Latin American And Caribbean Region Research Articles

A comparative analysis of electricity generation in Latin America and the Caribbean using multivariate techniques

This paper employs a new framework based on internationally available indicators to conduct a comparative analysis of electricity generation among Latin American and Caribbean (LAC) countries, using data from 2021, the most recent available. Two multivariate techniques, cluster analysis and factor analysis, are used in this study. In recent years, electricity generation in the region has increased significantly, largely driven by the economic growth of these nations. A notable trend is the rising contribution of renewable energy sources, which accounted for 55 % of total generation in 2021, thanks to the region's exceptional climatic and geographic conditions. However, the absence of overarching supranational policies has led to significant disparities in energy strategies across these countries, both in design and implementation. Among the 20 LAC countries studied, 35 % do not reach a 50 % share of sustainable electricity generation. Understanding how these countries group regarding sustainable electricity generation is essential for identifying their key characteristics. The analysis yields three fundamental conclusions: first, the selected indicators are highly effective in achieving the study's objectives; second, the principal differences between the identified groups are largely influenced by each country's level of development and reliance on renewable energy sources; and third, from a policy perspective, there is a clear need for a supranational framework to support the national efforts and strategies being independently pursued by these countries, particularly regarding the design and implementation of energy policies. This paper contributes to bridging the gap in the international academic literature concerning sustainable electricity generation in LAC region, and it aligns with studies focused on the analysis of renewable energy sources and sustainable development.

Prevalence of Food Insecurity during Pregnancy in Latin American and the Caribbean Countries: A Systematic Review

In Latin American and Caribbean (LAC) countries, women are particularly affected by food insecurity (FI). This gender gap can be amplified at certain key periods in life, particularly during pregnancy, with negative consequences on maternal and infant health. In the current geopolitical and health context, it is essential to take stock of the prevalence of FI among pregnant women in this region and the associated economic and psychosocial determinants. From 168 publications identified on Pubmed and Scopus, this systematic review selected 13 publications in 7 LAC countries. Although the published data only described the situation before the COVID-19 pandemic (2009–2019), the prevalence of FI in this population was already worrying, ranging from 28.2% to 64.9%. Only 4 of 13 studies investigated socioeconomic and psychosocial determinants among mothers in this region. Thus, the factors most frequently reported concerned mothers’ demographic characteristics (advanced age and ethnic minority), household socioeconomic characteristics (low income, poorest wealth quartile, precarious housing, and welfare recipients), the absence of a stable partner, and a low education level. High prevalences of FI have also been associated with mental distress during pregnancy. In conclusion, few recent studies (notably none since the COVID-19 pandemic) have been published in this region on the issue of FI among women during pregnancy. Yet, this knowledge is essential to the development of a logical framework for the implementation and evaluation of public health programs aimed at women and children. By reducing the FI of mothers in the LAC region, we will contribute to reducing the social inequalities in health that often manifest themselves very early in life.This study was registered at PROSPERO as CRD42024513321 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=513321).

Reshaping the Multilateral Aid Regime from the Global South? Alternative Perspectives on Humanitarianism, Development and Peacebuilding from Latin America and the Caribbean

ABSTRACT In the context of rising contestations to the Liberal International Order (LIO), it is crucial to highlight the contribution of the Latin American and Caribbean (LAC) region to international institutions and global governance, particularly considering its peripheral position in the world order. The Triple Nexus Approach (TPA), adopted in 2016, promotes a coordinated effort in providing humanitarian assistance and aid for development by integrating them with peace endeavours. The LAC region has provided political and conceptual contributions to each TPA component, providing alternative perspectives on multilateral governance in humanitarian action, development and peacebuilding, emphasising the pursuit of collective and context-specific outcomes for crisis prevention. Focusing on the period from the early 21st century to 2019, a time when the Triple Nexus theoretical structuring publications emerged, it is highlighted how contestations to the LIO and the changing world order have impacted global governance norms, creating opportunities for emerging and peripheral countries to shape post-liberal rules. This allows Global South countries to set self-determined development objectives and make a meaningful contribution to global rule-making.

Environmental vulnerability as a public priority: The view of local economic elites

AbstractThe study explains the factors leading local economic elites (LEEs) to consider vulnerability to natural hazards (VNH) a priority public problem. An Optimal Scaling Regression model was estimated based on information from 57 Latin American and Caribbean (LAC) cities. The estimation included variables related to risk exposure, social conditions, and disaster management instruments. The central factors that explain why LEEs consider VNH a priority problem are the level of real exposure to natural risks and a high proportion of the local population living in poverty. LEEs seem to assume that the social deprivations that accentuate environmental vulnerability should be treated independently of the problem of equity; LEEs seem to relativize the VNH problem as the size of the city increases by assuming that VNH does not affect the whole city; government instruments for the management of natural hazards do not exert any influence on the perception of LEEs on environmental vulnerability. The findings help us to understand the low collective effectiveness of emergency management instruments in the LAC region.

The national spatial governance and planning systems in the LAC region: The structure of Brazil, Bolivia, and Cuba

The Spatial Governance and Planning System (SGPS) analysis was born in European studies, has reached a certain stage of maturity in Europe and can be adopted by researchers in other continents. Latin American and Caribbean (LAC) countries currently represent an interesting field to experiment with this analytical approach for several reasons. One of them is the ascertainment that LAC national SGPSs are deeply influenced by the ongoing national democratization which started after the demise of conservative right-wing authoritarian regimes, somehow belonging to the postcolonial political stream and pushed by imperialist and neocolonial pressures. By its own nature, democratization as a whole is an extremely complex, articulated, and multidimensional process that deserves to be treated ad hoc. Within democratization, this work merely considers the institutionalization of spatial governance and planning activities and processes and so, the Structure of SGPSs. Supposedly, the formation and functioning of institutions are central in the process of consolidation of a democratic state which ensures rights and redistributes resources to citizens. To do this, based on the reconstruction of the overall SGPSs of three different countries included in the doctoral thesis of the author, this article presents the analysis of the so-called “Structure” of the Brazilian, Bolivian and Cuban SGPSs. Arguably, the set of Structures of the SGPSs of these countries is especially representative of the wide range of the LAC national cases. In fact, Brazil, Bolivia, and Cuba are iconic cases of distinguished spatial configurations. Brazil, which has experienced industrialization, tertiarization and metropolisation, has become an emergent economy characterized by structured democratic public institutions. Despite a range of well-known redistributive policies, however, Brazilian society remains extremely unequal and stratified. Bolivia has experimented with the promotion of plurinationalism in political and social terms, potentially improving the reciprocal integration of different ethnic groups and cultures. Nevertheless, a great developmental delay is shown by social and economic indicators, if compared to other LAC countries. Cuba, which has experimented with its own form of socialism for decades, is still a socialist republic with tragic problems of widespread poverty in a flattened society. To analytically present the Structure of the three selected national cases, four main scopes of investigation were adopted: (i) National spatial configuration, (ii) Postcolonial legacy in spatial governance and planning, (iii) Spatial governance and planning as redistributive practices, (iv) Metropolitan governance. The identification of these scopes represented the first result of the field research carried out in 2018–2019 in those countries. Assumably, those four scopes are sufficiently comprehensive to describe the Structure of SGPS of a LAC national system and they help systematize at least the main “Structural” factors – which are described one-by-one in this article – and characterize the LAC SGPSs. The article presents the four scopes for each country, according to a case-by-case logic. After that, it analyses the four scopes simultaneously comparing the three cases. Based on the analytical comparison of the main factors from the four scopes, the article discusses a range of issues that emerged, to problematize and operate convenient generalizations on the quality and characterization of the Structure of national SGPSs.

Measuring the causal effect of Panama Canal expansion on Latin America and the Caribbean's economic growth: a Bayesian structural time series approach

PurposeThis study provides empirical evidence on the impact of the Panama Canal expansion (PCE) on the economies of Latin American and Caribbean (LAC) countries, particularly in light of the emergence of larger container ships such as neo-Panamax and post-Panamax vessels.Design/methodology/approachThis study uses the Bayesian structural time Series (BSTS) model to evaluate the economic effects of the PCE on 21 countries within the LAC region. It utilized the World Bank's gross domestic product (GDP) figures between 2000 and 2019 as the primary variable, alongside the human development index (HDI) (X1), container throughput (TEU) (X2) and unemployment rates (UNEMPL) (X3) covariates. This allowed a precise and robust approach to analyzing time series data while accounting for uncertainties and allowing the inclusion of various components and external factors.FindingsThe findings revealed that the PCE has a positive and statistically significant impact on most countries within the Caribbean Transshipment Triangle, ranging from 9.2% in Belize to 46% in Cuba. This suggests that the causal effect of the PCE on regional economies was not confined to any specific type of economy or geographical location within the LAC region. Where the growth rates were statistically insignificant, primarily in some Latin American countries, it coincided with countries that are primarily driven by exports and service industries, where bulk and oil tanker vessels are likely to be the main carriers for exports rather than container vessels.Originality/valueThe practical implications of this research are crucial for various stakeholders in the maritime industry and economic planning. The factors influencing economic growth resulting from investing in maritime activities are vital for decision-makers to create policies that lead to positive outcomes and sustainable development in regions and countries with flourishing maritime industries. The methodology and findings have significant implications for governments, managers, professionals, policy-makers and investors.

Disparities in breast cancer mortality among Latin American women: trends and predictions for 2030

BackgroundBreast cancer is among the leading cause of cancer-related mortality among Latin American and Caribbean (LAC) women, but a comprehensive and updated analysis of mortality trends is lacking. The objective of this study was to determine the breast cancer mortality rates between 1997 and 2017 for LAC countries and predict mortality until 2030.MethodsWe retrieved breast cancer deaths across 17 LAC countries from the World Health Organization mortality database. Age-standardized mortality rates per 100,000 women-years were estimated. Mortality trends were evaluated with Joinpoint regression analyses by country and age group (all ages, < 50 years, and ≥ 50 years). By 2030, we predict number of deaths, mortality rates, changes in population structure and size, and the risk of death from breast cancer.ResultsArgentina, Uruguay, and Venezuela reported the highest mortality rates throughout the study period. Guatemala, El Salvador, and Nicaragua reported the largest increases (from 2.4 to 2.8% annually), whereas Argentina, Chile, and Uruguay reported downward trends (from − 1.0 to − 1.6% annually). In women < 50y, six countries presented downward trends and five countries showed increasing trends. In women ≥ 50y, three countries had decreased trends and ten showed increased trends. In 2030, increases in mortality are expected in the LAC region, mainly in Guatemala (+ 63.0%), Nicaragua (+ 47.3), El Salvador (+ 46.2%), Ecuador (+ 38.5%) and Venezuela (+ 29.9%).ConclusionOur findings suggest considerable differences in breast cancer mortality across LAC countries by age group. To achieve the 2030 sustainable developmental goals, LAC countries should implement public health strategies to reduce mortality by breast cancer.

FDI interconnectedness and sustainable economic development: A linear and non-linear Granger causality assessment

Previous studies on foreign direct investment (FDI) have not examined the hidden effects of its inherent connectedness characteristics among different economies. In order to uncover such hidden effects, this study conducts two sets of analyses.Firstly, the systemic risk-based approach constructed using Granger-causality networks and Principal Component Analysis is used to examine the level and degree of the network of pairwise statistical relationships among countries in the Latin American and Caribbean (LAC) region.Secondly, the determinants of the observed connectedness index are examined using regression models. This set of analysis shows that region-specific and global macroeconomic conditions such as the Consumer Price Index of the LAC region, US term spread, and interest rates impact the degree of interconnectedness.The complexity and stability of the system of FDI capital expenditure connectedness within the LAC region offers interesting prospects for macro-economic analysis, policy and stakeholder decision-making and further research development.

Campaigning for a Global Collections Network: Improving the digital representation and visibility of natural science collections from Latin America and the Caribbean

Global conservation of biodiversity is more important than ever before. The success of the Convention on Biological Diversity’s Post-2020 Global Biodiversity Framework and monitoring strategy will depend on the availability of reliable, information-rich biodiversity data. Natural science collections throughout the world are repositories for and stewards of primary biodiversity records, which they maintain and preserve in the long-term, and can contribute to biodiversity monitoring specifically at the species and genetic diversity levels. Accurate and up-to-date information about scientific collections as data providers and mediators lie at the core of Findable, Accessible, Interoperable and Reusable (FAIR) data (Wilkinson 2016). The visibility and discoverability provided by collections’ digital representations promote an institution’s, a country’s and a region’s wealth in biodiversity records and data; highlight human efforts and social networks for maintaining and providing access to high-quality physical and digital records; and form the basis for attribution and effective transaction managment implementing the CARE principles (Collective Benefit, Authority to Control, Responsibility, and Ethics; Carroll 2021). Providing powerful functionality, the Global Biodiversity Information Facility (GBIF) Registry of Scientific Collections (GRSciColl) is evolving into the global catalog for information on collections. The Latin American and Caribbean (LAC) region is among the most biodiverse regions of the planet. Throughout the LAC region, a wealth of initiatives exists for describing, recording, protecting and managing biodiversity and biodiversity data. The region’s many collections, their scientists, staff and volunteers are crucial partners in these endeavors. A diversity of local to national and regional networks are active, fostering communication, support and capacity building. Last year, the Biodiversity Crisis Response Committee (BCRC) of the Society for the Preservation of Natural History Collections (SPNHC) in cooperation with the GRSciColl team at GBIF, developed the concept and first materials for a Global Collections Network Campaign. In cooperation with the national GBIF Node, a pilot campaign was conducted in Ecuador. In addition, close connections were formed to the task group developing Latimer Core, TDWG’s upcoming collection description standard, the MaterialSample task group of Darwin Core, as well as the community developing the next-generation data infrastructure based on the Digital Extended Specimen concept (Hardisty et al. 2022) and open FAIR digital objects (Schultes and Wittenburg 2019), e.g. defined by the openDS standard. Building on the pilot campaign and continuing the collaboration with the GRSciColl team, a partnership endorsed by GBIF’s SPNHC node and led by two members of SPNHC’s BCRC was formed that includes biodiversity scientists, collections staff and GBIF national node managers from Argentina, Ecuador and Guatemala. Supported by the GBIF Capacity Enhancement Support Programme and starting in August 2022, the partnership has the goal to increase the number, coverage and density of high quality records available through GRSciColl, thereby providing visibility and improving the recognition of natural science collections existing within the three countries and the LAC region. The CESP project contributes towards the aim of the campaign to build step by step an equitable, inclusive and engaged Global Collections Network.

Climate-resilient and regenerative futures for Latin America and the Caribbean

Few events have had an impact as the global crisis caused by COVID-19. However, prior to the pandemic, Latin American and Caribbean (LAC) countries already had severe problems in terms of inequality, environmental degradation, and dysfunctional political systems. Added to this are the growing challenges that climate change poses for this highly vulnerable region. This historic turning point represents a new call to consider future studies to re-imagine and reinvent alternative futures for the LAC region. For this paper, we conducted an in-depth qualitative futures study to identify how Latin American and Caribbean countries could build long-term resilience, focusing on adaptability to climate change risks, considering existing sustainable development challenges and the detrimental effects of the COVID-19 pandemic on the economic, environmental, and social aspects. This study's findings provide recommendations for policymakers and decision-makers to achieve sustainable futures for LAC. Finally, it reflects on the value of collective action for a future-proof region.

The Effect of Financial Inclusion and Competitiveness on Financial Stability: Why Financial Regulation Matters in Developing Countries?

This study aims to assess the effect of financial inclusion and competitiveness on banks’ financial stability, considering the moderating role of financial regulation. To do so, we compare the effects of these variables in Sub-Saharan African (SSA) and Latin American and Caribbean (LAC) countries. Our results suggest that inclusion enhances bank stability in SSA and LAC countries, and financial regulation contributes to increasing financial stability in LAC countries, while we find no statistical significance in the effect of financial regulation on financial stability in SSA countries. Moreover, competitiveness negatively impacts financial stability, and financial regulation moderates the negative effect of competitiveness on financial stability in SSA and LAC countries. We also find that financial inclusion reduces credit risk in SSA countries, and for LAC countries financial inclusion increases credit risk and reduces bank profitability. Regarding the practical implications, this study shows that fostering financial inclusion in the countries under study contributes significantly to improving the welfare of households and especially to the stability of the financial system. The present study allows expanding of the scarce literature by examining the effect of financial inclusion and market structure on financial stability in two different samples, consisting of 41 countries in the SSA region and 31 countries in the LAC region, throughout 2005–2018.

Water consumption by agriculture in Latin America and the Caribbean: impact of climate change and applications of nuclear and isotopic techniques

The main aim of this review is to examine agricultural water consumption in the Latin American and Caribbean (LAC) regions to understand how climate change will impact water availability and how the application of nuclear and stable isotope techniques can be used as tools for improving water use efficiency (WUE) for crop production. The status of agricultural water management in some LAC countries, such as Argentina, Brazil, Chile, Costa Rica, Cuba, Mexico, Panama, Paraguay, Peru and Uruguay, is also reviewed. In the LAC region, water consumption for agricultural irrigation ranged between 35% and 86% of the total available water. However, the WUE is very low in some LAC countries. Although the region, in general, has adequate water resources, there is still a need to improve WUE to increase the productivity of agricultural water. The impact of climate change in some LAC countries may lead to intensification and expansion of agricultural activity. In these areas, the WUE can be improved through soil and water conservation, minimizing soil evaporation (E), as well as through better irrigation management, especially by using an integrated approach on an area-wide basis to manage all land use activities and farming systems within an agricultural catchment. Nuclear and stable isotope techniques using Keeling Plot or IMB methods can play important roles in improving WUE in agriculture in LAC countries by providing information related to soil water losses for improving irrigation systems.

Governance and Economic Growth: Evidence from 14 Latin America and Caribbean Countries

This article empirically explores the impact of governance indicators (corruption, government effectiveness, and political stability) along with some other macroeconomic variables (inflation, trade openness, worker remittances, direct foreign investment, and population growth rate) on economic growth of 14 countries located in Latin American and Caribbean(LAC) region between 2002Q1 and 2018Q4. The panel autoregressive distributed lag (ARDL)/pooled mean group (P.M.G.) estimation techniques are used for empirical investigation. The P.M.G. results disclose that corruption has a significantly inverse effect on growth, while both political stability and government effectiveness have positive impacts in the long run. These results indicate that increasing corruption discourages growth, while political stability and government effectiveness encourage the process of economic growth. Empirical findings demonstrate the need of good governance, where corruption needs to be miniaturized, while government effectiveness and political stability be strengthened to boost economic growth and thereby improve social welfare. The present study is different from the erstwhile studies in three folds: (i) it focuses on 14 countries from LAC region (highest number of LAC countries investigated so far in a single study), (ii) the data covers a long time span of 16 years, and (iii) it employs relatively holistic panel data and empirical techniques for estimation purpose. Therefore, the outcomes of this study will not only contribute to the literature on LAC region but can also be extended globally with the objective to understand the significance of governance for national economic development.

Research on food-related chronic diseases in Latin America and the Caribbean: Are we building the evidence for gender-equitable approaches?

ABSTRACTObjectives.Gender continues to be largely neglected in the global response to the noncommunicable disease epidemic. The objectives of this study were to examine current practice and barriers faced by Latin American and Caribbean (LAC) researchers in addressing gender in research on healthy food environments, and to identify future topics for gender-sensitive and gender-transformative research.Methods.This study involved: 1) a descriptive, three-part survey to investigate to what extent LAC researchers are integrating gender considerations in research for healthier food environments and 2) a participatory workshop to coproduce ideas for future gender-sensitive and gender-transformative research.Results.Fifty-four participants, from 19 countries, attended the workshop. Of those 54, 41 of them responded to at least one section of the three-part survey, including with 26 of the 41 responding to the section on gender. Of these 26, 17 (65.4%) had collected sex-disaggregated data and 14 (53.8%) had conducted gender analysis in recent research on food environments. Few participants had integrated gender-related findings in their recommendations and solutions. Challenges included data and methodological limitations (e.g., lack of preexisting evidence, working with secondary data), knowledge and capacity gaps, subject sensitivity, and biases. Participants identified research topics for enhancing gender equity that included food preparation norms and domestic responsibilities; differential participation of women and men in food production, distribution, and retail; and employment and school policies.Conclusions.The findings from this study suggest that gender inequity is not being well addressed in food environment research from the LAC region. The analytical framework presented here can serve as an important starting point and resource for catalyzing future gender-transformative research. Complementary efforts are needed to overcome other challenges raised by the participating researchers, including capacity gaps, resource and data limitations, and publishing barriers.

PP34 Costs Of Healthcare-Associated Infections In Latin America

IntroductionHealthcare-associated infections (HAI) are among the most common preventable health adverse event, associated with significant burden globally. Limited data on HAI costs in lower and middle-income countries is available. The aim of this study is to assess the cost, additional length-of-stay (LOS) and extra-mortality of HAI in the Latin American and Caribbean (LAC) Region.MethodsWe searched Medline/PubMed, Embase, Web of Science, Lilacs, Cochrane, National Health Service Economic Evaluation Database, Centre for Reviews and Dissemination, EconLit, and gray literature published in any language without restriction of date till July 2017. We included observational studies addressing the outcomes of interest, in which hospitalized patients with HAI are compared to those without HAI. The following study designs were included: quasi-experimental, controlled before-after, prospective and retrospective comparative cohort, case-control, and cross-sectional studies. We considered the following HAI-sites: surgical site infections (SSI), catheter-associated urinary-tract infections (CA-UTI), ventilator-associated pneumonia (VAP), and central line-associated bloodstream infection (CLA-BSI), as well as cross-infection (CI). Screening of citations, data extraction, and risk of bias assessment were conducted in duplicate by independent reviewers, according to the study protocol registered on PROSPERO. Reported costs were converted to USD considering official exchange rates.ResultsWe identified 4,339 citations. After removing duplicates, a total of 3,029 citations were screened for eligibility. A total of 87 studies from 17 countries were included. The majority (27.4 percent) reported on VAP, followed by CLA-BSI (21.2 percent), SSI (16.4 percent), and CA-UTI (14.4 percent). Most studies (46.7 percent) reported on incremental LOS, with an average of 14.8 days (range 0.9-49 days). Costs were reported by 25 percent of studies, with average incremental costs of USD 3,460 (range 49-12,155). Average extra-mortality of 15.6 percent (range -2.8-45.2 percent) was reported by 12.6 percent of studies.ConclusionsAvailable evidence from the LAC Region reports significant economic burden of HAI. This information will be useful for cost-effectiveness analysis of interventions aimed at reducing HAI economic and health burden.

Spatial Values and Their Global Legitimization in the UNESCO Designated Cultural Landscapes of the 'Latin American and the Caribbean' Region

Many civilizations have imprinted the Latin American and Caribbean (LAC) region long before the colonial period. These have in many cases developed into “cultural landscapes” or outstanding works of nature and of man as defined by the World Heritage (WH) Convention. Interestingly the LAC region remains one of the less represented, accounting only 8% of the “cultural landscapes” worldwide. This paper analyzes with “qualitative content analysis”, the constituting elements that have been used for the properties nomination in the region of LAC region. The data sources included the WH designation reports and nomination files. We conclude that the cultural landscapes in the LAC region have been nominated exclusively on the basis of WH cultural criteria with natural criteria remaining absent. Most cultural landscapes in the LAC region rest on still ongoing economic activities which in turn are linked to a Nation-place and State –making narrative. We hold the thesis, that the value of cultural landscapes is understood and known in the LAC region but used strategically for the conservation of existing (traditional) spatial orders. We suggest the inclusion of natural values and their respective organizations to level the region to new spatial complementarities and global orders.

Municipal Solid Waste Management in Latin America and the Caribbean: Issues and Potential Solutions from the Governance Perspective

Municipal Solid Waste (MSW) management is an essential service for an urban population to maintain sanitation. Managing MSW is complex as the treatment/recovery options depend not only on the volume of waste, but also on the socioeconomic conditions of the population. This paper focusses on MSW management in the Latin American and Caribbean (LAC) countries. Dominance of uncontrolled disposal options of MSW in the region, such as open dumps, has an adverse influence on health and sanitation. Interest in source separation practices and recycling is low in the LAC region. Furthermore, economic matters such as poor financial planning and ineffective billing systems also hinder service sustainability. Rapid urbanization is another characteristic feature in the region. The large urban centres that accommodate over 80% of the region’s population pose their own challenges to MSW management. However, the same large volume of MSW generated can become a steady supply of resources, if recovery options are prioritized. Governance is one aspect that binds many activities and stakeholders involved in MSW management. This manuscript describes how we may look at MSW management in LAC from the governance perspective. The issues, as well as the best potential solutions, are both described within three categories of governance: bureaucratic, market, and network. The governance perspective can assist by explaining which stakeholders are involved and who should be responsible for what. Financial issues are the major setbacks observed in the bureaucratic governance institutions that can be reversed with better billing strategies. MSW is still not seen by the private sector as a place to make investments, perhaps due to the negative social attitude associated with waste. The market governance aspects may help increase the efficiency and profitability of the MSW market. Private sector initiatives such as cost-effective microenterprises should be encouraged and the projects that fit under the Clean Development Mechanism (CDM) defined in the Kyoto Protocol should be incentivized to attract technology and capital. Lastly, network governance is at the centre of attention due to its flexibility in supporting/absorbing public-private partnerships, especially the participation of the informal sector that is important to the LAC region. Many individual waste pickers are providing their services to the LAC region by taking part in collecting and recycling under very unfavourable working conditions.

Labour Trends in Latin America and the Caribbean in the Current Crisis (2008–2016)

This article reviews the recent growth period in Latin American and Caribbean (LAC) countries up to the current crisis, to provide an assessment of trends observed in the world of labour. Our assessment includes demographic trends, the employment structure, trends in unemployment and wages and the trajectory of social, racial and gender inequalities. We argue that the LAC region has undergone significant structural changes due to shifting positions in the international division of labour. The rural exodus has persisted, but also the industrialization patterns of the past have given way to renewed emphasis on primary goods exports, as well as new specialization patterns which favour low paying jobs in services or industries of the ‘maquila’ type. The informal, or low productivity, sector has also expanded. The economic boom of the 2000s had some positive distributional effects, but made limited inroads into the established racial and gender hierarchies, which found expression in persisting super-exploitation and extreme levels of violence and mass incarceration.

Can human rights standards help protect children and youth from the detrimental impact of alcohol beverage marketing and promotional activities?

The alcohol industry in the Latin American and Caribbean (LAC) region promotes demand for alcohol products actively through a number of channels, including advertising and sponsorship of sports and other events. This paper evaluates whether human rights instruments that Latin American countries have ratified can be used to limit children's exposure to alcohol advertising and promotion. A review was conducted of the text of, and interpretative documents related to, a series of international and regional human rights instruments ratified by most countries in the LAC region that enumerate the right to health. The Convention on the Rights of the Child has the most relevant provisions to protect children and youth from alcohol promotion and advertising. Related interpretive documents by the United Nations Committee on the Rights of the Child affirm that corporations hold duties to respect and protect children's right to health. Human rights norms and law can be used to regulate or eliminate alcohol beverage marketing and promotional activities in the Latin American region. The paper recommends developing a human rights based Framework Convention on Alcohol Control to provide guidance.

Applicability of the current hypertension guidelines in Latin America.

Recent research has focused on the development of evidence-based guidelines that are intended to regulate the conduct of physicians in the diagnosis and control of hypertension, with the goal of achieving greater effectiveness and equity at the lowest possible cost. In Latin America, guidelines are available for the management of hypertension at three levels: national, regional and international. The national and regional Latin American and Caribbean (LAC) guidelines are in fact adaptations of the international guidelines. The potential benefit of applying guidelines developed in other regions to local healthcare decision making is that it will enable decision makers to take advantage of existing analyses and transfer or adapt them to their local contexts. However, this adaptation precludes the assessment of their generalizability and potential transferability. In addition, this region is characterized by wide socioeconomic differences between its inhabitants, both among and within nations. Therefore, new guidelines for the LAC region must include recommendations that are common to all hypertensive patients in the region. Moreover, we advocate the inclusion of a specific section that makes comprehensive recommendations and provides strategies for implementation according to the socioeconomic conditions of particular groups. In addition to developing guidelines that are truly applicable to the LAC region, it seems sensible to consider information that is specific to this region. Furthermore, developing evidence-based guidelines is not enough to affect positively the burden of disease caused by hypertension. Therefore, professional programs are required for the implementation of such guidelines as well as the auditing of their results. Achieving these ambitious goals will require collaborative efforts by many groups including policymakers, international organizations, healthcare providers, universities and society.