The impact of health interventions on inequalities: infant and child health in Brazil

Autor: Cesar G. Victora, Fernando C. Barros, Vaughan Jp
Rok vydání: 2000
Předmět:
DOI: 10.1093/acprof:oso/9780192631961.003.0006
Popis: This book chapter reports the findings of two population-based birth cohort studies carried out 11 years apart in the Brazilian city of Pelotas. In these studies every child born in the city’s hospitals during 1982 was examined soon after birth and each mother was interviewed. The same thing was done in 1993. Data from this study provide unique data for examining health inequities in the country with the second worst income distribution in the world. The analyses are focused on proximate health sector interventions as opposed to broad changes in public policy that may also have health implications. Overall the data from Pelotas show that the coverage of preventive programs improved particularly for the poorest mothers and children. The gap in malnutrition prevalence also diminished and the mortality gap persisted with the same magnitude although this was due to a combination of a closing gap in mortality of children with an appropriate birth weight and to an increasing gap in the mortality of low birth weight babies. It is expected that the mortality gap will also close since the existing infant mortality rate among the wealthiest category is similar to that found in the lowest mortality counties in the world.
Databáze: OpenAIRE