Regional Team

Delgado_Pedro_thumb.jpgPedro Delgado, MSc, Vice President, Institute for Healthcare Improvement (IHI), has a unique ability to work across cultures, languages, and systems. Based in the United Kingdom, he has been a driving force in IHI’s global strategy. From work on reducing C-sections and healthcare-acquired infections in Brazil and several Latin American countries, to improving early years education in Chile, to improving patient safety in Portugal and mental health in London, Mr. Delgado has led the key senior relationships and design and implementation of large-scale health system improvement efforts and networks globally. He coaches senior leaders and teams, and lectures extensively worldwide on large-scale change, patient safety, and quality improvement. He is an Instructor at the Harvard T.H. Chan School of Public Health. His background is rich in diversity, including a brief period as a professional football (soccer) player, roles in hospital management and large-scale improvement leadership in the UK, and experience working in mental health in Venezuela and the UK. He holds summa cum laude degrees in Psychology and in Global Business, is a trained Improvement Advisor, and has an MSc in Healthcare Management and Leadership.


Borem_Paulo_thumb.jpg Paulo Borem, MD, is a Senior Project Director for the Latin America region at the Institute for Healthcare Improvement (IHI), an Improvement Advisor and Patient Safety Officer, a vascular surgeon by background, and a health management specialist trained at the Osvaldo Cruz Foundation (FIOCRUZ). He is currently the Director of three IHI Collaboratives in Brazil and Portugal, and leads IHI’s work in the Portuguese-speaking world. Prior to his engagements with IHI, Dr. Borem was the Director of Unimed Belo Horizonte (UBH), a health plan with more than one million clients and five thousand physicians, and his work with Unimed continues today, leading initiatives within the Unimed system related to care delivery reform, implementation of primary care transformations, and improvement of maternal and perinatal care. Dr. Borem also worked for some time as a health care and quality consultant for the World Bank and USAID in projects in India, Argentina, Mexico, and Mozambique.


Arrieta_Jafet_thumb.jpg Jafet Arrieta, MD, MMSc,PhD, is a Project Director and Improvement Advisor for the Institute for Healthcare Improvement (IHI). She supports the development and implementation of quality improvement projects across Latin America and the United States, teaches QI methods, and provides coaching and support to leaders, managers, and team members throughout the implementation of their projects. She has extensive experience in operational, oversight, management, and leadership roles within the areas of public health, quality improvement, and health systems strengthening across different low-, middle-, and high-resource settings. Dr. Arrieta previously served as Improvement Advisor for the Latin American Consortium for Innovation, Quality and Safety in Healthcare (CLICSS), leading the implementation of two multi-country QI collaboratives aimed at reducing the incidence of healthcare-associated infections in Latin America, and as Director of Operations for Partners In Health Mexico, helping establish a public-private partnership with the Ministry of Health of the state of Chiapas aimed at improving access to high quality care in one of the most underserved regions of Mexico. She is a third-year student in the Harvard T.H. Chan School of Public Health Doctor of Public Health program, and holds a medical degree from Tecnologico de Monterrey School of Medicine, and a Master of Medical Sciences in Global Health Delivery degree from Harvard Medical School.


Ruelas_Enrique_thumb.jpgEnrique Ruelas, MD, MPA, MHSc, is President and CEO, Institute for Health Futures & International Consortium for Quality and Leadership of Healthcare Organizations, and an IHI Senior Fellow. He previously served as Secretary of the General Health Council of Mexico for almost five years, a position that is similar to the US Surgeon General. He was the Mexican Vice Minister for Innovation and Quality in the Ministry of Health, where he oversaw the modernization of Mexico's health care system using supply chain techniques that radically improved service levels and also resulted in significant cost savings. Dr. Ruelas was responsible for the design and implementation of a comprehensive, country-wide quality improvement strategy and he led a prospective analysis on the future of the Mexican health care system. Prior to his government posts, he gained widespread entrepreneurial and academic experience, and he is an expert on health care quality and managing health care systems. He is President of the National Academy of Medicine; President of the Latin American Society for Quality in Health Care; and Chair of the Latin American Consortium for Innovation, Quality and Safety in Health Care (CLICSS).


Daniel Peres is a Project Director for IHI's Latin America and Europe regions, and a member of the IHI Strategic Partners team. A third culture individual and native Portuguese and Spanish speaker, Mr. Peres has lived in Peru, Venezuela, Colombia, Mexico, Portugal, and the United States, residing in Boston since 2010. He is largely responsible for managing IHI’s quality improvement projects and professional development programs in Portuguese-speaking countries, as well as supporting projects and programs in Spanish-speaking countries. Mr. Peres manages the scale-up of the Parto Adequado Collaborative in Brazil, which aims to spread improvements to reduce the high rates of unnecessary C-sections across the country, as well as the STOP Infeção Hospitalar Collaborative in Portugal, which aims to halve hospital-acquired infections across 12 public health care organizations. He is a certified facilitator through the Interaction Institute for Social Change, where he developed competencies to facilitate strategic thinking processes, collaborative problem solving, and agreement building. Mr. Peres majored in Business Administration at Northeastern University (NEU), completing a five-year bachelor degree including two internships, as well as developing a strong interest in social entrepreneurship through his involvement with NEU’s Social Enterprise Institute.


My headshot.png Santiago Nariño is a Senior Project Manager for IHI's Latin America region. He supports equity initiatives, quality improvement projects and professional development programs in Colombia, Ecuador, Brazil as well as other initiatives. Being trilingual, Santi supports the team with the sentinel project in Brazil, Parto Adequado, and all the projects in Brazil as well as all the Spanish projects in the region. Santiago has a strong passion for social justice and equity with a strong background in political organizing and diversity and inclusion work in the Latino community. In his previous work, he has worked as President of College Democrats of Massachusetts, and is the co-founder at his own organization called the Transformative Change Partners and has spent a lot of time in Brazil and South Africa working for the government during his years at Northeastern. He graduated magna cum laude from Northeastern University with a degree in International Affairs and Economics and is now working on his masters in Resilience and Security with a focus in public policy at Northeastern. ​​


Lima_Angelo_thumb.jpgAngelo Lima is a Project Manager for IHI’s Latin American region, Angelo directly supports IHI’s work in the Portuguese speaking world including IHI’s sentinel project in Brazil, Parto Adequado. Originally from Brazil, where he was born and raised until the age of 14 when his family relocated to the United States, Angelo’s experience as an LGBTQ immigrant has driven his passion for equity and social justice. Prior to coming to  the Institute for Healthcare Improvement, Angelo’s background includes organizing and advocating at the local level on behalf of  undocumented and LGBTQ communities primarily through the Student Immigrant Movement a youth-led immigrant rights organization. Angelo began his career in health care working at the Fenway Institute where he primarily focused on HIV prevention direct services for Gay/Bisexual men of color and other sexual and gender minorities. He graduated Magna Cum Laude from The University of Massachusetts, Boston where he majored in Sociology with a focus on Gender Studies.​​


Brito_Tanya_thumb.jpgTayna Brito is a Project Coordinator for IHI's Latin America region. She directly supports quality improvement projects and programs in Brazil as well as in the Asia-Pacific region, Bangladesh. Mrs. Brito was raised in Brazil, where she developed a passion towards Global Health and Social Justice. At age of 15, she migrated to the United States with her family looking for new life opportunities. Prior to engaging with IHI's work, Mrs. Brito managed her family business, developed strategies and projects to support the work of  Christ Hope International in the Africa region, and is a co-founder at her organization called Rahab International - an organization focused in empowering women through education across the most vulnerable communities in the word. She graduated Magna Cum Laude from the University of Massachusetts, Lowell with a degree in Health Science with a focus in Global Health and a Pre-Medical track.