<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1390-8596</journal-id>
<journal-title><![CDATA[LA GRANJA. Revista de Ciencias de la Vida ]]></journal-title>
<abbrev-journal-title><![CDATA[La Granja]]></abbrev-journal-title>
<issn>1390-8596</issn>
<publisher>
<publisher-name><![CDATA[Universidad Politécnica Salesiana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1390-85962024000200037</article-id>
<article-id pub-id-type="doi">10.17163/lgr.n40.2024.02</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Riesgo climático en los servicios de salud local en Ecuador]]></article-title>
<article-title xml:lang="en"><![CDATA[Climate risk in local health services in Ecuador]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vilema-Escudero]]></surname>
<given-names><![CDATA[Segundo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manya Orellana]]></surname>
<given-names><![CDATA[Marlon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad ECOTEC  ]]></institution>
<addr-line><![CDATA[Guayas ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad ECOTEC  ]]></institution>
<addr-line><![CDATA[Guayas ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>37</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&amp;pid=S1390-85962024000200037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_abstract&amp;pid=S1390-85962024000200037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_pdf&amp;pid=S1390-85962024000200037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El presente trabajo analiza la interacción entre el riesgo climático, originados por eventos extremos producto del fenómeno El Niño-Oscilación del Sur (ENOS) y/o Cambio Climático, y su impacto en los servicios de salud local en Ecuador. El análisis se centra en la creciente vulnerabilidad de Ecuador a los efectos del cambio climático, que exacerba los desafíos en la prestación de servicios de salud, particularmente en el contexto de fenómenos climáticos severos. El objetivo principal es analizar la relación entre el número de hectáreas afectadas por eventos climáticos y la disponibilidad y eficacia de los servicios de salud locales, considerando la resiliencia comunitaria y la cobertura sanitaria como variables moderadoras. La metodología emplea un análisis de regresión lineal utilizando datos de 221 municipios ecuatorianos, abarcando variables como riesgo climático, servicios de salud, resiliencia comunitaria, cobertura sanitaria, y factores demográficos y socioeconómicos. Los resultados indican una influencia significativa del riesgo climático en la eficacia de los servicios de salud, moderada por la resiliencia comunitaria y la cobertura sanitaria. Se observa que las áreas con mayor preparación y cobertura sanitaria muestran una mejor capacidad de respuesta ante eventos climáticos extremos. Finalmente, es importante integrar la gestión del riesgo climático en la planificación de servicios de salud, sugiriendo que una mayor resiliencia comunitaria y una amplia cobertura sanitaria son esenciales para mitigar los impactos negativos del cambio climático en la salud pública.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This work analyzes the interaction between climate risk, caused by extreme events resulting from the El Niño Southern Oscillation (ENSO) phenomenon and/or Climate Change, and its impact on local health services in Ecuador. The analysis focuses on Ecuador&#8217;s growing vulnerability to the effects of climate change, which exacerbates challenges in the delivery of health services, particularly in the context of severe climate events. The main objective is to analyze the relationship between the number of hectares affected by climate events and the availability and effectiveness of local health services, considering community resilience and health coverage as moderating variables. The methodology uses a linear regression analysis using data from 221 Ecuadorian municipalities, covering variables such as climate risk, health services, community resilience, health coverage, and demographic and socioeconomic factors. The results indicate a significant influence of climate risk on the effectiveness of health services, moderated by community resilience and health coverage. It is observed that areas with greater preparation and health coverage show a better capacity to respond to extreme weather events. Finally, it is important to integrate climate risk management into health services planning, suggesting that greater community resilience and broad health coverage are essential to mitigate the negative impacts of climate change on public health.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Riesgo Climático]]></kwd>
<kwd lng="es"><![CDATA[Servicios de Salud]]></kwd>
<kwd lng="es"><![CDATA[Resiliencia]]></kwd>
<kwd lng="es"><![CDATA[Ecuador.]]></kwd>
<kwd lng="en"><![CDATA[Climate Risk]]></kwd>
<kwd lng="en"><![CDATA[Health services]]></kwd>
<kwd lng="en"><![CDATA[Resilience]]></kwd>
<kwd lng="en"><![CDATA[Ecuador.]]></kwd>
</kwd-group>
</article-meta>
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