Unequal development in Public Health

We analyze the evolution of maternal and infant mortality indicators in Argentina for the period 2000-2005. It can be seen that there is not a simultaneous improvement in all of them and even that improvements in some may be accompanied by stagnation or deterioration in others. Furthermore, the good...

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Detalles Bibliográficos
Autores principales: Tafani, Roberto, Gaspio, N., Acevedo, G.
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014
Materias:
Desarrollo en Salud
Indicadores en Salud
Development in Health
Indicators in Health
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/7238
Aporte de:
Revista de Salud Pública de Universidad Nacional de Córdoba
id I10-R360-article-7238
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic Desarrollo en Salud
Indicadores en Salud
Development in Health
Indicators in Health
spellingShingle Desarrollo en Salud
Indicadores en Salud
Development in Health
Indicators in Health
Tafani, Roberto
Gaspio, N.
Acevedo, G.
Unequal development in Public Health
topic_facet Desarrollo en Salud
Indicadores en Salud
Development in Health
Indicators in Health
author Tafani, Roberto
Gaspio, N.
Acevedo, G.
author_facet Tafani, Roberto
Gaspio, N.
Acevedo, G.
author_sort Tafani, Roberto
title Unequal development in Public Health
title_short Unequal development in Public Health
title_full Unequal development in Public Health
title_fullStr Unequal development in Public Health
title_full_unstemmed Unequal development in Public Health
title_sort unequal development in public health
description We analyze the evolution of maternal and infant mortality indicators in Argentina for the period 2000-2005. It can be seen that there is not a simultaneous improvement in all of them and even that improvements in some may be accompanied by stagnation or deterioration in others. Furthermore, the good level reached by some indicators is not enough to prevent their eventual deterioration. Although overall maternal mortality for the country shows a slight improvement, it still constitutes a serious problem in backward areas. Although poor health in women correlates with poverty, the search for a regional typology indicates that the problem goes beyond it. Tierra del Fuego is above the national mean for maternal mortality due to direct obstetrical causes. The provinces of Mendoza, Santa Fe and Río Negro, have a mean value below the national media but the indicator for mortality due to indirect obstetrical causes is above it. The value of the indicators of maternal mortality in provinces with a high per capita product poses questions as to the uncertain results achieved by the health services. In the final section, we have sought to determine the frequency distribution of the output of the public health network in the Province of Misiones (primary level centers and hospitals) , and to analyze the utilization of available facilities for some degree of correlation between services output and maternal and infant mortality rates. Results so far have only confirmed that infant mortality and the rate of use of external consultations are related, as can be seen in the Southern region, which exhibits the highest consultation rate and lowest infant mortality. Something similar occurs in the case of infant mortality for children 1-4 years of age and the consultation rates of sanitary regions. However, this has proved to lack no statistical significance. As regards service output and maternal mortality, no statistically significant relationship was found, save for discharges, but the incidence of these is not clear.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2014
url https://revistas.unc.edu.ar/index.php/RSD/article/view/7238
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spelling I10-R360-article-72382025-04-03T12:07:14Z Unequal development in Public Health Desarrollo desigual en salud Tafani, Roberto Gaspio, N. Acevedo, G. Desarrollo en Salud Indicadores en Salud Development in Health Indicators in Health We analyze the evolution of maternal and infant mortality indicators in Argentina for the period 2000-2005. It can be seen that there is not a simultaneous improvement in all of them and even that improvements in some may be accompanied by stagnation or deterioration in others. Furthermore, the good level reached by some indicators is not enough to prevent their eventual deterioration. Although overall maternal mortality for the country shows a slight improvement, it still constitutes a serious problem in backward areas. Although poor health in women correlates with poverty, the search for a regional typology indicates that the problem goes beyond it. Tierra del Fuego is above the national mean for maternal mortality due to direct obstetrical causes. The provinces of Mendoza, Santa Fe and Río Negro, have a mean value below the national media but the indicator for mortality due to indirect obstetrical causes is above it. The value of the indicators of maternal mortality in provinces with a high per capita product poses questions as to the uncertain results achieved by the health services. In the final section, we have sought to determine the frequency distribution of the output of the public health network in the Province of Misiones (primary level centers and hospitals) , and to analyze the utilization of available facilities for some degree of correlation between services output and maternal and infant mortality rates. Results so far have only confirmed that infant mortality and the rate of use of external consultations are related, as can be seen in the Southern region, which exhibits the highest consultation rate and lowest infant mortality. Something similar occurs in the case of infant mortality for children 1-4 years of age and the consultation rates of sanitary regions. However, this has proved to lack no statistical significance. As regards service output and maternal mortality, no statistically significant relationship was found, save for discharges, but the incidence of these is not clear. Este trabajo analiza la evolución de los indicadores de mortalidad infantil y materna en el período 2000-2005 en Argentina. Se observa que no todos mejoran simultáneamente y que una mejora en algunos puede ir acompañada de estancamiento o retroceso en otros. Se ve también que para esos indicadores el hecho de alcanzar un buen nivel no impide posibles retrocesos. La mortalidad materna, aunque registra una leve mejora total para el país, emerge como un problema serio en algunas zonas rezagadas. Si bien la mala salud de la mujer correlaciona con indicadores relacionados con la pobreza, la búsqueda de una tipología regional indica que el problema la desborda. Tierra del Fuego supera la media nacional de muerte materna por causas obstétricas directas. Las provincias de Mendoza, Santa Fe y Río Negro, aunque se ubican por debajo de la media Nacional, la superan en muertes por causas obstétricas indirectas. La mortalidad materna en provincias con elevado producto per cápita lleva a preguntarse sobre el impacto incierto de los servicios de salud. En la parte final se busca conocer la distribución de frecuencias de la producción de la red de servicios públicos de salud de la Provincia de Misiones, (centros de primer nivel y hospitales), y se analiza la utilización de la capacidad instalada para determinar si existe algún grado de correlación entre la producción de los servicios y la tasa de mortalidad infantil y materna. Los resultados sólo confirman que existe una relación entre la tasa de mortalidad infantil y la tasa de uso de consulta ambulatoria por zona sanitaria. Esto se evidencia en la zona sur, que presenta la mayor tasa de utilización de consulta y la menor tasa de mortalidad infantil. Un fenómeno similar se verifica con la mortalidad de niños de 1 a 4 años y la tasa de uso de consulta ambulatoria por zona sanitaria. Sin embargo estas asociaciones no tuvieron significancia estadística. En lo que hace a la producción de servicios y mortalidad materna no hubo relación estadísticamente significativa, salvo con egresos cuya implicancia resulta de difícil explicación. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014-04-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/7238 10.31052/1853.1180.v11.n1.7238 Revista de Salud Pública; Vol. 11 Núm. 1 (2007); 25-41 1852-9429 1853-1180 10.31052/1853.1180.v11.n1 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/7238/8328 Derechos de autor 1969 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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