1683-9803 1683-9803 S1683-98032024000200069 10.31698/ped.51022024001 Paraguay 00 08 2024 00 08 2024 51 2 69 71 1 World Health Organization 2018 2 2022 65 2 2 3 Organización Mundial de la Salud 2014 4 2015 5 2007 78 Suppl 1 Suppl 1 96-102 6 2007 10 10 1-84 7 2011 36 5 5 318-24 8 2019 11 10 10 2266