DE INVESTIGADORES
Los investigadores del CISI provienen de diversos orígenes, pero comparten interés en los temas centrales de investigación.
Líderes en Investigación
Peter Rohloff, MD PhD
Investigador Principal y Chief Medical Officer
Equipo de Investigadores
Lilian Carolina Ajú Batz
Intereses: diabetes, desarrollo infantil temprano, nutrición
Stephen Alajajian, RDN
Intereses: desnutrición, seguridad alimentaria
Kirsten Austad, MD MPH.
Intereses: planificación familiar, cáncer de cuello uterino, ciencia de la implementación
Carlos Eliezer Bacajol Chapaz
Intereses: nutrición
Liria Carina Batzibal Calí
Intereses: nutrición
Vilma Borón Surec
Intereses: desarrollo infantil temprano, nutrición
Evelin Calel Borón
Intereses: nutrición
Karyn Choy
Intereses: desarrollo infantil temprano, nutrición
Pablo Garcia, MD
Intereses: enfermedad renal crónica
Pablo Garcia, MD
Intereses: diabetes, desarrollo infantil temprano
Sara Hernández Hidalgo
Intereses: desarrollo infantil temprano
Lucrecia Lucia Morales Morales
Intereses: nutrición
Yoli Raquec
Intereses: nutrición
Olga Marina Saloj Chiyal
Intereses: desarrollo infantil temprano, nutrición
Scott Tschida
Intereses: ciencia de la implementación
Rosa Sirín Sirín
Intereses: nutrición
Eva Leticia Tuiz Ordoñez
Intereses: enfermedad renal crónica, desarrollo infantil temprano
Meghan Farley Webb, PhD
Intereses: seguridad alimentaria, migración, antropología médica
Colaboradores Esenciales
Dr. Joaquin Barnoya, Unidad Cardiovascular de Guatemala, Universidad Rafael Landivar. Affiliate Research Scientist at Wuqu’ Kawoq.
Dr. Gari Clifford, Departamento de Informática Biomédica, Universidad de Emory.
Dr. Alejandra Colom, Departamento de Antropologia, Universidad del Valle de Guatemala
Dr. Meredith Fort, Departamento de Medicina Familiar, Universidad de Colorado
Dr. Rachel Hall-Clifford, Departamento de Antropología, Agnes Scott College.
Dr. Maria del Pilar Grazioso, Departamento de Psicología, Universidad del Valle de Guatemala. Investigadora Cientifica asociada en Wuqu’ Kawoq.
Dr. Lee Voth-Gaeddert, Científico de investigación afiliado en Wuqu ‘Kawoq
Dr. Carlos Mendoza, Instituto de Nutrición de Centro América y Panamá
Dr. Ann Miller, Departamento de Salud Global y Medicina Social, Escuela de Medicina de Harvard
Dr. Beth Smith, Departamento de Pediatría, Universidad del Sur de California, Children’s Hospital Los Ángeles.
Proyectos y Financiamiento
Resumen de los principales proyectos actuales y recientes.
SENSORES PORTABLES PARA LA IDENTIFICACIÓN TEMPRANA DEL NEURODARROLLO EN GUATEMALA (2019-)
Evaluación de nueva tecnología para detectar retrasos en el desarrollo temprano en bebés en riesgo. Financiamiento: NIH / NICHD (PI Beth Smith, Children’s Hospital Los Angeles)
- Rosales MR, Rohloff P, Vanderbilt DL, Tripathi T, Valentini NC, Dusing S, Smith BA. Collecting Infant Environmental and Experiential Data Using Smartphone Surveys. Pediatr Phys Ther. 2021 Jan 01; 33(1):47-49.
- Lobo MA, Hall ML, Greenspan B, Rohloff P, Prosser LA, Smith BA. Wearables for rehabilitation: how to optimally design and utilize products to meet the needs of users. Physical Therapy 2019; 99:647-657.
EVALUANDO UNA INTERVENCIÓN EN NUTRICIÓN FAMILIAR Y JARDÍN EN GUATEMALA RURAL (2019-)
Investigar la integración de la horticultura doméstica en las intervenciones nutricionales para mejorar el crecimiento y la calidad de la dieta de los niños con retraso del crecimiento. Financiamiento: ensayo de la Academia Estadounidense de Dietética y Nutrición. Registro: NCT03689504
- Guzmán-Abril A, Alajajian S, Rohloff P, Proaño GV, Brewer J, Jimenez EY. Academy of Nutrition and Dietetics Nutrition Research Network: A Home Garden Intervention Improves Child Length-for-Age Z-Score and Household-Level Crop Count and Nutritional Functional Diversity in Rural Guatemala. J Acad Nutr Diet. 2021 May 18:S2212-2672(21)00230-6. doi: 10.1016/j.jand.2021.04.002. Epub ahead of print. PMID: 34020932.
- Alajajian S, Guzmán-Abril AP, Brewer J, Rohloff P. Patrones alimentarios y agrícolas de hogares con niños desnutridos en dos comunidades indígenas con distinto nivel socioeconómico en Guatemala. Estudios Sociales 2020; 30:55
- Roquel E, Wilson K, Alajajian S, Guzmán A. La Realización de un Diagnóstico Agrícola en una Comunidad Rural de Guatemala. Wuqu Kawoq | Alianza Maya para la Salud, 2019.
AUMENTAR LAS INTERVENCIONES DE AUTOGESTIÓN PARA LA DIABETES TIPO 2 (2018-)
Uso de un marco científico de implementación para evaluar el impacto de una intervención de autocuidado en el hogar para adultos con diabetes tipo 2 en dos distritos de salud en el centro de Guatemala. Financiamiento: Fundación Mundial de la Diabetes
- Flood D, Hane J, Dunn M, Brown SJ, Wagenaar BH, Rogers EA, Heisler M, Rohloff P, Chopra V. Health system interventions for adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis. PLoS Med 2020 Nov 12;17(11):e1003434
- Baird C, Rohloff P. Educación Para El Autocuidado de Diabetes Tipo Dos en Guatemala: Una Revision de la Literatura. Wuqu’ Kawoq | Alianza Maya para la Salud: Tecpan, Guatemala; 2019.
- Flood D, Douglas K, Goldberg V, Martinez B, Garcia P, Arbour M, Rohloff P. A quality improvement project using statistical process control methods for type 2 diabetes control in a resource-limited setting. Int J Qual Health Care 2017; doi: 10.1093/intqhc/mzx051.
- Flood, Hawkins J, Rohloff P. Evaluation of a Home-Based Type 2 Diabetes Self-Management Intervention in Rural Guatemala, 2014–2016. Preventing Chronic Disease 2017; doi: 10.5888/pcd14.170052.
POPULATION-BASED SURVEY OF CHRONIC KIDNEY DISEASE (2018-)ENCUESTA DE POBLACIÓN SOBRE ENFERMEDAD RENAL CRÓNICA (2018-)
Estudio representativo de base poblacional que encuesta la prevalencia y los factores de riesgo de la enfermedad renal crónica tradicional y no tradicional en adultos en zonas rurales de Guatemala. Financiamiento: NIH / FIC
- Garcia P, Mendoza C, Barnoya J, Monzon J, Miller AC, Aguilar-Gónzalez A, Boj J, Cifuentes A, Dávila P, Flood D, Guzmán-Quilo C, Hernandez A, Lou-Meda R, Palacios E, Sánchez-Polo V, Sosa R, Rohloff P. CKD care and research in Guatemala: Overview and meeting report. Kidney Int Rep 2020 Jul 2; 5(9):1567-1575.
- Nandi M, Kurschner S, Wilcox K, Flood D, Montano CM, Barnoya J, Rohloff P, Chary A. Perceptions of chronic kidney disease among at-risk adults in rural Guatemala. Glob Public Health 2020 Nov 8;1-16.
- Flood D, Wilcox K, Ferro AA, Mendoza Montano C, Barnoya J, Garcia P, Lou-Meda R, Rohloff P, Chary A. Challenges in the provision of kidney care at the largest public nephrology center in Guatemala: a qualitative study with health professionals. BMC Nephrol. 2020 Feb 28;21(1):71. doi: 10.1186/s12882-020-01732-w.
- Wilcox K, Flood D, Aguilar A, Dhaenens E, Garcia P, Miller A, Mendoza C, Lou-Meda R, Rohloff P, Chary A. Provision de servicios de diálisis en Guatemala: un estudio cualitativo.
- Flood D, Garcia P, Douglas K, Hawkins J, Rohloff P. Screening for chronic kidney disease in a community-based diabetes cohort in rural Guatemala: a cross-sectional study. BMJ Open 2018 Jan 21:8(1):e019778.
CARE NAVIGATION TO IMPROVE OBSTETRICAL CARE (2017-)NAVEGACIÓN DEL CUIDADO PARA MEJORAR EL CUIDADO OBSTÉTRICO (2017-)
Usar un marco de mejora de la calidad y una navegación de la atención para mejorar la satisfacción del paciente y los resultados de la derivación obstétrica de emergencia. Financiamiento: Grand Challenges Canada.
- Austad K, Juarez M, Shryer H, Morataya C, Rohloff P. Obstetric care navigation: results of a quality improvement project to provide accompaniment to women for facility-based maternity care in rural Guatemala. BMJ Qual Saf. 2019 Nov 2. doi: 10.1136/bmjqs-2019-009524. -Spanish translation-
- Juarez M, Austad K, Rohloff P. Lay Midwives: On the Front Lines of the Fight Against Maternal Mortality in Rural Guatemala. Am J Trop Med Hyg. 2019 Feb;100(2):237-238.
- Austad K, Chary A, Martinez B, Juarez M, Martin YJ, Ixen EC, Rohloff P. Obstetric care navigation: a new approach to promote respectful maternity care and overcome barriers to safe motherhood. Reprod Health. 2017 Nov 13; 14(1):148.
TECNOLOGÍA MHEALTH PARA APOYAR LA ATENCIÓN OBSTÉTRICA (2015-)
El uso de teléfonos inteligentes y las aplicaciones de salud móvil de apoyo a la toma de decisiones para respaldar la identificación y derivación de embarazos de alto riesgo por parte de parteras no profesionales. Financiamiento: Prueba NIH / NICHD (PI Gari Clifford, Emory University). Registro: NCT02348849
- Valderrama Cuadros CE, Katebi N, Marzbanrad F, Rohloff P, Clifford GD. A review of fetal cardiac monitoring, with a focus on low- and middle-income countries. Physiol Meas 2020 Oct 26. doi.org/10.1088/1361-6579/abc4c7
- Valderrama CE, Marzbanrad F, Juarez M, Hall-Clifford R, Rohloff P, Clifford GD. Estimating birth weight from observed postnatal weights in a Guatemalan highland community. Physiol Meas. 2020 Mar 6;41(2):025008. doi: 10.1088/1361-6579/ab7350.
- Valderrama CE, Stroux L, Katebi N, Paljug E, Hall-Clifford R, Rohloff P, Marzbanrad F, Clifford GD. An open source autocorrelation-based method for fetal heart rate estimation from one-dimensional Doppler ultrasound. Physiol Meas. 2019 Feb 26;40(2):025005.
- Martinez B, Ixen EC, Hall-Clifford R, Juarez M, Miller AC, Francis A, Valderrama CE, Stroux L, Clifford GD, Rohloff P. mHealth intervention to improve the continuum of maternal and perinatal care in rural Guatemala: a pragmatic, randomized controlled feasibility trial. Reproductive Health 2018;15:120.
- Martinez B, Hall-Clifford R, Coyote E, Stroux L, Valderrama CE, Aaron C, Francis A, Hendren C, Rohloff P, Clifford GD. Agile Development of a Smartphone App for Perinatal Monitoring in a Resource-Constrained Setting. J Health Informatics in Dev Countries. 2017; 11:158.
- Stroux L, Martinez B, Ixen EC, King N, Hall-Clifford R, Rohloff P, Clifford GD. (2016). An mHealth monitoring system for traditional birth attendant-led antenatal risk assessment in rural Guatemala, Journal of Medical Engineering & Technology.
INTERVENCIONES INDIVIDUALIZADAS EN EL HOGAR PARA MEJORAR LA CALIDAD DE LA ALIMENTACIÓN Y LOS RESULTADOS DE DESARROLLO EN NIÑOS TRUCOS (2015-2017)
Investigar estrategias óptimas para empoderar a los cuidadores y mejorar la atención cariñosa para los bebés en riesgo. Financiamiento: Prueba de Grand Challenges Canada. Registro: NCT02509936
- Webb MF, Martinez B, Rodas P, Gonzalez A, Rohloff P, del Pilar Grazioso M. Language Interpretation in the Administration of Bayley Scales of Infant Development III in an Indigenous Population in Guatemala. WAIMH Perspectives in Infant Mental Health. 2020. Epub 15 May 2020.
- Martinez B, Cardona S, Rodas P, Lubina M, Gonzalez A, Webb MF, Grazioso MdP, Rohloff P. Developmental outcomes of an individualised complementary feeding intervention for stunted children: a substudy from a larger randomised controlled trial in Guatemala.BMJ Paediatrics Open 2018;2:e000314. doi:10.1136/bmjpo-2018-000314
- Martinez B, Webb MF, Gonzalez A, Douglas K, Grazioso MdP, Rohloff P. Complementary feeding intervention on stunted Guatemalan children: a randomised controlled trial. BMJ Paediatrics Open 2018;2.
- Martinez B, Webb MF, Rodas P, Gonzalez A, del Pilar Grazioso M, Rohloff P. (2016). Field report: Early child development in rural Guatemala. Perspectives in Infant Mental Health. 24(1-2):6-8.
- Brown K, Henretty N, Chary A, Webb MF, Wehr H, Moore J, Baird C, Díaz AK, Rohloff P. Mixed-methods study identifies key strategies for improving infant and young child feeding practices in a highly stunted rural indigenous population in Guatemala. Matern Child Nutr. DOI: 10.1111/mcn.12141
Publicaciones
2022
- Flood D, Geldsetzer P, Agoudavi K, Aryal K, Caldeira L, Brian G, Dorobantu M, Farzadfar F, Gheorghe-Fronea O, Gurung M, Guwatudde D,Houehanou C, Adelin, Kondal D, Labadarios D, Marcus M, Mayige M, Moghimi M, Norov B, Perman G, Quesnel-Crooks S, Rashidi M, Moghaddam S, Seiglie J, Karaireho S, Steinbrook E, Theilmann M, Ware L, Vollmer S, Atun R, Davies J, Ali M, Rohloff P, Manne-Goehler J. Rural-Urban Differences in Diabetes Care and Control in 42 Low- and Middle-Income Countries: A Cross-sectional Study of Nationally Representative Individual-Level Data.
- Bonilla K, Romero-Oliva C, Arrechea S, Ortiz N, Mazariegos F, Alonzo M, Orellana-Corrales G, del Valle A, Montenegro-Bethancour G. Engaging the Guatemala Scientific Diaspora: The Power of Networking and Shared Learning Front. Res. Metr. Anal. 7:897670.
doi: 10.3389/frma.2022.897670. - Alajajian S, Guzman-Abril A, Proaño GV, Jimenez EY, Rohloff P. Mixed-methods implementation study of a home garden intervention in rural Guatemala using the RE-AIM framework. J Acad Nutr Diet. 2022 Mar 8:S2212-2672(22)00134-4. doi: 10.1016/j.jand.2022.03.005. Epub ahead of print. PMID: 35276414.
- Marcus ME, Manne-Goehler J, Theilmann M, Farzadfar F, Moghaddam SS, Keykhaei M, Hajebi A, Tschida S, Lemp JM, Aryal KK, Dunn M, Houehanou C, Bahendeka S, Rohloff P, Atun R, Bärnighausen TW, Geldsetzer P, Ramirez-Zea M, Chopra V, Heisler M, Davies JI, Huffman MD, Vollmer S, Flood D. Use of statins for the prevention of cardiovascular disease in 41 low-income and middle-income countries: a cross-sectional study of nationally representative, individual-level data. Lancet Glob Health. 2022 Mar;10(3):e369-e379. doi: 10.1016/S2214-109X(21)00551-9. PMID: 35180420; PMCID: PMC8896912.
- Garcia A, Juarez M, Sacuj N, Tzurec E, Larson K, Miller A, Rohloff P. Loss to Follow-Up and the Care Cascade for Cervical Cancer Care in Rural Guatemala: A Cross-Sectional Study. JCO Glob Oncol. 2022 Feb;8:e2100286. doi: 10.1200/GO.21.00286. PMID: 35113733; PMCID: PMC8853617.
- Flood D, Guwatudde D, Damasceno A, Manne-Goehler J, Davies JI; Global Health and Population Project on Access to Care for Cardiometabolic Diseases (HPACC). Maximising use of population data on cardiometabolic diseases. Lancet Diabetes Endocrinol. 2022 Mar;10(3):154-157. doi: 10.1016/S2213-8587(21)00328-4. Epub 2022 Jan 10. PMID: 35026159.
2021
- Tschida S, Flood D, Guarchaj M, Milian J, Aguilar A, Fort MP, Guetterman T, Montano CM, Miller A, Morales L, Rohloff P. Implementación de una intervención de apoyo y educación para el autocontrol de la diabetes en zonas rurales de Guatemala: una evaluación de métodos mixtos a través del marco RE-AIM. Prev Chronic Dis. 2021 Dec 9;18:E100. doi: 10.5888/pcd18.210259. PMID: 34882536; PMCID: PMC8673946.
- Rosales MR, Rohloff P, Vanderbilt DL, Tripathi T, Valentini NC, Dusing S, Smith BA. Collecting Infant Environmental and Experiential Data Using Smartphone Surveys. Pediatr Phys Ther. 2021 Jan 01; 33(1):47-49.
- Juarez M, Dionicio C, Sacuj N, Lopez W, Miller AC, Rohloff P. Community-Based Interventions to Reduce Child Stunting in Rural Guatemala: A Quality Improvement Model. International Journal of Environmental Research and Public Health. 2021; 18(2):773.
- Rohloff, P. On the frontlines of chronic paediatric undernutrition in Guatemala. EBioMedicine.Volume 64, 103223, February 1, 2021.
- Chacón, V., Liu, Q., Park, Y., Rohloff, P. and Barnoya, J. (2021), Diet quality, school attendance, and body weight status in adolescent girls in rural Guatemala. Ann. N.Y. Acad. Sci. https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/nyas.14558
- Guzmán-Abril A, Alajajian S, Rohloff P, Proaño GV, Brewer J, Jimenez EY. Academy of Nutrition and Dietetics Nutrition Research Network: A Home Garden Intervention Improves Child Length-for-Age Z-Score and Household-Level Crop Count and Nutritional Functional Diversity in Rural Guatemala. J Acad Nutr Diet. 2021 May 18:S2212-2672(21)00230-6. doi: 10.1016/j.jand.2021.04.002. Epub ahead of print. PMID: 34020932.
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Flood D, Seiglie JA, Dunn M, Tschida S, Theilmann M, Marcus ME, Brian G, Norov B, Mayige MT, Gurung MS, Aryal KK, Labadarios D, Dorobantu M, Silver BK, Bovet P, Jorgensen JMA, Guwatudde D, Houehanou C, Andall-Brereton G, Quesnel-Crooks S, Sturua L, Farzadfar F, Moghaddam SS, Atun R, Vollmer A, Bärnighausen TW, Davies JI, Wexler DJ, Geldsetzer P, Rohloff P, Ramírez-Zea M, Heisler M, Manne-Goehler J. The state of diabetes treatment coverage in 55 low-income and middle-income countries: a cross-sectional study of nationally representative, individual-level data in 680 102 adults, The Lancet Healthy Longevity, 2021,ISSN 2666-7568, https://doi.org/10.1016/S2666-7568(21)00089-1.
2020
- Webb M, Cuj M. Guatemala’s Public Health Messaging in Mayan Languages during the COVID-19 Pandemic. J Indigenous Social Development 2020; 9(3):102-109.
- Miller AC, Tuiz E, Shaw L, Flood D, Garcia P, Dhaenens E, Thomson D, Barnoya J, Mendoza Montano C, Rohloff P. Population estimates of Glomerular Filtration Rate and Risk Factors for Chronic Kidney Disease in Guatemala. Kidney International Reports. December 31, 2020. DOI:https://doi.org/10.1016/j.ekir.2020.12.015
- Flood D, Hane J, Dunn M, Brown SJ, Wagenaar BH, Rogers EA, Heisler M, Rohloff P, Chopra V. Health system interventions for adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis. PLoS Med 2020 Nov 12;17(11):e1003434
- Garcia P, Mendoza C, Barnoya J, Monzon J, Miller AC, Aguilar-Gónzalez A, Boj J, Cifuentes A, Dávila P, Flood D, Guzmán-Quilo C, Hernandez A, Lou-Meda R, Palacios E, Sánchez-Polo V, Sosa R, Rohloff P. CKD care and research in Guatemala: Overview and meeting report. Kidney Int Rep 2020 Jul 2; 5(9):1567-1575.
- Nandi M, Kurschner S, Wilcox K, Flood D, Montano CM, Barnoya J, Rohloff P, Chary A. Perceptions of chronic kidney disease among at-risk adults in rural Guatemala. Glob Public Health 2020 Nov 8;1-16.
- Valderrama Cuadros CE, Katebi N, Marzbanrad F, Rohloff P, Clifford GD. A review of fetal cardiac monitoring, with a focus on low- and middle-income countries. Physiol Meas 2020 Oct 26. doi.org/10.1088/1361-6579/abc4c7
- Webb MF, Martinez B, Rodas P, Gonzalez A, Rohloff P, del Pilar Grazioso M. Language Interpretation in the Administration of Bayley Scales of Infant Development III in an Indigenous Population in Guatemala. WAIMH Perspectives in Infant Mental Health. 2020. Epub 15 May 2020.
- Alajajian S, Guzmán-Abril AP, Brewer J, Rohloff P. Patrones alimentarios y agrícolas de hogares con niños desnutridos en dos comunidades indígenas con distinto nivel socioeconómico en Guatemala. Estudios Sociales 2020; 30:55
- Garcia A, Nandi M, Mux S, Chary A, Austad K. Contraception during COVID-19: experiences from rural, indigenous communities in Guatemala. Med Anthrol Quarterly, June 19, 2020.
- Zhang D, Advani S, Waller J, Cupertino AP, Hurtado-de-Mendoza A, Chicaiza A, Rohloff PJ, Akinyemiju TF, Gharzouzi E, Huchko MJ, Barnoya J, Braithwaite D. Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries: A Systematic Review. JCO Glob Oncol. 2020 Apr;6:617-627. doi: 10.1200/JGO.19.00201.
- Valderrama CE, Marzbanrad F, Juarez M, Hall-Clifford R, Rohloff P, Clifford GD. Estimating birth weight from observed postnatal weights in a Guatemalan highland community. Physiol Meas. 2020 Mar 6;41(2):025008. doi: 10.1088/1361-6579/ab7350.
- Flood D, Wilcox K, Ferro AA, Mendoza Montano C, Barnoya J, Garcia P, Lou-Meda R, Rohloff P, Chary A. Challenges in the provision of kidney care at the largest public nephrology center in Guatemala: a qualitative study with health professionals. BMC Nephrol. 2020 Feb 28;21(1):71. doi: 10.1186/s12882-020-01732-w.
- Nandi M, Moore J, Colom M, Quezada ADRG, Chary A, Austad K. Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala. Glob Health Sci Pract. 2020 Mar 31;8(1):10-17. doi: 10.9745/GHSP-D-19-00377.
2019
- Cnop K, Martinez B, Austad KE. Resistant dermatomyositis in a rural indigenous Maya woman. BMJ Case Rep. 2019 Feb 21;12(2):e223886. doi: 10.1136/bcr-2017-223886.
- Cordon A, Asturias G, De Vries T, Rohloff P. Advancing child nutrition science in the scaling up nutrition era: a systematic scoping review of stunting research in Guatemala. BMJ Paediatr Open. 2019 Dec 31;3(1):e000571. doi: 10.1136/bmjpo-2019-000571.
- Flood D, Canú WL, Chary A, Rohloff P. Comments on "A multicountry randomized controlled trial of comprehensive maternal nutrition supplementation initiated before conception: the Women First trial". Am J Clin Nutr. 2019 Aug 1;110(2):526-527. doi: 10.1093/ajcn/nqz106.
- Austad K, Juarez M, Shryer H, Morataya C, Rohloff P. Obstetric care navigation: results of a quality improvement project to provide accompaniment to women for facility-based maternity care in rural Guatemala. BMJ Qual Saf. 2019 Nov 2. doi: 10.1136/bmjqs-2019-009524. -Spanish translation-
- Wilcox K, Flood D, Aguilar A, Dhaenens E, Garcia P, Miller A, Mendoza C, Lou-Meda R, Rohloff P, Chary A. Provision de servicios de diálisis en Guatemala: un estudio cualitativo.
- Flood D, Chary A, Rohloff P, Henderson B. Language as health: healing in indigenous communities in Guatemala through the revitalization of Mayan languages. In: Avineri N, Graham LR, Johnson EJ, Riner RC, Rosa J, editors. Language and social justice in practice. New York: Routledge; 2019.
- Moore J, Baird C, Rohloff P. Fluid illness: dialysis, undercare, and the social life of kidney disease in rural Guatemala. Med Anthropol Theory 2019 17 Apr; doi.org/10.17157/mat.6.1.616
- Flood D, Petersen A, Martinez B, Chary A, Austad K, Rohloff P. Associations between contraception and stunting in Guatemala: secondary analysis of the 2014–2015 Demographic and Health Survey. BMJ Paeds Open 2019 3(1):e000510
- Kurschner S, Madrigal L, Chacon V, Barnoya J, Rohloff P. Impact of school and work status on diet and physical activity in rural guatemalan adolescent girls: a qualitative study. Ann N Y Acad Sci 2019 July 30. doi: 10.1111/nyas.14183
- Valderrama CE, Stroux L, Katebi N, Paljug E, Hall-Clifford R, Rohloff P, Marzbanrad F, Clifford GD.An open source autocorrelation-based method for fetal heart rate estimation from one-dimensional Doppler ultrasound. Physiol Meas. 2019 Feb 26;40(2):025005.
- Juarez M, Austad K, Rohloff P. Lay Midwives: On the Front Lines of the Fight Against Maternal Mortality in Rural Guatemala. Am J Trop Med Hyg. 2019 Feb;100(2):237-238.
- Smith BA, Hall ML, Greenspan B, Rohloff P, Prosser LA, Lobo MA.Wearables for Pediatric Rehabilitation: How to Optimally Design and Utilize Products to Meet the Needs of Users. Phys Ther. 2019 Feb 27. pii: pzz024. doi: 10.1093/ptj/pzz024.
- Baird C, Rohloff P. Educación Para El Autocuidado de Diabetes Tipo Dos en Guatemala: Una Revision de la Literatura. Wuqu’ Kawoq | Alianza Maya para la Salud: Tecpan, Guatemala; 2019.
2018
- Martinez B, Cardona S, Rodas P, et al. Developmental outcomes of an individualised complementary feeding intervention for stunted children: a substudy from a larger randomised controlled trial in Guatemala. BMJ Paediatr Open 2018;2(1):e000314.
- Colom M, Austad K, Sacuj N, et al. Expanding access to primary healthcare for women through a microfinance institution: A case study from rural Guatemala. Healthc (Amst) 2018;6(4):223-30.
- Flood D. Poverty, Genocide, and Superbugs: A Carbapenem-Resistant Wound Infection in Rural Guatemala. Am J Trop Med Hyg 2018;99(3):561-62.
- Colom M, Rohloff P. Cultural considerations for informed consent in paediatric research in low/middle-income countries: a scoping review. BMJ Paediatr Open 2018;2(1):e000298.
- Austad K, Shah P, Rohloff P. Correlates of long-acting reversible contraception uptake among rural women in Guatemala. PLOS One 2018; doi.org/10.1371/journal.pone.0199536
- Martinez B, Ixen EC, Hall-Clifford R, Juarez M, Miller AC, Francis A, Valderrama CE, Stroux L, Clifford GD, Rohloff P. mHealth intervention to improve the continuum of maternal and perinatal care in rural Guatemala: a pragmatic, randomized controlled feasibility trial. Reproductive Health 2018;15:120.
- Austad K, Chary A, Xocop SM, Messmer S, King N, Carlson L. Rohloff P. Barriers to Cervical Cancer Screening and the Cervical Cancer Care Continuum in Rural Guatemala: A Mixed-Method Analysis. J Glob Oncol 2018 July:(4)1-10. doi: 10.1200/JGO.17.00228.
- Martinez B, Webb MF, Gonzalez A, Douglas K, Grazioso MdP, Rohloff P. Complementary feeding intervention on stunted Guatemalan children: a randomised controlled trial. BMJ Paediatrics Open 2018;2.
- Flood D, Chary A, Austad K, Coj M, Lopez W, Rohloff P. Patient Navigation and Access to Cancer Care in Guatemala. J Glob Oncol 2018:1-3.
- Flood D, Chary A, Colom A, Rohloff P. Adolescent rights and the “first 1,000 days” global nutrition movement: A view from Guatemala. Health and Human Rights Journal 2018 Jun;20(1):295-301.
- Webb MF. Transnational Migration's Psychosocial Impacts for Kaqchikel Maya Migrants' Wives. Human Organization 2018;77:32-41.
- Moore J, Garcia P, Rohloff P, Flood D. Treatment of end-stage renal disease with continuous ambulatory peritoneal dialysis in rural Guatemala. BMJ Case Reports 2018: online first.
- Flood D, Rohloff P. Indigenous language and global health. Lancet Glob Health 2018 Feb;6(2):e134-135.
- Flood D, Garcia P, Douglas K, Hawkins J, Rohloff P. Screening for chronic kidney disease in a community-based diabetes cohort in rural Guatemala: a cross-sectional study. BMJ Open 2018 Jan 21:8(1):e019778.
- Colom M, Austad K, Sacuj N, Larson K, Rohloff P. Expanding access to primary healthcare for women through a microfinance institution: A case study from rural Guatemala. Healthc (Amst). 2018 Feb 7.
2017
- Austad K, Chary A, Martinez B, Juarez M, Martin YJ, Ixen EC, Rohloff P. Obstetric care navigation: a new approach to promote respectful maternity care and overcome barriers to safe motherhood. Reprod Health. 2017 Nov 13; 14(1):148.
- Flood DC, Chary AN, Austad K, Garcia P, Rohloff PJ. A patient navigation system to minimize barriers for peritoneal dialysis in rural, low-resource settings: case study from Guatemala. Kidney Int Reports 2017.
- Chary A, Flood D, Austad K, Colom M, Hawkins J, Cnop K, Martinez B, Lopez W, Rohloff P. Accompanying indigenous Maya patients with complex medical needs: A patient navigation system in rural Guatemala. Healthc (Amst). 2017 Sep 14. pii: S2213-0764(17)30177-X.
- Flood, Hawkins J, Rohloff P. Evaluation of a Home-Based Type 2 Diabetes Self-Management Intervention in Rural Guatemala, 2014–2016. Preventing Chronic Disease 2017.
- Hall-Clifford R, Roche S, Fathima S, Palmius N, Hollingworth K, Kennedy J, Merida J, Stephens M, Lavalley R, Rohloff P, Garcia P, Patrick S, Clifford G. Sustainable Technology for Surgical Referrals: Pilot Implementation of an Electronic Referral System for Short-Term Surgical Missions. J Health Informatics in Dev Countries. 2017; 11(2).
- Martinez B, Hall-Clifford R, Coyote E, Stroux L, Valderrama CE, Aaron C, Francis A, Hendren C, Rohloff P, Clifford GD. Agile Development of a Smartphone App for Perinatal Monitoring in a Resource-Constrained Setting. J Health Informatics in Dev Countries. 2017; 11:158.
- Martinez B, Flood D, Knop K, Guzman A, Rohloff P. Improving infant and young child nutrition in a highly stunted rural community: A practical case study from Guatemala. In: Preedy VR, Patel VB, eds. Famine, starvation and nutrient deprivation: from cells to policy. Cham, Switzerland: Springer International Publishing; 2017.
- Flood D, Douglas K, Goldberg V, Martinez B, Garcia P, Arbour M, Rohloff P. A quality improvement project using statistical process control methods for type 2 diabetes control in a resource-limited setting. Int J Qual Health Care 2017.
- Moore J, Webb MF, Chary A, Kraemer Díaz A, Rohloff P. Aid and gendered subjectivity in rural Guatemala. Journal of Development Studies. 2017;53:2164
- Flood D, Mathieu I, Chary A, Garcia P, Rohloff P. Perceptions and utilization of generic medications in Guatemala: A mixed-methods study with physicians and pharmacy staff. BMC Health Services Research 2017; 17:27.
2016
- Stroux L, Martinez B, Ixen EC, King N, Hall-Clifford R, Rohloff P, Clifford GD. (2016). An mHealth monitoring system for traditional birth attendant-led antenatal risk assessment in rural Guatemala, Journal of Medical Engineering & Technology.
- Martinez B, Webb MF, Rodas P, Gonzalez A, del Pilar Grazioso M, Rohloff P. (2016). Field report: Early child development in rural Guatemala. Perspectives in Infant Mental Health. 24(1-2):6-8.
- Chary A, Flood D, Austad A, Moore J, King N, Martinez B, Garcia P, Lopez W, Dasgupta-Tsikinas S, Rohloff P. (2016). Navigating Bureaucracy: Accompanying Indigenous Maya Patients with Complex Healthcare Needs in Guatemala. Human Organization. 75:305-14.
- Flood F, Chary A, Austad K, Kraemer Díaz A, Garcia P, Martinez B, Lopez Canu W, Rohloff P. (2016). Insights into global health practice from the agile software design movement. Global Health Action. 9:29836.
- Austad K, Chary A, Colom A, Barillas R, Luna D, Menjivar C, Metz B, Petrocy A, Ruch A, Rohloff P. Fertility awareness methods are not modern contraceptives: defining contraception to reflect our priorities. Glob Health Sci Pract. 2016;4:342-5.
- Flood D, Mux S, Martinez B, García P, Douglas K, Goldberg V, Lopez W, Rohloff P. Implementation and outcomes of a comprehensive type 2 Diabetes program in rural Guatemala. PLoS One. 2016; 11:e0161152.
- Webb MF, Chary AN, De Vries TT, Davis S, Dykstra M, Flood D, Rhodes MH, Rohloff P. Exploring mechanisms of food insecurity in indigenous agricultural communities in Guatemala: a mixed methods study. BMC Nutrition. 2016; 2:55.
2015
- Chary A and Rohloff P (Eds). (2015). Privatization and the New Medical Pluralism: Shifting Healthcare Landscapes in Maya Guatemala. Lanham: Lexington Books.
- King N, Chary A, Rohloff P. (2015). “Leveraging Resources in contemporary Maya midwifery.” In Privatization and the New Medical Pluralism: Shifting Healthcare Landscapes in Maya Guatemala. Chary A and Rohloff P (Eds). Lanham: Lexington Books. Pp 123-140.
- Flood D and Rohloff P. (2015). “This Disease is for Those Who Can Afford It”: Diabetes in Indigenous Maya Communities. In Privatization and the New Medical Pluralism: Shifting Healthcare Landscapes in Maya Guatemala. Chary A and Rohloff P (Eds). Lanham: Lexington Books. Pp 51-68.
- Rohloff P and Henderson B. (2015). Development, Language Revitalization, and Culture: The case of the Mayan Languages of Guatemala, and Their Relevance for African Languages. In Language Documentation and Endangerment in Africa (Eds Essegbey J, Henderson B, and McLaughlin F). Amsterdam: John Benjamins Publishing company. Pp 177-194.
2014
- Stroux L, King NE, Fathima SN, Hall-Clifford R, Rohloff P, Clifford GD (2014). A low-cost perinatal monitoring system for use in rural Guatemala. Appropriate Healthcare Technologies for Low Resource Settings.
- Fathima SN, Palmius N, Clifton D, Rohloff P, Clifford GD, Hall-Clifford R.(2014). Sanitation-related disease surveillance using community health promoters and mobile phone technology. Appropriate Healthcare Technologies for Low Resource Settings.
- Wehr H, Chary A, Webb MF, Rohloff P. (2014). Implications of gender and household roles in Indigenous Maya communities in Guatemal for child nutrition interventions. International J of Indigenous Health 10:99-112.
- Chary AN, Rohloff PJ. (2014). Major challenges to scale up of visual inspection-based cervical cancer prevention programs: the experience of Guatemalan NGOs. Glob Health Sci Pract. 2:307-17.
- Brown K, Henretty N, Chary A, Webb MF, Wehr H, Moore J, Baird C, Díaz AK, Rohloff P. Mixed-methods study identifies key strategies for improving infant and young child feeding practices in a highly stunted rural indigenous population in Guatemala. Matern Child Nutr.
- Henderson B, Rohloff P, Henderson R. (2014). More than words: towards a development-based approach to language revitalization. Language Documentation and Conservation Journal 8:75-91.
2013 and earlier
- Chary A, Messmer S, Sorenson E, Henretty N, Dasgupta S, Rohloff P. (2013). The normalization of childhood disease: An ethnographic study of child malnutrition in rural Guatemala. Human Organization 72:88-97.
- Chary A, Kraemer Díaz A, Henderson B, Rohloff P. (2013). The changing role of indigenous lay midwives in Guatemala: New frameworks for analysis. Midwifery 29:852-858.
- Kraemer A and Rohloff P. (2013). Guatemala. In Building Partnerships in the Americas: A Guide for Global Health Workers. (M Krasnoff, Ed). Dartmouth: University Press of New England.
- Tummons E, Henderson R and Rohloff P. (2012). Language Revitalization and the Problem of Development in Guatemala: Case Studies from Health Care. Symposium on Teachng and Learning Languages of Latin America. University of Notre Dame.
- Chary A, Greiner M, Bowers C, Rohloff P. (2012). Determining adult type 2 diabetes related health care needs in an indigenous population from rural Guatemala: A mixed methods preliminary study. BMC Health Services Research 12:476.
- Rohloff P, Kraemer Diaz A, Ajsivinac Sian J. (eds). (2011). Nïm chuwäch k’iyirisanem: Tajin runuk’ik’ ruk’aslem ri chwa’q kab’ij pan Iximulew. Bethel, VT: Wuqu' Kawoq.
- Tummons E, Henderson R and Rohloff P. (2011). “So that we don’t lose words:” Reconstructing a Kaqchikel medical lexicon. First Biennial Symposium on Teaching Indigenous Languages in Latin America. Indiana University.
- Chary A, Messmer S, Rohloff P. (2011). Male Influence on Infant Feeding in Rural Guatemala and Implications for Child Nutrition Interventions. Breastfeeding Medicine 6:227-31.
- Rohloff P, Kraemer Diaz A, Dasgupta S.(2011). “Beyond development “– A critical appraisal of the emergence of small health care non-governmental organizations in rural Guatemala. Human Organization 70:427-437.
- Chary, A., Dasgupta, S., & Rohloff, P. (2011). Breastfeeding, subjugation, and empowement in rural Guatemala. In An Anthropology of Mothering (M Walks & N McPherson, Eds.). Toronto: Demeter Press.
- Rohloff P and Sotz Mux M (2008). Tiqaq’omaj qi’. Bethel, VT: Wuqu’ Kawoq.