2017 Scholarships for IECS Virtual Courses

Virtual Courses of Evaluation of Sanitary Technologies and Economic Evaluations of the Institute of Clinical and Sanitary Effectiveness (IECS) rediecs

The Institute of Clinical and Health Effectiveness (IECS) of Argentina, as a WHO / PAHO Collaborating Center in HTA, offer 6 scholarships annually (3 scholarships per semester) to RedETSA members to participate in their virtual courses. This semester, the courses offered by IECS are as follows::

  • Development and implementation of Health Technology Assessments. Beginning: April 18, 2017
  • Economic Evaluations: Programming, analysis and interpretation of models. Beginning: April 19, 2017
  • Estimate of Costs for Economic Evaluations of Health Programs, Services and Technologies. Beginning: April 20, 2017
  • Introduction to Sanitary Technologies Assessments and Economic Evaluations. Beginning: April 17, 2017
  • Design, programming and analysis of Markov models in Microsoft Excel. Beginning: April 20, 2017
  • Systematic reviews and meta-analyzes. Beginning: April 17, 2017

To apply for the scholarships, the following requirements must be met (in addition to the specific requirements of each course, described on the IECS website):

  • Be a part of a RedETSA member institution
  • Submit a letter of commitment with the completion of the activities and time required for the course and to support the courses institution (if the representative of the institution can not sign before the deadline, the applicants signature will be accepted. In this case, the signature of the representative of the institution will be required in the subsequent days)
  •  Complete the IECS Registration form and send your CV to lemgruba@paho.org with a copy to caccavof@paho.org

The application deadline is: March 26th 2017

The final definition of the beneficiaries will be made in consultation with the representations of PAHO in the countries to which the applicants belong.

For more information on the details of each course, please click on the following link: http://www.iecs.org.ar/cursos/

*All courses are in Spanish, and thus the applications must be also*


Regional Meeting of Practice Guidelines and IX RedETSA Meeting: Integration of HTA mechanisms and Practice Guidelines to inform and implement decision making towards Universal Health 14 – 16 November 2017, Panama


During the days of November 14 to 16, the Regional Meeting of Practice Guidelines and IX RedETSA Meeting:  Integration of HTA mechanisms and Practice Guidelines to inform and implement decision making towards Universal Health took place in Panama City, where 52 people from 16 countries and 33 different organizations were present. For the first time, those responsible for the practice guidelines in the Region of the Americas and the  Network for Health Technologies Assessment of the Americas together organized a presential meeting that aimed to advance in the integration of HTA mechanisms and Practice Guidelines to inform decision making and monitor its application to advance toward Universal Health.

The first day of the meeting the topics related to the HTA and RedETSA were discussed, as an update of activities by the secretariat (PAHO) and the members, updating Collaborating Centers and defining priorities for 2018. There were also panels and discussion on Medical Devices (evaluation methodologies, priority medical devices, prices, management) and on Economic Assessment (transferability, models, and high cost diseases).

On the second day of the meeting the topics related to Practice Guidelines were discussed. The participants presented the advances and difficulties in the area; the “Manual for the Strengthening of National Programs of Evidence-informed Guides: A Tool for Adaptation and Implementation of Guidelines in the Americas” was presented, and there was a group discussion and work on adapting guides informed by the evidence in the Region.

The third day dealt with the integration of HTA mechanisms and Practice Guidelines. The incorporation of the perspective of the patients in the HTA processes and of the Practice Guidelines and a methodology for the preparation of short reports were discussed, and several participants presented experiences of integration of mechanisms to support the decision making of coverage in their countries.  Finally, the groups discussed the best ways to strengthen the institutionalization and integration of mechanisms to support coverage decisions, and agreed on the next steps.

Bellow you can see the agenda of the meeting, have access to the links of the presentations and the list of participants.

Day 1 - Tuesday, November 14   
IX Meeting of the Health Technology Assessment Network of the Americas and guests
TimeThemePresenter / Facilitator
8 : 3 0 – 8 : 4 5Opening Ministry of Health of Panama
PAHO Panama
8 : 45 – 9 : 00Objectives of the meeting and summary of the
activities developed in 2017

Alexandre Lemgruber, PAHO
9 : 0 0 – 9 : 4 5Launch of the HTA Reporting Base of RedETSA

Francisco Caccavo, PAHO
Renato Murasaki, BIREME/PAHO
9 : 45 – 10: 15Presentation of new members

Ministry of Health of Panama
CCATES (Brazil)
CUFAR (Argentina)
10:15- 1 1 :15Main achievements of the countries in HTA and in decision-making in 2017

(5 min per institution)
Mininstry of Health of Argentina
RedArets (Argentina)
Ministry of Health of Bolivia
Ministry of Health of Brazil
ANVISA (Brazil)
INC (Brazil)
INESSS (Canada)
Ministry of Health of Chile
ISP (Chile)
Ministry of Health of Colombia
IETS (Colombia)
1 1 : 3 0 -12:45Main achievements of the countries in HTA and in decision-making in 2017

Ministry of Health of Costa Rica
CCSS (Costa Rica)
Ministry of Health Cuba
Ministry of Health of Ecuador
Ministry of Health of El Salvador
ISSS (El Salvador)
CENETEC (Mexico)Ministry of Health of Paraguay
INS (Peru)
IETSI (Peru)
DIGEMAPS (Dominic Republic)
Ministry of Health of Uruguay
FNR (Uruguay)
Organismo Andino de Salud
1 2 :45- 1 3 :15Update of Collaborating Centers

IECS (Argentina)
IEB/UFSC (Brazil)
University of Ottawa (Canada)
1 4 : 3 0 - 1 6 :00Medical Devices Panel
(evaluation methodologies; priority medical devices; prices; management)

Moderator: Murilo Contó, PAHO Brazil
1 6 : 1 5 - 1 7 :30Panel sobre Evaluaciones Económicas
(transferibilidad; modelos; enfermedades de
alto costo)Panel on Economic Evaluations
(transferability; models;
high cost disease)

Moderator: Alexandre Lemgruber, PAHO
Ministry of Health of Uruguay
1 7 :30- 1 8 : 3 0Definition of priorities for 2018
Day 2 - Wednesday, November 15
Regional Meeting of Practice Guidelines
9:00 – 9:15Opening
Objectives of the meeting
Ludovic Reveiz, PAHO
9:15 – 11:30Advances and challenges of each institution in the preparation / adaptation of guides, rapid response, implementation and articulation of inter-institutional plans (governance, establishment
of priorities, capabilities, products, quality

(10 min per country)
Costa Rica
El Salvador
Dominic Republic
11:30 – 12:00Presentation of the handbook for the strengthening of the national programs of guides informed by the evidence: a tool for the adaptation and implementation of guides in the Americas

Marcela Torres, PAHO
12:00 – 12:30Regional prioritization of priority topics for developing / adapting guides in the Americas: case of the Colombian programMinistry of Health and Social Protection of Colombia
13:30 – 13:40Mecanismos regionales para la adaptación de guías informadas por la evidencia en la región Ludovic Reveiz, PAHO
13:40 – 15:15Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationWork groups
15:15 – 15:30Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationReport of the groups
15:45 – 16:00Plan de Implementación de los programas de guías informadas por la evidencia: oportunidades de cooperación regionalMarcela Torres, PAHO
16:00 – 17:15Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationWork groups
17:15 – 17:30Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationReport of the groups
Day 3 - Thursday, November 16
Integration of mechanisms
8:30 – 8:45Opening
Objectives of the meeting
Integrated mechanisms for informed decision-making towards Universal Health
Alexandre Lemgruber, PAHO

Ludovic Reveiz, PAHO
8:45 – 9:30 Integration of mechanisms for the implementation of HTA and Practice Guidelines: international reference experiencesHector Castro, MSH
10:45 – 11:30Methodology for preparing short reportsIECS (Argentina)
11:30 – 13:00Panel:
Experiences of integration of mechanisms to support coverage decision making: Health Technologies Assessment, Selection of medicines and other technologies, Practice Guidelines, Policies informed by the evidence
Moderator: Ministry of Health of Panama
IETS (Colombia)
Ministry of Health of Chile
Ministry of Health of Brazil
INS (Peru)
CENETEC (Mexico)
INESSS (Canada)
(15 min for each presentation)
14:00 – 15:30How can we strengthen the institutionalization and integration of mechanisms (HTA, Practice Guidelines, the selection of medicines and other technologies, policies) to support coverage decisions, with a focus on implementation?
Institutionalization of integrated mechanisms, synergies and inter-institutional collaboration at the national and regional levels
(D) weaknesses (O) opportunities
(F) strengths (A) threats
Work group
15:45 – 16:45
Presentation of the working groups and discussion
What are the priorities at the regional level?
Guide and next steps for the development of a plan to integrate the various mechanisms and strengthen regional cooperation
Alexandre Lemgruber
Ludovic Reveiz

Participants’ List

ArgentinaCristian DoratiCentro Universitario de Farmacologia
ArgentinaMaría Clara ZerbinoMinisterio de Salud de Argentina
ArgentinaSantiago HasdeuMinisterio de Salud de Argentina
ArgentinaSebastian Garcia MartíIntituto de Efectividad Clínica y Sanitária - IECS
BoliviaMirka Susana ZuñigaLa Agencia Estatal de Medicamentos y Tecnologías de Salud - AGEMED
BrazilFlávio Maurício Garcia PezzolaInstituto de Engenharia Biomédica da Universidade Federal de Santa Catarina - CCOPAS/IEB - UFSC
Brazil Leandro SafatleAgência Nacional de Vigilância Sanitária - ANVISA
Brazil Livia LemosCentro Colaborador de Avaliação de Tecnologias de Saúde - CCATES Brasil
Barzil Marisa SantosInstituto Nacional de Cardiologia - INC
Brazil Priscila Avelar Instituto de Engenharia Biomédica da Universidade Federal de Santa Catarina - CCOPAS/IEB - UFSC
Brazil Renato GarciaInstituto de Engenharia Biomédica da Universidade Federal de Santa Catarina - CCOPAS/IEB - UFSC
Brazil Vania Canuto SantosMinistério da Saúde do Brasil
CanadaAlicia FramarinIntitut Nationale d' Excelence en Santé - INESS
CanadaCarol VlassoffUniversity of Ottawa
ChilePatricia del Carmen Kraemer GomezMinisterio de Salud de Chile
ChileVictoria Hurtado MenesesMinisterio de Salud de Chile
ChileYohanna ValderasInstituto de Salud Pública de Chile - ISPCH
ColombiaJaime Calderon Instituto de Evaluación Tecnológica en Salud - IETS
Colombia Rodrigo PardoUniversidad Nacional de Colombia
Costa Rica Ana Eduviges Sancho Ministerio de Salud de Costa Rica
Costa Rica Angie RamirezCaja Costaricense de Seguro Social - CCSS
Costa Rica Mauricio Duarte Caja Costaricense de Seguro Social - CCSS
Cuba Ana Margarita ToledoMinisterio de Salud de Cuba
EcuadorAdriana Granizo MartinezMinisterio de Salud Publica de Ecuador
EcuadorJacinto Esteban Bonilla EscobarMinisterio de Salud Publica de Ecuador
El SalvadorRicardo H. RuanoMinisterio de Salud de El Salvador
El SalvadorRoberto QuijadaInstituto Salvadoreño del Seguro Social - ISSS
HondurasGerardo PinedeARSA Honduras
MexicoJesús Ojino SosaCentro Nacional de Excelencia Tecnologíca en Salud - CENETEC
MexicoVeronica GallegosCentro Nacional de Excelencia Tecnologíca en Salud - CENETEC
PAHOAlexandre LemgruberPanamerican Health Organization
PAHOAna Marcela TorresPanamerican Health Organization
PAHOFrancisco CaccavoPanamerican Health Organization
PAHOLudovic ReveizPanamerican Health Organization
PAHOMurilo ContóPanamerican Health Organization
PAHOSonia QuezadaPanamerican Health Organization
PAHORita CasolPanamerican Health Organization
PAHOJose GonzalezPanamerican Health Organization
PAHOHilda LealPanamerican Health Organization
PAHOItzel ThomasPanamerican Health Organization
PAHOIsaías MontillaPanamerican Health Organization
PanamaPedro ContrerasMinisterio de Salud de Panamá
PanamaJeremias BernalMinisterio de Salud de Panamá
Peru Karina Alicia Gil LoayzaMinisterio de Salud de Perú
Peru Marianella Villalta ContrerasOrganismo Andino de Salud - ORAS CONHU
Peru Nora Reyes Instituto Nacional de Salud - INS
Peru Patricia PimentelInstituto de Evaluación Tecnológica en Salud - IETS
Peru Zila Patricia CaballeroInstituto Nacional de Salud - INS
Dominic RepublicAndelys De la Rosa Ministerio de Salud Publica de Republica Dominicana
Dominic RepublicEscarlen HerediaDirección General de Medicamentos, Alimentos y Productos Sanitarios - DIGEMAPS MSP
UruguayAlarico RodriguezFondo Nacional de Recursos - FNR
UruguayAna PerezMinisterio de Salud Publicade Uruguay

19th edition of RedETSA’s Webinars Program

“Transferability of economic evaluations”

  • Date: November 10th, 2017
  • Speaker: Victoria Hurtado Meneses and Catherine De la Puente Agurto, Ministry of Health of Chile
  • Theme: A methodology for Economic Evaluation (EE) transferability is proposed to inform decision makers about the cost-effectiveness of a health alternative in a timely manner. This methodology could be specially useful for countries that have limited economic resources to develop research, and could also relieve the existing rush that the authorities have when requesting this type of information.The construction of a “de novo” study continues to be the gold standard to provide valid evidence on the cost-effectiveness of a health intervention. However, there are scenarios where health technologies were evaluated in several countries and there is enough evidence of their cost-effectiveness. It is in these cases that the use of the methodology for EE transferability would be most useful, so that the response given to the decision makers is based on solid evidence and can be given in a short period of time.
  • Language: Spanish, without translation

*Available in Spanish only*


18th edition of RedETSA’s Webinars Program

“Particularities in the evaluation and incorporation of Medical Devices”


  • Date: October 13th, 2017
  • Speaker: Murilo Contó, National Consultant for Health Technology Assessment and Management PAHO / WHO 
  • Theme: Considering the peculiarities and differences that medical devices possess in relation to other health technologies, the webinar aims to address the main aspects that must be observed when a Health Technology Assessment involves the use of a medical device or equipment, reducing uncertainty in the decision-making process. 
  • Language: Spanish, without translation

*Available in Spanish only*

To access a recording of the event please click here: https://youtu.be/TO-67o1ypbg 


7th Meeting of the Regulatory Authorities for the Strengthening of the Medical Devices Regulatory Capacity in the Americas September 21 and 22, 2017 – Ottawa, Canada

The 7th Meeting of the Regulatory Authorities for the Strengthening of the Medical Devices Regulatory Capacity in the Americas was held in Ottawa, Canada, on 21 and 22 September 2017, within the framework of the IMDRF (International Medical Device Regulators Forum). Regulators from eighteen countries were represented: Argentina, Bolivia, Brazil, Canada, Chile, Colombia, Cuba, Ecuador, El Salvador, Jamaica, Mexico, Nicaragua, Panama, Paraguay, Peru, Dominican Republic, Trinidad and Tobago and Uruguay.

The objectives of the Regional Meeting on the Regulation of Medical Devices were focused on strengthening the Regulatory Capacity of the NRAs (National regulatory authorities) of the Region of the Americas in the field of medical devices, through the establishment of strategies to achieve joint objectives, exchange of experiences and strengthening collaboration between countries.

On the first day the meeting was open to invited guests, including representatives from regulatory authorities from outside the Region and from the regulated sector. On the second day the meeting was restricted to representatives of the regulatory authorities that make up the Regional Working Group on Regulation of Medical Devices. Below you can find the agenda of the two meeting days, as well as the links to access the presentations.

September 21

1. Welcome, Introductions and Review of Workshop Schedule
(Alexandre Lemgruber – PAHO)

2. The Use of Medical Devices in Public Health Programs
(Rosanna Peeling, IDC / LSHTM)


3. WHO Global Model Regulatory Framework for Medical Devices
(Mike Ward – WHO)


4. Asian Harmonization Working Party Playbook
(Dr Jeong-Rim Lee, AHWP and Ministry of Food and Drug Safety-MFDS, Republic of Korea)


5. Medical Devices Regulations in the Americas – The Regulators’ Perspective

The experience of COFEPRIS, Mexico
(Norma Morales)


The experience of DNM, El Salvador
(José Vicente Coto)

6. Medical Devices Regulations in Americas – The Manufacturers’ Perspective
(Nicole Taylor Smith – Johnson & Johnson)


7. Use of Standards for Regulatory Purposes

The experience of USA (Sharon Lappalainen – FDA)


The experience of Cuba (Dulce María Martinez – CECMED)


8. Standards Alliance Survey
(Carlos Gouvêa , ALADDIV)


9.Session Review and Next Step
(Alexandre Lemgruber – OPS)

September 22

1. Opening remarks
(Health Canada and PAHO)

2. Progress since the VI Regional Meeting and objectives of the VII Regional Meeting
(Alexandre Lemgruber – PAHO)

3. Progress at National level on Regulation of Medical Devices since the VI Regional Meeting: all countries

(María Cecilia López Gutiérrez – Instituto de Salud Pública de Chile)


(Elkin Hernán Otávaro Cifuentes – INVIMA)


(María Auxiliadora Vargas de Dentice – Ministerio de Salud Pública y Bienestar Social)


(Julio Américo Salas Carnero – Ministerio de Salud)


Dominican Republic
(Escarlen Heredia – Ministerio de Salud Pública)


4. Report on the Virtual Training Courses

(Elkin Otálvaro Cifuentes – INVIMA, Colombia)


(Dulce María Martinez – CECMED, Cuba)


5. Panel on Medical Device Nomenclature
(Adriana Velázquez Berumen – WHO, videoconference, and Monica Cristina Duarte – ANVISA, Brasil)

6. REDMA Exchange Program of Post Market Safety Information on Medical Devices: update from the Secretariat
(Dulce María Martínez – CECMED, Cuba)


7. Update on the Medical Device basic indicators and the Assessment Tool for the Regulatory Capacity on Medical Devices
(Alexandre Lemgruber – PAHO)

8. Report on the PANDRH Project on Medical Device Regulation
(Elkin Hernán Otálvaro Cifuentes – INVIMA, CECMED)


9. Reprocessing of single use medical devices: current situation and next steps for the Technical Group
(Elkin Otálvaro Cifuentes – INVIMA, Colombia)


10. Discussion of proposals for the 2018 Working Plan of the Regional Working Group on Medical Device Regulation

11. Closing


Call for applications- ‘Planning and Management of Health Technology’ Virtual Course

Call for applications- ‘Planning and Management of Health Technology’ Virtual Course 

PAHO/WHO are now taking applications for the Virtual Course “Planning and Management of Health Technology.

The course is for 14 weeks, from August 28 to December 3, 2017. 

The call for applications call will remain open until July 3, 2017.

This course provides participants with a basic understanding of the principles of planning and management of health technology and the convergence of health technologies – medical devices, information systems and telecommunications; Installation, configuration and management of a clinical engineering department, and related professional activities.

The course is aimed at professionals (engineers, doctors, managers and other related specialties) who develop or wish to develop functions in areas related to biomedical technologies in the health system or in health facilities. Participants must have experience in management or administration and be responsible for tasks related to health technology.

Please find more information about the English version of the course on the following webpage:  https://www.campusvirtualsp.org/sites/default/files/webfiles/onlineflyers/cvtecnsan17en/cvtecnsan17en.html

This webpage includes detailed information on the course  and informs of the application process of:

  • Create an account on the Virtual Campus
  • Login to the Virtual Campus
  • Complete the online application form

For any problems with the Virtual Campus please contact their Help Desk.

For any inquiries about the course please contact Francisco Caccavo: caccavof@paho.org 


17th edition of RedETSA’s Webinars Program

‘’Big data and Real World Evidence’’


  • Date: May 26th, 2017
  • Speaker: Augusto Afonso Guerra Jr. of the General University of Minas Gerais,  from the the Federal University of Minas Gerais (UFMG) in Brazil
  • Theme: The aim of the webinar was to explore the importance of the origin of the data in health technology assessments. The webinar discussed the difference between randomized clinical trials (RCTs) and real-world evidence (RWE) in the use of administrative and epidemiological databases to measure effectiveness. Although RWE can be very complex, it provides an understanding of health settings which is difficult to achieve through RCTs. This RWE could serve to ensure that health systems are achieving the expected results through the incorporation of health technologies. Afonso Guerra Jr. used a case study from Brazil of Big Data in the evaluation of health technologies.
  • Language: Portuguese, without translation

*Available in Portuguese only*

The webinar is available at the following link: https://youtu.be/Xakk0G2td7U


New member – Ministry of Health, Panama

New partnership – RedETSA & Ministry of Health, Panama 

RedETSA wants to welcome its new member: Ministry of Health, Panama. This new addition to the Network brings the total number of institutions member to 32 in 15 different countries throughout the Americas. 

The Ministry of Health’s mission is to ‘Ensure access to comprehensive care through public health services, humanized at all levels of intervention, based on the primary care strategy, and the development of the functions of rectorship, management & transformation, favoring equity, efficiency and quality with warmth during care, ensuring the processes of transparency in the use of resources and the development of health actions with citizen participation, in building the necessary conditions for the social production of health. ‘ They have  recognized the need to create a Health Technologies Assessment Unit in order to improve its management in the area of medicines and supplies and other health technologies, and has thus joined RedETSA as their first step.

RedETSA is confident that the inclusion of the Ministry of Health will strengthen the network and its HTA activities in the region.

x congresso

Brazilian Congress of Epidemiology

The next Brazilian Congress of Epidemiology offers pre-congress courses with low cost and topics of interest to ATS. We highlight:
1- Strategies to Improve the Visibility of Scientific Activities and Expand the Impact of Research (Juliana Reis – Fiocruz)
2 – Writing and Scientific Publishing (Prof. Mauricio Pereira – UnB and Leila Posenato Garcia – Ipea)
3 – Review of Scientific Articles (Prof. Leopoldo Antunes – USP and Prof. Maria Amelia Veras – FCMSCSP)
4 – Maximize the Impact of your Research and Attract Collaborations: Use Reporting Guidelines for the Writing of Research Papers (Iveta Simera – Univ Oxford and EQUATOR Network) – this course will be in English
5 – Contemporary Topics on Scientific Integrity and Ethics in Publications (Sonia Vasconcelos – UFRJ)
6- How to write and publish scientific articles (Laura Rodrigues – London School of Hygiene & Tropical Medicine.
7-Evidence-Based Guidelines – Arn Migowski, Airton Stein and Marisa Santos – INC
The complete list of courses is available at: http://epi.org.br/cursos/index.php#topo

 Registration will be limited to the first registrants, within the number of vacancies offered.


New member – CCATES/UFMG, Brazil

New partnership – RedETSA & the Collaborating Center of the SUS for Health Technology Assessment and Excellence (CCATES) / Federal University of Minas Gerais (UFMG)

RedETSA wants to welcome its new member: el Centro Colaborador do SUS para Avaliação de Tecnologias e Excelência em Saúde (CCATES)Universidade Federal de Minas Gerais (UFMG) of Brasil. new addition to the Network brings the total number of institutions member to 31 in 14 different countries throughout the Americas. 

CCATES at UFMG is a center of scientific and technical cooperation, Its role is to develop projects in the areas of epidemiology, pharmacovigilance and health economics, to train professionals to promote the qualification of the Unified Health System and to promote the production and dissemination of independent and non-profit scientific evidence.

RedETSA is confident that the inclusion of CCATES/UFMG will strengthen the network and its HTA activities in the region.