Doctorado en Salud

URI permanente para esta colecciónhttps://hdl.handle.net/20.500.13053/691

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Examinando Doctorado en Salud por Autor "Avila Vargas Machuca, Jeannette Giselle"

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    Desigualdad en la Mortalidad Neonatal del Perú asociada a la pobreza, educación y afiliación a seguro de salud. Perú, 2011 – 2019
    (Universidad Privada Norbert Wiener, 2022-01-27) Avila Vargas Machuca, Jeannette Giselle; Benites Castillo, Santiago Moises
    The objective was to evaluate the magnitude and trend of inequality in the Neonatal Mortality Rate (NMR) generated by poverty, education and affiliation to health insurance, between departments of Peru, years 2011-2019. We did an ecological study based on the analysis of social inequalities in health. We calculate absolute (GA), relative (GR) inequality gap metrics and social gradient metrics: Slope Inequality Index (SII) and Health Concentration Index (CI). We use population survey data. We found higher NMR in departments with greater poverty, less education and greater affiliation to health insurance. About the NMR generated by poverty, GA went from 8.13 to 2.24 between 2011-2019 and the GR went from 2.08 to 1.31. The GA of the NMR according to education went from 6.08 to 2.31 and the GR from 1.83 to 1.28. The SII for 2019 was -4.03 for poverty, -3.74 for education and 2.90 for affiliation to health insurance. The CI registered values close to zero and with a tendency to decrease; 0.07 for poverty, 0.06 for education and 0, 05 for health insurance affiliation. We conclude that social inequality in neonatal mortality registered among the departments of Peru decreased between 2011 and 2019, reaching values of low magnitude. The Ministry of Health must continue to reduce neonatal mortality by promoting interventions with a greater population focus.