Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil

Detalhes bibliográficos
Autor(a) principal: Rasella, Davide
Data de Publicação: 2016
Outros Autores: Machado, Daiane Borges, Castellanos, Marcelo Eduardo Pfeirrer, Paim, Jairnilson Silva, Szwarcwald, Celia Landmann, Lima, Diana, Magno, Laio, Pedrana, Leo, Medina, Maria Guadalupe, Penna, Gerson Oliveira, Barreto, Maurício Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/16552
Resumo: CAPES
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spelling Rasella, DavideMachado, Daiane BorgesCastellanos, Marcelo Eduardo PfeirrerPaim, Jairnilson SilvaSzwarcwald, Celia LandmannLima, DianaMagno, LaioPedrana, LeoMedina, Maria GuadalupePenna, Gerson OliveiraBarreto, Maurício Lima2016-12-15T16:58:40Z2016-12-15T16:58:40Z2016RASELLA, D. et al. Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil. Glob Health Action, v. 9, p. 29042, 2016.1654-9716https://www.arca.fiocruz.br/handle/icict/1655210.3402/gha.v9.29042CAPESFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Brasília, DF, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFundação Oswaldo Cruz. Fiocruz. ICICT. Rio de Janeiro, RJ, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFundação Oswaldo Cruz. Brasília, DF, Brasil / University of Brasilia. Nucléo de Medicina Tropical. Brasilia, DF, BrasilFederal University of Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilThe importance of the social determinants of health (SDH) and barriers to the access and utilization of healthcare have been widely recognized but not previously studied in the context of universal healthcare coverage (UHC) in Brazil and other developing countries. Objective: To evaluate a set of proposed indicators of SDH and barriers to the access and utilization of healthcare proposed by the SDH unit of the World Health Organization with respect to their relevance in tracking progress in moving toward equitable population health and UHC in Brazil. Design: This study had a mixed methodology, combining a quantitative analysis of secondary data from governmental sources with a qualitative study comprising two focus group discussions and six key informant interviews. The set of indicators tested covered a broad range of dimensions classified by three different domains: environment quality; accountability and inclusion; and livelihood and skills. Indicators were stratified according to income quintiles, urbanization, race, and geographical region. Results: Overall, the indicators were adequate for tracking progress in terms of the SDH, equity, gender, and human rights in Brazil. Stratifications showed inequalities. The qualitative analysis revealed that many of the indicators were well known and already used by policymakers and health sector managers, whereas others were considered less useful in the Brazilian context. Conclusions: Monitoring and evaluation practices have been developed in Brazil, and the set of indicators assessed in this study could further improve these practices, especially from a health equity perspective. Socioeconomic inequalities have been reduced in Brazil in the last decade, but there is still much work to be done in relation to addressing the SDH.engCo-Action PublishingAcompanhamentoDeterminantes sociais da saúdeDesigualdadeCapital próprioCobertura universal de saúdeMonitoringSocial determinants of healthInequalityEquityuniversal healthcare coverageAssessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/16552/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALRasella D Assessing the relevance....pdfRasella D Assessing the 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dc.title.pt_BR.fl_str_mv Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
title Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
spellingShingle Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
Rasella, Davide
Acompanhamento
Determinantes sociais da saúde
Desigualdade
Capital próprio
Cobertura universal de saúde
Monitoring
Social determinants of health
Inequality
Equity
universal healthcare coverage
title_short Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
title_full Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
title_fullStr Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
title_full_unstemmed Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
title_sort Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil
author Rasella, Davide
author_facet Rasella, Davide
Machado, Daiane Borges
Castellanos, Marcelo Eduardo Pfeirrer
Paim, Jairnilson Silva
Szwarcwald, Celia Landmann
Lima, Diana
Magno, Laio
Pedrana, Leo
Medina, Maria Guadalupe
Penna, Gerson Oliveira
Barreto, Maurício Lima
author_role author
author2 Machado, Daiane Borges
Castellanos, Marcelo Eduardo Pfeirrer
Paim, Jairnilson Silva
Szwarcwald, Celia Landmann
Lima, Diana
Magno, Laio
Pedrana, Leo
Medina, Maria Guadalupe
Penna, Gerson Oliveira
Barreto, Maurício Lima
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rasella, Davide
Machado, Daiane Borges
Castellanos, Marcelo Eduardo Pfeirrer
Paim, Jairnilson Silva
Szwarcwald, Celia Landmann
Lima, Diana
Magno, Laio
Pedrana, Leo
Medina, Maria Guadalupe
Penna, Gerson Oliveira
Barreto, Maurício Lima
dc.subject.other.pt_BR.fl_str_mv Acompanhamento
Determinantes sociais da saúde
Desigualdade
Capital próprio
Cobertura universal de saúde
topic Acompanhamento
Determinantes sociais da saúde
Desigualdade
Capital próprio
Cobertura universal de saúde
Monitoring
Social determinants of health
Inequality
Equity
universal healthcare coverage
dc.subject.en.pt_BR.fl_str_mv Monitoring
Social determinants of health
Inequality
Equity
universal healthcare coverage
description CAPES
publishDate 2016
dc.date.accessioned.fl_str_mv 2016-12-15T16:58:40Z
dc.date.available.fl_str_mv 2016-12-15T16:58:40Z
dc.date.issued.fl_str_mv 2016
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv RASELLA, D. et al. Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil. Glob Health Action, v. 9, p. 29042, 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/16552
dc.identifier.issn.pt_BR.fl_str_mv 1654-9716
dc.identifier.doi.none.fl_str_mv 10.3402/gha.v9.29042
identifier_str_mv RASELLA, D. et al. Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil. Glob Health Action, v. 9, p. 29042, 2016.
1654-9716
10.3402/gha.v9.29042
url https://www.arca.fiocruz.br/handle/icict/16552
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Co-Action Publishing
publisher.none.fl_str_mv Co-Action Publishing
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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