The review and commentary on the manuscript provided by the following individuals is appreciated: Norka Ruiz-Bravo and Eleana Villanueva, PAHO; and Stella Cabral Bejarano, Ministry of Health and Social Welfare of Paraguay.
Se agradece la revisión y las observaciones realizadas al manuscrito por Norka Ruiz-Bravo y Eleana Villanueva, de la OPS; y Stella Cabral de Bejarano, del Ministerio de Salud y Bienestar Social de Paraguay.