Rumo a uma cobertura universal de saúde e equidade na América Latina e no Caribe
Rumo a uma cobertura universal de saúde e equidade na América Latina e no Caribe

Author: Tania Dmytraczenko

Publisher: World Bank Publications

Published: 2016-07-27

Total Pages: 236

ISBN-13: 1464809216

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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.

Gender Equity in Health
Gender Equity in Health

Author: Gita Sen

Publisher: Routledge

Published: 2009-10-16

Total Pages: 341

ISBN-13: 1135238162

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This volume brings together leading researchers from a variety of disciplines to examine three areas: health disparities and inequity due to gender, the specific problems women face in meeting the highest attainable standards of health, and the policies and actions that can address them.

Developments in Demography in the 21st Century
Developments in Demography in the 21st Century

Author: Joachim Singelmann

Publisher: Springer Nature

Published: 2020-02-24

Total Pages: 330

ISBN-13: 3030264920

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This book introduces demographic applications which employ current demographic concepts and theories and cutting-edge methods and findings, all of which have and will continue to have an impact in the broad area of social demography. Through providing an introduction to new and current developments in demography, methodological and statistical issues, data issues, issues of health, aging and mortality, and issues in social demography, this book gives new insights into data, substantive issues, and methodological approaches that will assist readers in their use of demography in their research. At the same time it shows demographers, sociologists, economists, statisticians, methodologists, planners, and marketers how they may learn and improve upon the quality and relevance of their demographic investigations now and in the future.

Education, Human Rights and Peace in Sustainable Development
Education, Human Rights and Peace in Sustainable Development

Author: Maigul Nugmanova

Publisher: BoD – Books on Demand

Published: 2020-11-19

Total Pages: 321

ISBN-13: 1839690410

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The aim of sustainable development is to balance our economic, environmental and social needs, allowing prosperity for current and future generations. Countries must be allowed to meet their basic needs of employment, food, energy, water and sanitation. There is a clear relationship between the three topics of the book: right to education has been recognized as a human right - education has a role in peace-building. Additionally, education, human rights and peace have a significant role in sustainable development. The United Nations have defined a broad range of internationally accepted rights, including civil, cultural, economic, political and social rights. However, this book demonstrates that there are still people and nations not respecting the Universal Declaration of Human Rights. Chapters from Brazil, Cameroon, Ethiopia, Kazakhstan, Israel, Peru, Russia and South-Africa cover topics like civil war, human abuses, the vulnerability of indigenous people, abortion, epilepsy, food security, lack of health equities in maternal and child health, and democracy or lack of it. We sincerely hope that this book will contribute to the joint pursuit of humanity to make the world better after we all get over the coronavirus pandemic.

Social Exclusion and Mobility in Brazil
Social Exclusion and Mobility in Brazil

Author: Estanislao Gacit©ða-Mari©?

Publisher: World Bank Publications

Published: 2008

Total Pages: 162

ISBN-13: 0821372203

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Brazil is a country of sharp disparities. The gap between the richest and the poorest citizens is one of the largest in the world. Inequality in Brazil is well-known, but its low mobility is not. Until now, few studies have sought to investigate how forms of social exclusion constrain socioeconomic mobility. Why do particular groups remain excluded and trapped in poverty for generations? What do Brazilians themselves think about income inequality and social mobility? This study explores these issues, provides a set of options to redress them, and promotes a national dialogue for action. In addi.

Women's Activism in Latin America and the Caribbean
Women's Activism in Latin America and the Caribbean

Author: Elizabeth Maier

Publisher: Rutgers University Press

Published: 2010

Total Pages: 398

ISBN-13: 0813547288

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"This is a very exciting collection that will fill an important gap in what has emerged in comparative studies of women and Latin American democracies. Maier and Lebon provide provocative overview essays, and the chapters trace a range of cases from Argentina and Brazil to Nicaragua and Venezuela, showing how institutions. leaders and culture all shape the opportunities and challenges women face."---Jane Jaquette, editor of Feminist Agendas and Democracy in Latin America --

Race in Another America
Race in Another America

Author: Edward E. Telles

Publisher: Princeton University Press

Published: 2014-04-24

Total Pages: 337

ISBN-13: 140083743X

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This is the most comprehensive and up-to-date book on the increasingly important and controversial subject of race relations in Brazil. North American scholars of race relations frequently turn to Brazil for comparisons, since its history has many key similarities to that of the United States. Brazilians have commonly compared themselves with North Americans, and have traditionally argued that race relations in Brazil are far more harmonious because the country encourages race mixture rather than formal or informal segregation. More recently, however, scholars have challenged this national myth, seeking to show that race relations are characterized by exclusion, not inclusion, and that fair-skinned Brazilians continue to be privileged and hold a disproportionate share of wealth and power. In this sociological and demographic study, Edward Telles seeks to understand the reality of race in Brazil and how well it squares with these traditional and revisionist views of race relations. He shows that both schools have it partly right--that there is far more miscegenation in Brazil than in the United States--but that exclusion remains a serious problem. He blends his demographic analysis with ethnographic fieldwork, history, and political theory to try to "understand" the enigma of Brazilian race relations--how inclusiveness can coexist with exclusiveness. The book also seeks to understand some of the political pathologies of buying too readily into unexamined ideas about race relations. In the end, Telles contends, the traditional myth that Brazil had harmonious race relations compared with the United States encouraged the government to do almost nothing to address its shortcomings.