Author: Tania Dmytraczenko Publisher: World Bank Publications ISBN: 1464811784 Category : Medical Languages : en Pages : 239
Book Description
En las ultimas tres decadas, muchos pafses en America Latina y el Caribe han reconocido el tema de la salud como un derecho humano. Desde inicios de la decada del 2000, 46 millones de personas adicionales, de los pafses estudiados, gozan de la protecci6n de programas de salud con explfcitos derechos a recibir atenci6n. Las reformas han venido acompafiadas por un incremento en el gasto publico del sector salud, financiado en gran pa rte por los ingresos fiscales generales que priorizan o estan dirigidos explfcitamente hacia las poblaciones sin capacidad de pago. Los compromisos polfticos se han traducido en general en presupuestos mas elevados yen leyes aprobadas que circunscriben los fondos destinados al sector salud. En la mayorfa de los pafses se ha priorizado la atenci6n primaria en salud por su costo efectividad y han adoptado metodos de adquisici6n que incentivan la eficiencia y la transparencia en los resultados y que les dan a los administradores del sector salud un mayor apalancamiento para dirigir a los proveedores hacia la . consecuci6n de las prioridades de salud publica. Sin embargo, a pesar de los avances. aun subsisten las disparidades en el financiamiento y calidad de los servicios de los subsistemas de salud. Cumplir con el compromiso de la cobertura universal de salud exigira esfuerzos concertados para mejorar la generaci6n de los ingresos fiscales de manera sostenible y de elevar la productividad y efectividad del gasto. En el re po rte Hacia la cobertura universal en salud v la equidad en America Latina v el Caribe: Evidencia de poises seleccionados. los autores sefialan que la evidencia tomada de un analisis de 54 encuestas de hogares corrobora que las inversiones en la ampliaci6n de la cobertura estan generando resultados. A pesar que los pobres aun presentan los peores fndices de salud en comparaci6n con los ricos, las disparidades se han reducido en gran medida, especialmente durante las primeras etapas de vida. Los pafses han alcanzado elevados niveles de cobertura y equidad en la utilizaci6n de los servicios de salud maternoinfantil. El panorama se torna mas lleno de matices y no tan positivo cuando se trata de la salud en adultos y de la prevalencia de condiciones y enfermedades cr6nicas. La cobertura de las intervenciones de enfermedades no transmisibles no es muy alta y la utilizaci6n de los servicios se inclina hacia aquellos que gozan de una mejor posici6n. La prevalencia de las enfermedades no transmisibles no ha mostrado el comportamiento esperado en vista de la cafda en las tasas de mortalidad: un mayor acceso a los servicios de diagn6stico por pa rte de los segmentos mas ricos podrfa encubrir cambios en la prevalencia real. Los gastos de salud provocados por situaciones catastr6ficas han ido en descenso en la mayorfa de los pafses. El panorama en torno a la equidad, sin embargo es mixto, apuntando hacia limitaciones en la medida. Si bien la tasa de empobrecimiento a causa de gastos de salud es baja, con tendencia decreciente en terminos generales, entre dos y cuatro millones de personas en los pafses estudiados aun caen por debajo de la lfnea de la pobreza despues de haber incurrido en gastos de salud. Los esfuerzos para darle un seguimiento sistematico a la calidad de la atenci6n en la region, apenas dan sus primeros pasos. Sin embargo, un repaso a la literatura revela graves deficiencias en la calidad de la atenci6n de salud, asi como sustanciales diferencias entre los diversos subsistemas. Elevar la calidad de la atenci6n y asegurar la sostenibilidad de las inversiones en salud siguen siendo una agenda inconclusa.
Author: Bárbara A. Willaarts Publisher: Routledge ISBN: 1134682875 Category : Technology & Engineering Languages : en Pages : 497
Book Description
This volume provides an analytical and facts-based overview on the progress achieved in water security in Latin America and the Caribbean (LAC) region over during the last decade, and its links to regional development, food security and human well-being. Although the book takes a regional approach, covering a vast of data pertaining to most of the LAC region, some chapters focus on seven countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico and Peru). A full understanding of LAC’s trends progress requires framing this region in the global context: an ever more globalized world where LAC has an increasing geopolitical power and a growing presence in international food markets. The book’s specific objectives are: (1) exploring the improvements and links between water and food security in LAC countries; (2) assessing the role of the socio-economic ‘megatrends’ in LAC, identifying feedback processes between the region’s observed pattern of changes regarding key biophysical, economic and social variables linked to water and food security; and (3) reviewing the critical changes that are taking place in the institutional and governance water spheres, including the role of civil society, which may represent a promising means to advancing towards the goal of improving water security in LAC. The resulting picture shows a region where recent socioeconomic development has led to important advances in the domains of food and water security. Economic growth in LAC and its increasingly important role in international trade are intense in terms of use of natural resources such as land, water and energy. This poses new and important challenges for sustainable development. The reinforcement of national and global governance schemes and their alignment on the improvement of human well-being is and will remain an inescapable prerequisite to the achievement of long-lasting security. Supporting this bold idea with facts and science-based conclusions is the ultimate goal of the book.
Author: Pan American Health Organization Publisher: Pan American Health Org ISBN: 9275115877 Category : America Languages : en Pages : 593
Book Description
The 2002 edition of this quadrennial publication presents a regional analysis of the health situation and trends in the Americas region, as well as for each of the 47 countries and territories in the region. It is published in two volumes and covers mainly the years from 1997-2000. This edition focuses upon the inequalities in health. Volume One looks at issues dealing with leading health and health-related indicators, ranging from mortality and changes in life expectancy to the relationship between health and income distribution. It also considers current health conditions and trends including disease prevention and control, health promotion and environmental protection. Volume Two examines each country's overall health conditions, including institutional organisation, health regulations and the overall operation of health services.
Author: Natália Sátyro Publisher: Springer Nature ISBN: 3030612708 Category : Political Science Languages : en Pages : 361
Book Description
This book explores the scope of reforms and changes in the social protection systems in Latin America that have started at the beginning of the 21st century. It describes how and to what extent changes in social protection systems and social policies have occurred in the region in recent decades. Taking a comparative approach, the volume identifies the triggers for the transformations and how such pressures are received by the welfare regime, or a specific policy sector, to finally yield a given type of reform. The analysis is characterized by the presence of certain factors that explain the development of social protection systems in Latin America, such as economic growth, the consolidation of democratic political regimes, and the region’s Left Turns. The book also examines to what extent common challenges and processes induced by international institutions have led to convergence among countries or welfare regimes, or whether each maintains its own identity.
Author: Walter Leal Filho Publisher: Springer Nature ISBN: 3031160177 Category : Science Languages : en Pages : 1692
Book Description
This volume provides an overview of the ways sustainable development issues as a whole, and the SDGs in particular, are perceived and practiced in a variety of countries in the Latin America and Caribbean region. It also discusses the extent to which its many socio-economic problems hinder progresses towards the pursuit of a sustainable future, and documents successful experiences from across the region. This book is part of the "100 papers to accelerate the implementation of the UN Sustainable Development Goals initiative".
Author: Ulrike Boehmer Publisher: Springer Nature ISBN: 3031065859 Category : Medical Languages : en Pages : 331
Book Description
Lesbian, Gay, Bisexual, and Transgender (LGBT) also known as sexual and gender minority (SGM) populations have been the focus of global attention. Most importantly, LGBT populations have been addressed in the context of human rights in multiple reports and other activities by the United Nations and other international organizations. There is great variation among countries in the recognition of LGBT individuals’ human rights. A global focus on LGBT populations’ health is still limited, with the notable exception of HIV research. This book on LGBT populations and cancer in the global context is, therefore, an important step in that it will broaden the focus on LGBT populations’ health. Globally, cancer is the second leading cause of death. Cancer morbidity and mortality are increasing disproportionately among populations in lower-income countries. A review conducted by the World Health Organization (WHO) found that of the 82% of member states (158) countries, only 35% of the national cancer control plans addresses vulnerable population, including LGBT populations. These findings reflect an increasing awareness about equity when addressing cancer prevention and control, including LGBT populations. This book addresses LGBT populations’ cancer burden across countries that range from high- to low-income countries to support efforts in diverse countries that are working towards reducing LGBT populations’ cancer burden. It documents place-specific challenges that impede progress towards reducing the LGBT cancer burden as well as critically assesses the variation in cancer control efforts that target LGBT populations and cancer to support progress at a global scale. This book includes six sections that cover the six WHO regions, with each chapter written by an author from the specific region s/he is covering. Each chapter makes use of a template that contextualizes the region, local data collection/availability, risk factors, cancer prevention, detection, diagnosis, treatment, and survivorship.
Author: Publisher: Pan American Health Org ISBN: 9275115826 Category : Caribbean Area Languages : en Pages : 315
Book Description
This publication considers the final reports of three research projects that explored how investing in health can benefit economic growth, household productivity, and poverty reduction in Latin America and the Caribbean. It contains case studies of health systems and policies in a number of countries including Brazil, Jamaica, Mexico and Peru; as well as a review of experiences from other regions in the world regarding health inequalities and poverty alleviation.
Author: Eliot Sorel Publisher: Jones & Bartlett Publishers ISBN: 1449627870 Category : Medical Languages : en Pages : 424
Book Description
21st Century Global Mental Health is a textbook for graduate public health students, educators, and practitioners in low-, middle- and high-income countries (LAMIC, HIC). This volume addresses populations global mental health, progress made to date and challenges remaining, in context, along with public health and primary care; focuses on the incre
Author: Tania Dmytraczenko Publisher: World Bank Publications ISBN: 1464809216 Category : Business & Economics Languages : en Pages : 236
Book Description
Nas últimas três décadas, muitos países da América Latina e Caribe reconheceram a saúde como um direito humano. Desde o início dos anos 2000, 46 milhões de pessoas nos países estudados recebem cobertura de programas de saúde com direitos explícitos a atendimento. Essas reformas foram acompanhadas por um aumento do gasto público com saúde, financiado em grande medida pelas receitas gerais que priorizam ou visam explicitamente a população que não tem capacidade de pagamento. O compromisso político em geral se traduziu em orçamentos maiores e na aprovação de legislação que insula recursos para a saúde. Muitos países priorizaram o atendimento de saúde primária com boa relação de custo-benefício e adotaram métodos de pagamento que incentivam a eficiência e a prestação de contas por resultados, proporcionando à s autoridades do setor de saúde mais poder para induzir os prestadores a cumprirem as prioridades de saúde pública. Apesar do progresso, ainda persistem disparidades no financiamento e na prestação de serviços de qualidade entre os subsistemas de saúde. Cumprir o compromisso da cobertura universal de saúde exigirá esforços concertados para melhorar a geração de receitas de formal fiscalmente sustentável e aumentar a produtividade em termos de despesas. Em Rumo a uma Cobertura Universal de Saúde e Equidade na América Latina e Caribe: Evidência de Países Selecionados, os autores mostram que a evidência da análise de 54 pesquisas domiciliares corrobora que os investimentos para ampliar a cobertura de saúde estão gerando resultados. Embora os pobres ainda apresentem resultados de saúde piores que os riscos, as disparidades diminuíram consideravelmente — em particular nos estágios iniciais da vida. Os países alcançaram altos níveis de cobertura e equidade na utilização de serviços de saúde materna e infantil. O quadro tem mais nuanças e não é tão positivo quando se trata da situação de saúde dos adultos e da prevalência de doenças e condições crônicas de saúde. A cobertura para doenças não transmissíveis não é alta e continua a pender mais para os mais abastados. A prevalência de doenças não transmissíveis não ocorreu como esperado, tendo em vista a queda na mortalidade; o melhor acesso a serviços de diagnósticos entre as pessoas mais riscas pode estar mascarando mudanças na prevalência efetiva. Gastos catastróficos com saúde caíram na maior parte dos países. No entanto, o quadro com respeito à equidade é mais misto e indica limitações na medição. Embora a taxa de empobrecimento em razão de gastos com saúde seja baixa ou em declínio, 2 a 4 milhões de pessoas nos países estudados ainda ficam abaixo da linha da pobreza em razões de gastos com saúde. Esforços de monitoramento sistemático da qualidade do atendimento de saúde na região são ainda incipientes. No entanto, a análise da literatura revela deficiências importantes na qualidade da saúde, bem como diferenças substanciais entre os subsistemas. Melhorar a qualidade do atendimento e garantir a sustentabilidade dos investimentos em saúde continuam a ser itens pendentes da agenda.
Author: Tania Dmytraczenko
Author: Bárbara A. Willaarts
Author: Pan American Health Organization
Author: Natália Sátyro
Author: Walter Leal Filho
Author: Ulrike Boehmer
Author: 
Author: Ilán Bizberg
Author: Eliot Sorel
Author: Tania Dmytraczenko