Inequity in Access to Maternal and Child Services Departmental Analysis in Bolivia
DOI:
https://doi.org/10.35319/g3k56944Keywords:
Health equity, Social inequities, Access to health services, Infant mortality, Maternal healthAbstract
Health equity is a key goal for policymakers, although its implementation is challenging due to deep social inequities. The gap between the current situation and ideal equity is large, but reducing it could save many lives. In Bolivia, despite a decline in infant mortality, rates remain high compared to other regional countries. This study analyzes women’s access to four health services in Bolivia using 2003 data, measuring inequity with the concentration index and highlighting its causes. The need for more effective actions to improve health equity, especially for vulnerable groups, is emphasized.
Downloads
References
Abásolo, I., Manning, R. y Jones, A.M. (2001) “Equity in utilization of and access to public sector GPs in Spain”. Applied Economics, 33, 349-364.
Blanco Mejía. (2001) “Equidad y salud materno-infantil en Nicaragua”. Proyecto ELAC Nº 36. División Salud y Desarrollo Humano, Organización Panamericana de la Salud.
Castrillo, R. y Rosero Bixby, L. (2001) “Equidad y salud materno-infantil en Guatemala, 1987 y 1999”. Proyecto ELAC N° 34, Coordinación de Investigaciones. División Salud y Desarrollo Humano, Organización Panamericana de la Salud.
De Santis, M. (2006) “Equity in the Access and Utilization of Health Care Services in Argentina”, en la Conferencia Advancing Equity Health, UNU–WIDER, Helsinki, septiembre.
De Santis, M. y Herrero, V. (2006) “Equidad en el acceso, desigualdad y utilización de los servicios de salud. Una aplicación al caso argentino en 2001”. Anales XLI Reunión Anual AAEP www.aaep.org.ar.
Folland, S., Goodman, A. y Stano, M. (2001) The economics of health and health care. 3era ed., Nueva Jersey, Prentice Hall.
García Gómez, P. y López, N. (2004) “The evolution of inequity in the access to health care in Spain: 1987-2001”. Documento de Trabajo Nro. 756, Departamento de Economía, Universidad Pompeu Fabra.
Gravelle, H. (2001) “Measuring income related inequality in health and health care: the partial concentration index with direct and indirect standardisation”. Centre for Health Economics Technical Paper No. 21. University of York, agosto.
Gravelle, H., Morris, S. y Sutton, M. (2006) “Economic studies of equity in the consumption of health care”, en: Jones A.M., editor. Elgar Companion to Health Economics. Edward Elgar, p. 193-204.
Herrero, V., Palacios, A. y Ruiz Díaz, F. (2005) “Un índice de nivel socioeconómico de los hogares para aplicar a un modelo explicativo del rendimiento escolar”. Coloquio de la Sociedad Argentina de Estadística, Villa Giardino.
Jones, A.M. y Rice, N. (2003) “Can economics contribute to an understanding of socioeconomic inequality in health?”
Jones, A.M. y Rice, N. (2004) “Using longitudinal data to investigate socio-economic inequality in health”. En: Health Policy and Economics: Opportunities and Challenges. Smith P.C., Ginnelly L., Sculpher M. (eds.). Berkshire, Open University Press.
Kakwani, N., Wagstaff, A. y van Doorslaer, E. (1997) “Socioeconomic inequalities in health: measurement, computation and statistical inference”. Journal of Economics, 77, 87-103.
Koolman, X. y van Doorslaer, E. (2003) “On the interpretation of a concentration index of inequality”. Department of Health Policy and Management. Ecuity II Project Working Paper N°4. Países Bajos.
Lambert, P. (1993) The distribution and redistribution of income, 2nd edition. Manchester University Press, Manchester.
Lavado, R. (2006) “Are maternal and child programs reaching the poorest regions in the Philippines?”. UNU-WIDER Conference on Advancing Health Equity, Helsinki, septiembre.
Macinko, J. y Starsfield, B. (2002) “Annotated Bibliography on Equity in Health, 1980-2001”. International Journal for Equity in Health, 1.
Ministerio de Salud y Deportes. (2006) “Situación de Salud. Bolivia 2004”. Serie Documentos de Divulgación Científica, enero.
Morris, S., Sutton, M. y Gravelle, H. (2005) “Inequity and inequality in the use of health care in England: an empirical investigation”. Social Science and Medicine, 60, 1251-1266.
Paganini, J. y Etchegoyen, G. (2005) “Identificación de inequidades en la atención materno infantil en el contexto de diferentes espacios sociales. Estudio multicéntrico”. CONAPRIS.
Rao, V.M. (1969) “Two decompositions of concentration ratio”. Journal of the Royal Statistical Society, 132(3), 418-425.
Van Doorslaer, E., Masseria, C. y Koolman, X. (2006) “Inequalities in access to medical care by income in developed countries”. CMAJ, enero (17), 177-183.
Van Ourti, T. (2001) “Measuring horizontal inequity in health care using Belgian panel data”. Faculty of Applied Economics, UFSIA-RUCA, University of Antwerp, Belgium.
Wagstaff, A., Paci, P. y van Doorslaer, E. (1991) “On the measurement of inequalities in health”. Social Science and Medicine, 33, 545-557.
Wagstaff, A. y van Doorslaer, E. (1998) “Equity in health care finance and delivery”, preparado para el Capítulo 40 de North Holland Handbook of Health Economics, A.J. Culyer y J.P. Newhouse.
Wagstaff, A. y van Doorslaer, E. (2000) “Measuring and testing for inequity in the delivery of health care”. Journal of Human Resources, XXXV(4), 716-733.
Whitehead, M. (1990) The Concepts and Principles of Equity in Health. International Journal of Health Services, 22(3): 429-445. (Traducción al español en Serie Reprints #9 de la Organización Panamericana de la Salud / Organización Mundial de la Salud [OPS/OMS], 1991).
Downloads
Published
Issue
Section
License
Copyright (c) 2008 Revista Perspectivas
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
La Revista Perspectivas de la Universidad Católica Boliviana, es una revista de acceso abierto, por lo tanto, es de libre acceso en su integridad. Está permitida su lectura, búsqueda, descarga, distribución y reutilización legal en cualquier tipo de soporte únicamente para fines no comerciales, siempre y cuando la obra sea debidamente citada.
