Desigualdades Recursos Atención a la Salud Desigualdades en Salud Territorio Measuring healh inequities in low and middle income countries for the devolpment of observatoires on inequities and social determinants of health

Título
Measuring healh inequities in low and middle income countries for the devolpment of observatoires on inequities and social determinants of health
Resumen
Background: Almost seven years after the publication of the final report of the World Health Organization's Commission on Social Determinants of Health (CSDH), its third recommendation has not been attended to properly. Measuring health inequities (HI) within countries and globally, in order to develop and evaluate evidence-based policies and actions aimed at the social determinants of health (SDH), is still a pending task in most low and middle income countries (LMIC) in the Latin American region. In this paper we discuss methodological and conceptual issues to measure HI in LMIC and suggest a three-stage methodology for the creation of observatories on health inequities (OHI) and social determinants of health, based on the experience of the Brazilian Observatory on Health Inequities (BOHI) that has been successfully operating since 2010 at the Fundaçao Oswaldo Cruz (FIOCRUZ). Methods: A three-stage methodology for the creation of an OHI was developed based on a literature review on the following topics: SDH, HI measurement, and the process of setting-up of health observatories; followed by semi-structured interviews with key informants from the BOHI. We describe the three stages and discuss the replicability of this methodology in other Latin American countries. We also carried out a search of suitable national information systems to feed an OHI in Mexico, along with an outline of the institutional infrastructure to sustain it. Results: When implementing the methodology f ...
Autoría
German Guerra, Elis Borde, V. Nelly Salgado de Snyder
Datos fuente
International Journal for Equity in HealthThe official journal of the International Society for Equity in Health201615:9 DOI: 10.1186/s12939-016-0297-9
Tipo
  • Comunicaciones/Informes/Artículos (individual)
Publicado en ODS
2016-02-23
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