Ana Lorena Ruano
Affiliation
Research
Ana Lorena Ruano is a sociologist with a PhD in Public Health from Umeå University, Sweden. Currently, she is a researcher at the Center for International Health at the University of Bergen, Norway, where she leads the ‘Strengthening Agency & Learning across Health Systems in the Americas’ (SALHSA) project focused on building capacity among early-career academics, civil society and policy and decision-makers from Latin America’s relevant public health bodies.
As a practitioner, she serves as the Research and Learning coordinator at the Center for the Study of Equity and Governance in Health Systems, (CEGSS) Guatemala, where she focuses on how institutional learning can help to better support indigenous human rights defenders in the rural highlands of Guatemala. Dr Ruano’s work uses a human rights-approach to the study of equity in health, indigenous health, maternal health, health system strengthening, participation, and accountability in low and middle-income countries.
She is the Editor-inChief for the International Journal for Equity in Health and serves in this position since January of 2023. Previously, she served as the Managing Editor (2009-2022). The journal has a 2023 Impact Factor of 4.8 and is placed in Q1 for the Health Policy and the Public Health, Environmental, and Occupational Health categories.
Main collaborating countries:
- Guatemala
- Colombia
- Argentina
- Bolivia
- Ecuador
- Mexico
- Ethiopia
- Uganda
Main areas of work:
- Health Systems and Policy Research
- Primary Health Care
- Social participation
- Citizen-led social accountability
- Legal empowerment
- Indigenous people's health
- Qualitative methods
Teaching
I teach at the masters and doctoral level and are deeply involved in the development of skills that are equally useful for academics, policy & decision makers, and practitioners. My focus is on teaching qualitative methods, both at CIH at UiB and at Charité Medical University in Berlin, Germany. I also focus on developing skillsets for practitioners in global health through the Center for International Health's internship program.
Through SALHSA, I also train Latin American students in Spanish. Please look at the project website for more information on teaching in Spanish.
Publications
Academic literature review
Academic article
- Safiyeh Tayebi; Ana Lorena Ruano; Liudmyla Ishchenko et al. (2026). "A single viral video can undo months of health education": social media, trust, and vaccine hesitancy in wartime Ukraine. (external link)
- Rahmat Dapari; Safiyeh Tayebi; Ana Lorena Ruano et al. (2026). Community participation and technological innovation: Baseline qualitative insights to inform a five-year cohort on drone-based dengue surveillance in Malaysia. (external link)
- William Nelson Mwakalasya; Ana Lorena Ruano; Simon Henry David Mamuya et al. (2025). Pregnancy, Childcare, and Pesticides: Understanding the Health Risks of Women and Children in Small-Scale Horticulture in Tanzania. (external link)
- Akeza Awealom Asgedom; Bente Elisabeth Moen; Ana Lorena Ruano (2025). Evaluation of hand hygiene implementation in hospitals in the post-war Tigray region of Ethiopia, using the WHO Hand Hygiene Self-Assessment Framework. (external link)
- Alejandro Cerón; Ana Lorena Ruano; Silvia Sánchez et al. (2016). Abuse and discrimination towards indigenous people in public health care facilities: experiences from rural Guatemala. (external link)
- Alison Hernández; Ana Lorena Ruano; Bruno Marchal et al. (2017). Engaging with complexity to improve the health of indigenous people: a call for the use of systems thinking to tackle health inequity. (external link)
- Ana Lorena Ruano; Efrat Shadmi; John Furler et al. (2017). Looking forward to the next 15 years: innovation and new pathways for research in health equity. (external link)
- Ana Lorena Ruano; Silvia Sánchez; Fernando José Jerez et al. (2014). Making the post-MDG global health goals relevant for highly inequitable societies: findings from a consultation with marginalized populations in Guatemala. (external link)
- Marta Schaaf; Shruti Chhabra; Walter Flores et al. (2018). Does Information and Communication Technology Add Value to Citizen-Led Accountability Initiatives in Health? Experiences from India and Guatemala. (external link)
- Ana Lorena Ruano; John Furler; Leiyu Shi (2015). Interventions in Primary Care and their contributions to improving equity in health. (external link)
- Ana Lorena Ruano; Anna-Karin Hurtig; Miguel San Sebastián (2013). The process of social participation in primary health care: the case of Palencia, Guatemala. (external link)
- Claire E. Brolan; Sameera Hussain; Eric A. Friedman et al. (2014). Community participation in formulating the post-2015 health and development goal agenda: reflections of a multi-country research collaboration. (external link)
- Claire E. Brolan; Sameera Hussain; Eric A. Friedman et al. (2014). Community participation in formulating the post-2015 health and development goal agenda: Reflections of a multi-country research collaboration. (external link)
- Ana Lorena Ruano; Erick Friedman; Peter S Hill (2014). Health, equity and the post-2015 agenda: raising the voices of marginalized communities. (external link)
- Ana Lorena Ruano; Kjersting Dahlblom; Anna-Karin Hurtig et al. (2011). If no-one else stands up, you have to: a story of community participation and water in rural Guatemala. (external link)
- Andrea Melberg; Abdoulaye Hama Diallo; Ana Lorena Ruano et al. (2016). Reflections on the Unintended Consequencesof the Promotion of Institutional Pregnancyand Birth Care in Burkina Faso. (external link)
- Stephanie M Topp; Kerry Scott; Ana Lorena Ruano et al. (2018). Showcasing the contribution of social sciences to health policy and systems research. (external link)
- Joern Blume; Ana Lorena Ruano; Siri Wang et al. (2018). Oral medicine acceptance in infants and toddlers: measurement properties of the caregiver-administered Children’s acceptance tool (CareCAT). (external link)
- Ana Lorena Ruano; Alison Hernández; Kjersting Dahlblom et al. (2012). It's the sense of responsibility that keeps you going': stories and experiences of participation from rural community health workers in Guatemala. (external link)
- Maria Guadalupe Ruelas-González; María Beatriz Duarte-Gómez; Sergio Flores-Hernández et al. (2016). Prevalence and factors associated with violence and abuse of older adults in Mexico’s 2012 National Health and Nutrition Survey. (external link)
- Walter Flores; Ana Lorena Ruano; Denise Phé-Funchal (2009). Harvard School of Public Health/François-Xavier Bagnoud Center for Health and HumanRightsThe President and Fellows of Harvard CollegeSocial Participation within a Context of Political Violence: Implications for the Promotionand Exercise of the Right to Health in Guatemala. (external link)
- Moses Mulumba; Juliana Nantaba; Claire E Brolan et al. (2014). Perceptions and experiences of access to public healthcare by people with disabilities and older people in Uganda. (external link)
- Ana Lorena Ruano (2013). The role of social participation in municipal-level health systems: the case of Palencia, Guatemala. (external link)
Doctoral thesis (PhD)
Projects
- Strengthening Agency & Learning across Health Systems in the Americas (Principal investigator)
"Improving implementation and operation of a One Health platform to combat rabies in Malawi” with Veterinærinstituttet. (Leader of a Work Package)
"Can community health workers contribute to strengthen health systems in Latin America?" with the Dept of Epidemiology and Global Health, Umeå University, Sweden