Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda
OBJECTIVE: To expand the "Countdown to 2015" analyses of health inequalities beyond the 75 countries being monitored worldwide to include all countries in Latin America and the Caribbean (LAC) that have adequate data available. METHODS: Demographic and Health Surveys and Multiple Indicator...
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ftdoajarticles:oai:doaj.org/article:086bbca02f63434184e8e28fcc63f48e 2023-05-15T15:16:46+02:00 Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda María Clara Restrepo-Méndez Aluísio J. D. Barros Jennifer Requejo Pablo Durán Luis Andrés de Francisco Serpa Giovanny V. A. França Fernando C. Wehrmeister Cesar G. Victora 2015-07-01T00:00:00Z https://doaj.org/article/086bbca02f63434184e8e28fcc63f48e EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000600002&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/086bbca02f63434184e8e28fcc63f48e Revista Panamericana de Salud Pública, Vol 38, Iss 1, Pp 09-16 (2015) Salud materno-infantil desigualdades en la salud factores socioeconómicos Objetivos de Desarrollo del Milenio América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2015 ftdoajarticles 2022-12-31T14:44:55Z OBJECTIVE: To expand the "Countdown to 2015" analyses of health inequalities beyond the 75 countries being monitored worldwide to include all countries in Latin America and the Caribbean (LAC) that have adequate data available. METHODS: Demographic and Health Surveys and Multiple Indicator Cluster Surveys were used to monitor progress in health intervention coverage and inequalities in 13 LAC countries, five of which are included in the Countdown (Bolivia, Brazil, Guatemala, Haiti, and Peru) and eight that are not (Belize, Colombia, Costa Rica, Dominican Republic, Guyana, Honduras, Nicaragua, and Suriname). The outcomes included neonatal and under-5 year mortality rates, child stunting prevalence, and the composite coverage index-a weighted average of eight indicators of coverage in reproductive, maternal, newborn, and child health. The slope index of inequality and concentration index were used to assess absolute and relative inequalities. RESULTS: The composite coverage index showed monotonic patterns over wealth quintiles, with lowest levels in the poorest quintile. Under-5 and neonatal mortality as well as stunting prevalence were highest among the poor. In most countries, intervention coverage increased, while under-5 mortality and stunting prevalence fell most rapidly among the poor, so that inequalities were reduced over time. However, Bolivia, Guatemala, Haiti, Nicaragua, and Peru still show marked inequalities. Brazil has practically eliminated inequalities in stunting. CONCLUSIONS: LAC countries presented substantial progress in terms of reducing inequalities in reproductive, maternal, newborn, and child health interventions, child mortality, and nutrition. However, the poorest 20% of the population in most countries is still lagging behind, and renewed actions are needed to improve equity. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Salud materno-infantil desigualdades en la salud factores socioeconómicos Objetivos de Desarrollo del Milenio América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Salud materno-infantil desigualdades en la salud factores socioeconómicos Objetivos de Desarrollo del Milenio América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 María Clara Restrepo-Méndez Aluísio J. D. Barros Jennifer Requejo Pablo Durán Luis Andrés de Francisco Serpa Giovanny V. A. França Fernando C. Wehrmeister Cesar G. Victora Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda |
topic_facet |
Salud materno-infantil desigualdades en la salud factores socioeconómicos Objetivos de Desarrollo del Milenio América Latina Región del Caribe Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To expand the "Countdown to 2015" analyses of health inequalities beyond the 75 countries being monitored worldwide to include all countries in Latin America and the Caribbean (LAC) that have adequate data available. METHODS: Demographic and Health Surveys and Multiple Indicator Cluster Surveys were used to monitor progress in health intervention coverage and inequalities in 13 LAC countries, five of which are included in the Countdown (Bolivia, Brazil, Guatemala, Haiti, and Peru) and eight that are not (Belize, Colombia, Costa Rica, Dominican Republic, Guyana, Honduras, Nicaragua, and Suriname). The outcomes included neonatal and under-5 year mortality rates, child stunting prevalence, and the composite coverage index-a weighted average of eight indicators of coverage in reproductive, maternal, newborn, and child health. The slope index of inequality and concentration index were used to assess absolute and relative inequalities. RESULTS: The composite coverage index showed monotonic patterns over wealth quintiles, with lowest levels in the poorest quintile. Under-5 and neonatal mortality as well as stunting prevalence were highest among the poor. In most countries, intervention coverage increased, while under-5 mortality and stunting prevalence fell most rapidly among the poor, so that inequalities were reduced over time. However, Bolivia, Guatemala, Haiti, Nicaragua, and Peru still show marked inequalities. Brazil has practically eliminated inequalities in stunting. CONCLUSIONS: LAC countries presented substantial progress in terms of reducing inequalities in reproductive, maternal, newborn, and child health interventions, child mortality, and nutrition. However, the poorest 20% of the population in most countries is still lagging behind, and renewed actions are needed to improve equity. |
format |
Article in Journal/Newspaper |
author |
María Clara Restrepo-Méndez Aluísio J. D. Barros Jennifer Requejo Pablo Durán Luis Andrés de Francisco Serpa Giovanny V. A. França Fernando C. Wehrmeister Cesar G. Victora |
author_facet |
María Clara Restrepo-Méndez Aluísio J. D. Barros Jennifer Requejo Pablo Durán Luis Andrés de Francisco Serpa Giovanny V. A. França Fernando C. Wehrmeister Cesar G. Victora |
author_sort |
María Clara Restrepo-Méndez |
title |
Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda |
title_short |
Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda |
title_full |
Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda |
title_fullStr |
Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda |
title_full_unstemmed |
Progress in reducing inequalities in reproductive, maternal, newborn,' and child health in Latin America and the Caribbean: an unfinished agenda |
title_sort |
progress in reducing inequalities in reproductive, maternal, newborn,' and child health in latin america and the caribbean: an unfinished agenda |
publisher |
Pan American Health Organization |
publishDate |
2015 |
url |
https://doaj.org/article/086bbca02f63434184e8e28fcc63f48e |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 38, Iss 1, Pp 09-16 (2015) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000600002&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/086bbca02f63434184e8e28fcc63f48e |
_version_ |
1766347053609254912 |