Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Equity of access to maternal health interventions in Brazil and Colombia: a retrospective study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, 2002-
    • Subject Terms:
    • Abstract:
      Background: Reducing maternal mortality is a top priority in Latin American countries. Despite the progress in maternal mortality reduction, Brazil and Colombia still lag behind countries at similar levels of development.
      Methods: Using data from the Demographic Health Survey, this study quantified and compared, by means of concentration indices, the socioeconomic-related inequity in access to four key maternal health interventions in Brazil and Colombia. Decomposition analysis of the concentration index was used for two indicators - skilled attendance at birth and postnatal care in Brazil.
      Results: Coverage levels of the four key maternal health interventions were similar in the two countries. More specifically, we found that coverage of some of the interventions (e.g. ante-natal care and skilled birth assistance) was higher than 90% in both countries. Nevertheless, the concentration index analysis pointed to significant pro-rich inequities in access in all four key interventions in both countries. Interestingly, the analysis showed that Colombia fared slightly better than Brazil in terms of equity in access of the interventions studied. Finally, the decomposition analysis for the presence of a skilled attendant at birth and postnatal care in Brazil underlined the significance of regional disparities, wealth inequalities, inequalities in access to private hospitals, and inequalities in access to private health insurance.
      Conclusions: There are persistent pro-rich inequities in access to four maternal health interventions in both Brazil and Colombia. The decomposition analysis conducted on Brazilian data suggests the existence of disparities in system capacity and quality of care between the private and the public health services, resulting in inequities of access to maternal health services.
    • References:
      Rev Saude Publica. 2011 Aug;45(4):635-43. (PMID: 21670862)
      Lancet. 2012 Mar 31;379(9822):1225-33. (PMID: 22464386)
      Lancet. 2006 Sep 30;368(9542):1189-200. (PMID: 17011946)
      Lancet. 2006 Oct 7;368(9543):1284-99. (PMID: 17027735)
      Health Econ. 2005 Apr;14(4):429-32. (PMID: 15495147)
      J Health Soc Behav. 1995 Mar;36(1):1-10. (PMID: 7738325)
      Health Aff (Millwood). 2009 May-Jun;28(3):853-63. (PMID: 19414898)
      Int J Equity Health. 2016 Nov 17;15(1):149. (PMID: 27852276)
      Health Policy Plan. 2002 Jun;17(2):131-43. (PMID: 12000773)
      Cad Saude Publica. 2008 Dec;24(12):2909-18. (PMID: 19082282)
      Bull World Health Organ. 2005 Feb;83(2):127-34. (PMID: 15744405)
      Health Policy. 2011 Dec;103(2-3):149-59. (PMID: 21816501)
      Cad Saude Publica. 2004 Sep-Oct;20(5):1281-9. (PMID: 15486671)
      Cad Saude Publica. 2014 Aug;30 Suppl 1:S1-16. (PMID: 25167169)
      Health Policy Plan. 1996 Mar;11(1):1-15. (PMID: 10155875)
      Reprod Health. 2016 Oct 17;13(Suppl 3):128. (PMID: 27766941)
      Lancet. 2006 Oct 28;368(9546):1535-41. (PMID: 17071287)
      Cad Saude Publica. 2014 Aug;30 Suppl 1:S1-12. (PMID: 25167176)
      Rev Saude Publica. 2005 Feb;39(1):100-7. (PMID: 15654466)
      Soc Sci Med. 1994 Apr;38(8):1091-110. (PMID: 8042057)
      Health Econ. 2004 Jul;13(7):629-47. (PMID: 15259043)
      Cad Saude Publica. 2014 Aug;30 Suppl 1:S1-15. (PMID: 25167175)
      Cad Saude Publica. 2014 Aug;30 Suppl 1:S1-15. (PMID: 25167194)
      Soc Sci Med. 1991;33(5):545-57. (PMID: 1962226)
      CMAJ. 2006 Jan 17;174(2):177-83. (PMID: 16415462)
      Rev Panam Salud Publica. 2014 Jan;35(1):15-22. (PMID: 24626443)
      Bull World Health Organ. 2000;78(1):19-29. (PMID: 10686730)
      Int J Health Serv. 1992;22(3):429-45. (PMID: 1644507)
      Lancet. 2011 May 28;377(9780):1863-76. (PMID: 21561656)
    • Contributed Indexing:
      Keywords: Access to healthcare; Brazil; Colombia; Concentration index; Inequity; Maternal mortality
    • Publication Date:
      Date Created: 20180413 Date Completed: 20181126 Latest Revision: 20240314
    • Publication Date:
      20240314
    • Accession Number:
      PMC5896161
    • Accession Number:
      10.1186/s12939-018-0752-x
    • Accession Number:
      29642907