Examinando por Materia "Inequidades en Salud"

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Acceso abierto
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.
Acceso abierto
Factores sociales y económicos que determinan el acceso a servicios de salud de los beneficiarios de programas sociales en el Perú: tendencias de desigualdades 2015-2019
(Universidad Privada Norbert Wiener, 2023-02-10) Gutiérrez Aguado, Alfonso Julián; Benites Castillo, Santiago Moises
Objective: Analyze the influence of social and economic factors on the access to health services of the beneficiaries of the Social Programs in Peru and estimate the trends of inequalities between the years 2015-2019. Methods: it is a non-experimental study, with a quantitative approach, taking as a reference the National Household Survey (ENAHO) between the years 2015 and 2019. The variables of the study were the access to health services (ASeSa) of the beneficiaries. of social programs, the second variable was the social factors according to gender, age group, area where they reside, race and natural region. The third variable considered economic factors, such as employment (EAP) and the well-being quintile. Inequalities were measured with concentration curves (CC) and concentration index (CI). Results: 17,693 (2015) and 18,252 (2019) participants were included. The percentage of people who accessed health services and are beneficiaries of some social program was 48.6% (2015) and 47.6% (2019). The AseSa in beneficiaries of the JUNTOS, CUNAMAS and Pension 65 programs reported an increase in social factors, such as females, children under 18 years of age, those who live in urban areas, live in the jungle, Quechua race and related With economic factors, the ASeSa increased in the EAP and in high well-being quintiles. In the inequality analysis, it is shown that there are socioeconomic inequalities in ASeSa between 2015 and 2019. Conclusions: Social and economic factors are associated with access to health services. The socioeconomic inequalities of the beneficiaries of the social programs (JUNTOS, CUNAMAS and Pension 65) did not change between 2015 and 2019, in contrast to the budget increase in the Results-Based Budget Programs (PENSION 95 and CUNAMAS).