Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681 |
Resumo: | This article evaluates government measures to reduce inequity in the health sector in Belo Horizonte from 1993 to 1997. Our hypothesis is that a municipal administration committed to equity can reduce disparities in health with the support of the Unified National Health System (SUS). The methodology used an urban quality of life index in Belo Horizonte to detect social inequalities in living conditions, as well as differences between the component indices in the infant mortality rate. Other municipal measures were assessed according to the investment resulting from the implementation of a participatory local budget and open planning process. The urban quality of life index appeared to be an appropriate measure for orienting municipal administration. The infant mortality rate proved to be a good indicator for measuring inequality in health. There was a reduction in IMR and mortality reducing gaps in the districts studied. We observed greater investment of physical and financial resources in the districts with the lowest urban quality of life index, and it can thus be stated that the municipal administration reduced the prevailing inequalities. |
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Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997EquidadCondiciones de VidaPolítica de SaludEvaluación de Acciones de Salud PúblicaThis article evaluates government measures to reduce inequity in the health sector in Belo Horizonte from 1993 to 1997. Our hypothesis is that a municipal administration committed to equity can reduce disparities in health with the support of the Unified National Health System (SUS). The methodology used an urban quality of life index in Belo Horizonte to detect social inequalities in living conditions, as well as differences between the component indices in the infant mortality rate. Other municipal measures were assessed according to the investment resulting from the implementation of a participatory local budget and open planning process. The urban quality of life index appeared to be an appropriate measure for orienting municipal administration. The infant mortality rate proved to be a good indicator for measuring inequality in health. There was a reduction in IMR and mortality reducing gaps in the districts studied. We observed greater investment of physical and financial resources in the districts with the lowest urban quality of life index, and it can thus be stated that the municipal administration reduced the prevailing inequalities.El artículo evalúa el resultado de las acciones del gobierno en la reducción de las desigualdades en el ámbito sanitario en Belo Horizonte de 1993 a 1997. La hipótesis es que un gobierno municipal comprometido con la equidad puede reducir desigualdades, apoyándose en el Sistema Único de Salud. Trabajamos con el Índice de Calidad de Vida Urbana (IQVU), usado en el municipio para reconocer las desigualdades en las condiciones de vida y el diferencial de los coeficientes de mortalidad infantil (CMI), neonatal e pos-neonatal en los nueve distritos sanitarios. Otras acciones fueron medidas por la ejecución de obras municipales, por medio del Presupuesto Participativo y la Programación Abierta. El IQVU se mostró apropiado para orientar la acción del gestor municipal. El CMI se mostró un buen indicador para medir la desigualdad en salud. Hubo reducción del CMI y de las brechas de mortalidad en los distritos estudiados. Verificamos mayor inversión de recursos físicos y financieros en los distritos de IQVU más bajo, pudiéndose afirmar que en el estudiado, el gobierno municipal redujo desigualdades.Reports in Public HealthCadernos de Saúde Pública2002-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681Reports in Public Health; Vol. 18 No. 4 (2002): July/AugustCadernos de Saúde Pública; v. 18 n. 4 (2002): Julho/Agosto1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681/3350https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681/3351Junqueira, VirginiaPessoto, Umberto CatarinoKayano, JorgeNascimento, Paulo RobertoCastro, Iracema Ester do NascimentoRocha, Jucilene Leite daTerence, Marcelo FernandoBoaretto, Roberta CristinaIbanhes, Lauro CesarCortizo, Carlos TatoHeimann, Luiza Stermaninfo:eu-repo/semantics/openAccess2024-03-06T15:26:34Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/1681Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:01:58.514099Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 |
title |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 |
spellingShingle |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 Junqueira, Virginia Equidad Condiciones de Vida Política de Salud Evaluación de Acciones de Salud Pública |
title_short |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 |
title_full |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 |
title_fullStr |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 |
title_full_unstemmed |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 |
title_sort |
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997 |
author |
Junqueira, Virginia |
author_facet |
Junqueira, Virginia Pessoto, Umberto Catarino Kayano, Jorge Nascimento, Paulo Roberto Castro, Iracema Ester do Nascimento Rocha, Jucilene Leite da Terence, Marcelo Fernando Boaretto, Roberta Cristina Ibanhes, Lauro Cesar Cortizo, Carlos Tato Heimann, Luiza Sterman |
author_role |
author |
author2 |
Pessoto, Umberto Catarino Kayano, Jorge Nascimento, Paulo Roberto Castro, Iracema Ester do Nascimento Rocha, Jucilene Leite da Terence, Marcelo Fernando Boaretto, Roberta Cristina Ibanhes, Lauro Cesar Cortizo, Carlos Tato Heimann, Luiza Sterman |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Junqueira, Virginia Pessoto, Umberto Catarino Kayano, Jorge Nascimento, Paulo Roberto Castro, Iracema Ester do Nascimento Rocha, Jucilene Leite da Terence, Marcelo Fernando Boaretto, Roberta Cristina Ibanhes, Lauro Cesar Cortizo, Carlos Tato Heimann, Luiza Sterman |
dc.subject.por.fl_str_mv |
Equidad Condiciones de Vida Política de Salud Evaluación de Acciones de Salud Pública |
topic |
Equidad Condiciones de Vida Política de Salud Evaluación de Acciones de Salud Pública |
description |
This article evaluates government measures to reduce inequity in the health sector in Belo Horizonte from 1993 to 1997. Our hypothesis is that a municipal administration committed to equity can reduce disparities in health with the support of the Unified National Health System (SUS). The methodology used an urban quality of life index in Belo Horizonte to detect social inequalities in living conditions, as well as differences between the component indices in the infant mortality rate. Other municipal measures were assessed according to the investment resulting from the implementation of a participatory local budget and open planning process. The urban quality of life index appeared to be an appropriate measure for orienting municipal administration. The infant mortality rate proved to be a good indicator for measuring inequality in health. There was a reduction in IMR and mortality reducing gaps in the districts studied. We observed greater investment of physical and financial resources in the districts with the lowest urban quality of life index, and it can thus be stated that the municipal administration reduced the prevailing inequalities. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681/3350 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1681/3351 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 18 No. 4 (2002): July/August Cadernos de Saúde Pública; v. 18 n. 4 (2002): Julho/Agosto 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943349656256512 |