Latin American Settings Research Articles

Transition Design in Latin America: Enabling Collective Learning and Change.

Latin American societies currently confront numerous social, economic, and environmental issues. The complex and interlinked nature of these issues demands responses that fully and equally engage with the social and environmental domains in creative and integrative ways that blur traditional dichotomies and disciplinary boundaries. Most importantly, they need to weave in and reflect the plurality and specificity of the contexts in an autonomous and non-colonialist fashion. In this paper, we draw inspiration from approaches that emerged in the Global North such as Resilience Thinking, Policy Design, and Transition Design, all of which strive for knowledge plurality and synthesis applied to systemic transformational processes. To contribute to this pluralistic motivation and to promote critical reflection and learning, in this work we outline the main contributions of such approaches and have them converse with Latin American perspectives and practices. Through the application of a Transition Design lens, a practice-oriented perspective aimed at catalyzing societal transitional processes towards sustainable futures, we act as practitioners and interlocutors that adopt, adapt, and expand its theoretical and methodological applications in collective learning spaces, processes, and platforms. The action-oriented nature of this approach allows us to analyze particular cases of application, their contexts, and their theoretical or methodological nuances which determine their potential or degree of success in generating actual change. The structure of this article moves from outlining and introducing the main frameworks and notions relevant for adopting a Transition Design approach in Latin America, to describing cases developed in different pedagogical or action-research platforms, culminating with a collection of reflections stemming from our experiences applying Transition Design in Latin America. The first section offers a theoretical compass to expand a more robust framework that supports and enables socio-environmental transitions in the region. The second part presents three case studies to illustrate the application and interpretation of different methods and the challenges and opportunities presented. We conclude by offering insights into potential future pathways for embracing and deepening holistic and systemic approaches like Transition Design in Latin American settings.

De paradoxen van “Latijns-Amerikaans Handboek” van Kristien Hemmerechts en zijn vertaling

“Latijns-Amerikaans Handboek” by Kristien Hemmerechts proves that short stories as a literary genre are able to portray a complex multilingual adven-ture in just a few pages. The writer makes use of a Latin American setting to give shape to the galloping loss of identity of a young Flemish man, travel-ling with his girlfriend through the Peruvian Quechua world. The enormous cultural distance between the Flemish and Quechua cultures makes his metamorphosis as absurd as it is comprehensible. Because of her emotional faithfulness, his girlfriend does not intervene and as a result the young man dies. The translation of this short story in its turn poses the problem of the loss of that same cultural identity. In the name of his professional faithful-ness, however, it is the duty of the translator to intervene in time and to save from death the original cultural identity of the story.

P07.02 Real World data of Advanced Non-Small Cell Lung Cancer Patients EGFR Mutated from a Peruvian Cohort

Tyrosine kinase inhibitors anti-EGFR are the standard of care for NSCLC patients with sensitive EGFR mutations, however, the knowledge on the real benefit of these therapies in the real-world setting remains unclear. The aim of this study is to evaluate the characteristics and outcomes of EGFR mutated NSCLC patients treated in a real-world Latin American setting. Retrospective analysis of advanced NSCLC patients EGFR mutated diagnosed at Instituto Nacional de Enfermedades Neoplasicas (INEN), Lima-Peru from 2013 to 2020. Main clinical analysis, including ORR, PFS and OS, was performed only in patients who received anti-EGFR TKI (Erlotinib) at the institution. Data were collected from medical records. During the study period, we analyzed the EGFR mutational status of 448 cases using tissue PCR or liquid biopsy in cases of insufficient material. Pathological EGFR mutations was found in 47% patients (n=211). Among these, the distribution of mutations was as follows: 61% exon 19 deletion, 25% L858R mutation, 12.6% EGFR uncommon mutations/associations, and 1.4% de-novo T790M mutation. Median age at diagnosis was 60 years (range 22-89y) and most patient were females (65.9%). Out of EGFR mutated patients, 129 (61.1%) received anti-EGFR TKI as a part of treatment at INEN, of them, 20.2% had smoking history and 24.8% biomass exposition as a main risk factor. About clinical presentation, 96 patients (74.4%) had status performance 1 (ECOG) and 37 (28.7%) presented brain metastases at diagnosis. Concerning treatment, 64.3% of patients (n=83) received TKI as first line and 35.7% as second or later line of treatment. The ORR was 86.8%. Median PFS was 14.13 months and median OS was 29.73 months. No differences in PFS and OS were found according to line of treatment (first vs second or later, p=0.69 and p=0.29 respectively) or type of mutation (exon 19 deletion vs L858R mutation vs uncommon mutations/associations, p=0.84 and p=0.50). Out of the 76 patients who progressed, half of them had T790M mutation assessment, finding 27.6% positive cases (21 patients). The proportion of EGFR mutated NSCLC in this cohort is higher than the reported in other countries outside Latin America or Asia. Our patients achieve high response rates and prolonged survival with no differences between the line of treatment or type of mutation. Results of this analysis confirm the benefit of use target therapies in the real-world setting.

More Offenders, More Crime: Estimating the Size of the Offender Population in a Latin American Setting

Research that has examined the high levels of crime experienced in Latin American settings has suggested that macrostructural variables (such as social inequality), and factors associated with development and institutional capacity, offer explanations for these high crime levels. Although useful, these studies have yet to quantify how these explanations translate to the dynamics of offending activities. In the current study, we examine a key component related to offending dynamics: the size of the offender population. Using two capture-recapture techniques and a bootstrap simulation, estimates were generated of the sizes of the offender populations for three comparable cities in Brazil, Mexico, and England. Each of the techniques generated similar estimates for the offender population size for each city, but with these estimates varying substantially between the cities. This included the estimated offender population size for the Brazilian city being twenty-five times greater than that for the English city. Risk of arrest values were also generated, with these calculated to be substantially lower for the Brazilian and Mexican cities than for the English city. The results provide a quantification of criminal behavior that offers a potential new insight into the high levels of crime that are experienced in Latin American settings.

The impact of gasoline shortages on public bike-sharing systems

PurposeThis paper aims to analyze the effect of a recent disruption of Mexico's gasoline supply chain on the usage of public bike-sharing systems in Mexico City and Guadalajara.Design/methodology/approachThe authors use a detailed data set to understand the usage patterns of Ecobici and Mibici. The authors assess both systems with a differences-in-differences econometric model using the least popular stations as a control group.FindingsThe authors find that the number of rides increased significantly shortly after the event because less popular stations became more utilized.Social implicationsThe authors show that when the effects of gasoline shortages were noticeable, usage rates increased in Guadalajara and Mexico City, but the rise primarily came from the users selecting more bikes from the less popular stations. Therefore, the authors show that citizens in both cities regarded bike-sharing as an adequate means of transportation, maximizing system usage during a disruptive time. This finding suggests that cities should invest in improving public bike-sharing systems to reduce carbon emissions and increase their population's well-being.Originality/valueThe authors use a publicly available data set to understand how citizens answered to a major disruption. Furthermore, this is one of the first papers that align supply chain risk management with sustainable transportation and analyzes its effects on citizen behavior in a Latin American setting.

ASH, ABHH, ACHO, Grupo CAHT, Grupo CLAHT, SAH, SBHH, SHU, SOCHIHEM, SOMETH, Sociedad Panameña de Hematología, SPH, and SVH 2021 guidelines for management of venous thromboembolism in Latin America

Venous thromboembolism (VTE) is a common disease in Latin American settings. Implementing international guidelinn Aes in Latimerican settings requires additional considerations. The purpose of our study was to provide evidence-based guidelines about managing VTE for Latin American patients, clinicians, and decision makers. We used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE)-ADOLOPMENT method to adapt recommendations from 2 American Society of Hematology (ASH) VTE guidelines (Treatment of VTE and Anticoagulation Therapy). ASH and local hematology societies formed a guideline panel comprised of medical professionals from 10 countries in Latin America. Panelists prioritized 18 questions relevant for the Latin American context. A knowledge synthesis team updated evidence reviews of health effects conducted for the original ASH guidelines and summarized information about factors specific to the Latin American context (ie, values and preferences, resources, accessibility, feasibility, and impact on health equity). The panel agreed on 17 recommendations. Compared with the original guideline, 4 recommendations changed direction and 1 changed strength. This guideline adolopment project highlighted the importance of contextualization of recommendations suggested by the changes to the original recommendations. The panel also identified 2 implementation priorities for the region: expanding the availability of home treatment and increasing the availability of direct oral anticoagulants (DOACs). The guideline panel made a conditional recommendation in favor of home treatment for individuals with deep venous thrombosis and a conditional recommendation for either home or hospital treatment for individuals with pulmonary embolism. In addition, a conditional recommendation was made in favor of DOACs over vitamin K antagonists for several populations.

The hierarchic isomorphic pressures facing Latin American B-schools

The intention behind this work was to understand the interaction among isomorphic pressures that affect the decisions of Business Schools managers who participate in the America Economia Ranking (AER), an emerging market ranking. Data was collected through 19 semi-structured in-depth interviews with managers from X countries. Results indicate that the coercive pressures that originate from rankings and accreditations and influence B-Schools relation to rankings are hierarchical in nature. We propose a situational model that indicates that the sources of the mimetic pressure stem from participation in accreditation forums, associations, and other meetings, as well as the debate on the best practices and contact with B-Schools with the best reputations in the AER. This study contributes to the literature on the institutional view on B-Schools considering emerging market HEI rankings, given that B-Schools are placed under strong institutional pressures, which are discussed with implications drawn both for the Latin American setting as well as for HE environments in other emerging economies.

Adaptation and Validation of Technostress Creators and Technostress Inhibitors Inventories in a Spanish-Speaking Latin American Country

The use of information and communications technology (ICT) in organizations is a global phenomenon. Their benefits: providing companies with efficiency and productivity, are well-known. Even so, there is growing worry over the stress that workers experience due to technology—technostress—and its negative consequences for organizations and workers. Technostress has not been studied much in a Latin American setting. As a starting point, it is necessary to possess valid and reliable instruments to measure the factors that generate it and the organizational mechanisms that have the potential to reduce its effects. The purpose of this study is to adapt and validate the Technostress Creators and Technostress Inhibitors Inventories in Peru, a Spanish-speaking Latin American country. A linguistic and cultural adaptation was carried out in order to evaluate the psychometric properties of the instruments in a sample of 360 employee ICT end-users. The results indicate the validity of the construct and high reliability for the Technostress Creators Inventory but not for the Technostress Inhibitors Inventory. This study demonstrates that the factors generating technostress are the same in different regions but that the suitability of different organizational practices to address it varies. It is necessary to identify mechanisms best suited to the cultural context of Latin America.

The pedagogy of pedagogues for sexual education in Riobamba, Ecuador: a pilot approach to training sexual education facilitators in a Latin American and Spanish language setting

ABSTRACT Educational efforts to reduce global rates of adolescent pregnancy vary widely with a significant deficiency in the domain of sex education facilitator training. In this study, we sought to establish a pilot approach to comprehensive sex education facilitator training in Riobamba, Ecuador. The approach was aligned with UNESCO recommendations for training facilitators using an adapted version of the U.S.-based Big Decisions curriculum. Four internationally recruited bilingual instructors led a six-day (27-hour) intensive training-of-facilitators programme with twenty trainees using the Big Decisions sex education curriculum. Quantitative and qualitative analyses were conducted using various approaches: anonymised and pre/post-self-assessments, daily feedback surveys of self and instructors, and facilitation practice evaluations. Responses to anonymised surveys indicated improved self-perceived confidence in teaching each curriculum section. More objective pre- and post-teach-back evaluations showed improved ability to teach randomly assigned lessons as assessed by trainers. The pedagogy of facilitator training in comprehensive sex education seeks to combine evidence-informed and culturally appropriate approaches to training facilitators under unique local conditions using adapted assessment tools. This project identified important culturally relevant insights relevant to the future training of comprehensive sex education facilitators working within culturally conservative communities, and Latin America in particular.

Impact of COVID-19 pandemic on asthma symptoms and management: A prospective analysis of asthmatic children in Ecuador

BackgroundAsthma affects up to 33% of children in Latin American settings. The ongoing COVID-19 pandemic has had a significant impact on access to and use of health services. We aimed to evaluate the impact of the COVID-19 lockdown on asthma exacerbations, medical facility visits, and use of asthma medications in children. MethodsWe used data from a prospective cohort of 213 children aged 5–17 years in 3 Ecuadorian cities and analysed the impact of the COVID-19 lockdown on asthma. Outcomes (asthma exacerbations, emergency room [ER] visits, planned and unplanned outpatient visits, and use of inhaled corticosteroids and Beta-2 agonists) were analysed using repeated Poisson counts (ie, number of events per participant before and during the COVID-19 lockdown). ResultsDuring compared to before lockdown: a) the number of asthma exacerbations remained constant (IRR, 0.87; 95% CI: 0.72–1.05; p = 0.152); b) outpatient visits (IRR 0.26, 95% CI 0.14–0.47, p < 0.001) declined 74% while ER visits declined 89% (IRR 0.11, 95% CI 0.04–0.32, p < 0.001); and c) there was no change in inhaled corticosteroids use (IRR 1.03, 95% CI 0.90–1.16, P = 0.699) while Beta-2 agonist use increased (IRR 1.32, 95% CI 1.10–1.58, P = 0.003). ConclusionsIn a cohort of Ecuadorian children with asthma, health services attendance decreased dramatically after COVID-19 lockdown, but asthma exacerbations and use of inhaled corticosteroids were unchanged. Future analyses will address the question of the effect of SARS-CoV-2 infection on asthma exacerbations and control in this paediatric population.

P76.32 Real-World Data in Non-Small Cell Lung Cancer with Activating EGFR Mutation Treated with First and Second Generation TKI

EGFR-TKIs have demonstrated durable responses in patients with advanced NSCLC harboring EGFR activating mutations in global trials. This study examined the effectiveness of this intervention in a real-world Latin American setting. Retrospective analysis of advanced EGFR mutated NSCLC treated with first or second generation tyrosine kinase inhibitors in a private cancer center at Lima-Peru (AUNA) from 2010 to 2018. Epidemiological, clinical and pathological data were collected from electronic medical records. Survival analysis was calculated with Kaplan-Meier method. 53 patients met the inclusion criteria. Median age at diagnosis was 59 years (range 39-85y); most patients were females (62.3%), never smokers (81.1%) and had a status performance of 0-1 (90.6%). Adenocarcinoma was the most common histological type (94.3%). Metastatic involvement at the start of the TKI corresponded to M1a, b and c in 32.1, 11.3% and 56.6% of cases, respectively. 71.7% of patients received erlotinib and 28.3% afatinib, in either first (77.4%), second (20.8%) or third (1.9%) line of treatment. The objective response rate (ORR) was 73.6% with an additional 15.1% of patients achieving stable disease. With a median follow-up time of 32.4 months, median progression-free survival (PFS) was 12 months and median overall-survival (OS) was 24 months. No significant differences in PFS or OS were found according to line of treatment (first vs second/third), TKI used (erlotinib vs afatinib) or type of mutation (exon 19 deletion vs L858R mutation). Among the 35 patients who had progressed, 41.2, 35.3 and 23.5% exhibited a systemic, oligometastatic or SNC-only pattern of progression, respectively. After progressing, 47.7% of patients continued with the same TKI. For them, second PFS was of 6 months. Durable responses and prolonged PFS and OS are achieved with first and second generation TKI in EGFR mutated NSCLC from a Peruvian cohort. Results from this study confirm those obtained in randomized clinical trials and demonstrate their applicability to a Latin American real-world setting.

SARS-CoV-2 RNA in Swabbed Samples from Latrines and Flushing Toilets: A Case-Control Study in a Rural Latin American Setting.

ABSTRACTInformation about factors potentially favoring the spread of SARS-CoV-2 in rural settings is limited. Following a case–control study design in a rural Ecuadorian village that was severely struck by the pandemic, SARS-CoV-2 RNA were detected by real-time PCR in swabs obtained from inner and upper walls in 24/48 randomly selected latrines from case-houses and in 12/48 flushing toilets from paired control-houses (P = 0.014; McNemar’s test). This association persisted in a conditional logistic regression model adjusted for relevant covariates (OR: 4.82; 95% CI: 1.38–16.8; P = 0.014). In addition, SARS-CoV-2–seropositive subjects were more often identified among those living in houses with a latrine (P = 0.002). Latrines have almost five times the odds of containing SARS-CoV-2 RNA than their paired flushing toilets. Latrines are reservoirs of SARS-CoV-2 RNA, and it cannot be ruled out that latrines could contribute to viral transmission in rural settings. Frequent disinfection of latrines should be recommended to reduce the likelihood of fecal contamination.

Covid-19 in South America: clinical and epidemiological characteristics among 381 patients during the early phase of the pandemic in Santiago, Chile

BackgroundUnderstanding the characteristics of the Covid-19 pandemic in different geographical regions, ethnic and socioeconomic settings are of emerging importance. This study presents the demographic and clinical features of SARS-CoV-2 infected patients in a large private healthcare center in Santiago, Chile, during the first month of the pandemic.MethodsWe analyzed the demographics, laboratory and clinical characteristics including severity and outcome of all patients diagnosed with Covid-19 during the first month of the pandemic. SARS-2-CoV infection was confirmed by RT-PCR in nosopharyngeal samples. The primary outcome was a composite of ICU admission or all-cause, in-hospital mortality. Clinical and laboratory parameters of hospitalized patients were analyzed regarding their association with the primary outcome.ResultsFrom March 3 to April 4, 2020, 3679 individuals were tested for SARS-CoV-2 in our hospital. Of those, 381 had Covid-19 and were included into this analysis. Most patients (99.2%) were Chileans, 12% returning from recent travel. The median age was 39 years (IQR 31–49) and 52% were female. A total of 88 patients (23.1%) were hospitalized; 18 (3.7%) required ICU and/or died. The overall mortality was 0.7%. Increased body mass index (BMI) and elevated C-reactive protein (CRP) were independently associated with ICU care or death.ConclusionDuring the first weeks of the pandemic in Chile, most Covid-19 patients were young, with low rates of hospitalization, ICU requirement, and fatality. BMI and CRP on admission were predictors for severity. Our data provide important information on the clinical course and outcome of Covid-19 in a Latin American setting.

VP20.15: Fetal urinary beta‐2 microglobulin and survival in fetal obstructive uropathy in a Latin American setting

VP20.15: Fetal urinary beta‐2 microglobulin and survival in fetal obstructive uropathy in a Latin American setting

Social Determinants of Health and Risk of SARS-CoV-2 Infection in Community-Dwelling Older Adults Living in a Rural Latin American Setting.

High social risk, as measured by the social determinants of health (SDH), may increase the risk of SARS-CoV-2 infection. However, this association has not been studied in rural communities. Using the Atahualpa Project cohort, we aimed to assess the association between SDH and SARS-CoV-2 seropositivity in community-dwelling older adults living in rural Ecuador. SARS-CoV-2 antibodies were determined in 319 individuals aged ≥ 60 years that completed a validated field instrument to assess their social risk before the introduction of this novel pandemic. Multivariate models were fitted to assess the independent association between SDH—and each of their components—and SARS-CoV-2 seropositivity, after adjusting for relevant covariates. According to the Gijon scale, 102 (32%) individuals had a high social risk (≥ 10 points). A total of 141 (44%) individuals were seropositive to SARS-CoV-2. A fully-adjusted logistic regression model showed an independent) association between social risk and SARS-CoV-2 positivity (OR 1.15; 95% CI 1.04–1.27; p = 0.008). For every unit of the total SDH score, the odds of SARS-CoV-2 seropositivity increased 15% (95% CI 3.7–27%). In addition, multivariate models showed that the individual component of SDH more strongly associated with SARS-CoV-2 seropositivity was housing, which suggested that lack of basic home facilities may increase the risk of SARS-CoV-2 infection. Knowledge on the association between high social risk and SARS-CoV-2 infection is indispensable for the development of cost-effective preventive strategies for controlling modifiable factors that are in the path of SARS-CoV-2 infection among older adults living in underserved communities.

Content and language integrated learning in Latin America 2008-2018: Ten years of research and practice

Bilingual education, usually a community’s L1 and English continues spreading geographically and across educational systems worldwide. With this expansion, the development of bilingual education approaches is under constant scrutiny. One recent approach is content and language integrated learning (CLIL). European in origin, CLIL can be viewed as an educational or language teaching approach and it refers to the teaching of curricular content and L2 in an integrated manner. This approach has received international attention, yet, how CLIL unfolds in settings outside Europe appears underrepresented in international publications. The aim of this article is to provide a critical review of CLIL in Latin America between 2008 and 2018. We surveyed 64 items (articles, book chapters, and dissertations) published in regional and international outlets: 41 empirical studies, 19 practice-oriented publications, and four reviews. It begins by summarizing the CLIL continuum with a focus on content- and language-driven CLIL and CLIL frameworks. It then provides a synthesis of empirical studies and practice-oriented publications about CLIL in different Latin American settings. The corpus is analyzed following these unifying themes: pedagogy, perceptions and beliefs, teacher education, global citizenship, and language development. From this review, it transpires that Latin American CLIL is mostly implemented and examined from a language-driven perspective in private primary, secondary and higher education. Suggestions and implications for further research and practice are included.

Dramatic codifications: possibilities and roadblocks for promoting critical reflection through drama in Chile

ABSTRACT Drama’s potential for critical pedagogy has been explored in recent years, but seldom in Latin American settings. This paper analyses the experiences of two teachers when applying drama as a teaching methodology to support their critical pedagogical aims in a school in Santiago, Chile. Their experiences illustrate how being in role and interacting with the teacher-in-role in drama can become forms of Freirean codifications that motivate students to reflect critically.

The impact of a hot spot policing program in Montevideo, Uruguay: an evaluation using a quasi-experimental difference-in-difference negative binomial approach

ABSTRACT Hot spot policing has proven to be effective in reducing crime in cities in North America, Europe and Australasia, but to date, its application and evaluation in Latin American settings has been limited. PADO (Programa de Alta Dedicación Operativa) is a large-scale hot spot policing program implemented by the Uruguay Police in April 2016 in the city of Montevideo. Using an evaluation technique that compares the differential effect between areas where PADO was deployed and control areas, a 23 percent reduction in the rate at which robberies occurred was experienced in the PADO areas, with no significant displacement to neighboring areas, or other areas of the city during the study period. The study indicates that hot spot policing programs can be effective in reducing crime in Latin American urban environments and illustrates how targeted police interventions can be robustly evaluated when control areas are not established at the outset of an intervention.

Transport and equity in Latin America: a critical review of socially oriented accessibility assessments

ABSTRACTA growing concern for mobility-related social inclusion and equity is evident from both academic research and planning best practices. Scholarly research promotes accessibility as the main aim of transport planning, assuming it as the evaluative approach that better conveys how mobility contributes to individuals' well-being and participation in social life. Accessibility can be crucial to address the socio-spatial inequalities that characterise manifold settings across the world. Amongst them, Latin American countries have been keen in tackling such imbalances through mobility-related interventions, as the renowned cases of Curitiba, Medellin and Bogotá show. The widespread interest in mobility as both a cause and effect of social disparities has generated an increasing stream of work that examines Latin American settings through the lenses of accessibility. This paper aims at critically reviewing the growing scholarly works that, providing accessibility-based evaluations, has examined issues of transport and equity in Latin America. Proposing a novel conceptual framework that considers the underlying ethical stance, components of accessibility and implications for planning and policy, this work examines what approaches, features and indicators are present in the current literature, as well as what settings have been taken into consideration by scholarly research. Moreover, the review has an explicit operational interest, to define what indicators are relevant or missing to assess accessibility in the light of social concerns, as well as to consider the current and potential implications that such research findings have on transport planning and policy. The review highlights how a growing but still limited body of work has examined transport and equity in Latin America, suggesting academic, technical and operational avenues to enhance theoretical and practical approaches to the issue.

Addressing Abortion Provider Stigma: A Pilot Implementation of the Providers Share Workshop in Sub-Saharan Africa and Latin America.

In much of Sub-Saharan Africa and Latin America, abortion is legally restricted, and abortion providers experience stigma and legal jeopardy. The Providers Share Workshop group intervention has been shown to reduce provider stigma in the United States, but has not been evaluated in other settings. In 2014-2015, the Providers Share Workshop was adapted and piloted among 59 abortion caregivers from three Sub-Saharan African countries and 93 caregivers from seven Latin American countries. Survey data collected before, directly following and six months after each workshop measured stigma, attitudes, and legal safety and advocacy engagement, using original items and adapted scales. Univariate analyses and baseline pairwise correlations were used to measure changes in outcomes over time, and between demographic characteristics and outcomes. Mixed-effects linear regressions and multivariable models controlling for demographics were used to assess changes in outcomes over time. Six months after workshop participation, total abortion stigma had decreased among caregivers in Sub-Saharan Africa and in Latin America (beta coefficients, -0.2 and -0.4, respectively). Unfavorable attitudes had decreased in Africa (-0.2) but not in Latin America, where attitudes were favorable to start; emotional exhaustion and depersonalization also had decreased in Africa (-2.9 and -1.2), and legal safety had increased (0.8). Increased total abortion stigma was negatively associated with legal safety, in both Africa and Latin America (-1.9 and -0.6), and with legal advocacy in Africa (-1.5). The Providers Share Workshop is a promising intervention to support the abortion care workforce in Sub-Saharan African and Latin American settings.