PMID: 9178414Jun 1, 1997Paper

Health care allocation and selective neglect in rural Peru

Social Science & Medicine
A C Larme

Abstract

This study of health care allocation to children in northern Puno, Peru, utilizes quantitative and qualitative data to explore differential resource allocation to children in rural Andean households. As part of a broader ethnographic study of health in two communities, quantitative data on reported health status, symptoms, and treatments (both lay and specialist) were collected for 23 children under the age of 7 over a one year period. Additional data were collected from local health post records. Data were analyzed by gender, and by three age groups (birth to 1 year, 1-3 years, 4-6 years) to determine if differences existed in the allocation of health care. The data suggest a pattern of discrimination against females and younger children, especially infants under age one, despite the fact that these groups were reported to be sicker. Differences were especially significant in the allocation of biomedical treatments, the most costly in terms of parental time, effort, and money. Ethnographic data on child illness, gender, and developmental concepts help to explain why children of different genders and ages may be treated differently in the rural andes. They provide a context in which to interpret health care allocation data, and...Continue Reading

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Citations

Mar 27, 2001·Social Science & Medicine·P Allotey, D Reidpath
Sep 2, 1998·Social Science & Medicine·A C Larme
Dec 18, 2013·Archives of Disease in Childhood·Rohan KheraSivasubramanian Ramakrishnan
Nov 22, 2008·Social Science & Medicine·Caroline de HilariKirk A Dearden
Nov 7, 2015·Early Human Development·Victor Grech
Nov 29, 2011·American Journal of Physical Anthropology·Giuseppe Vercellotti, Barbara A Piperata
Oct 26, 2016·World Neurosurgery·Joham Choque-VelasquezJuha Hernesniemi
Jan 10, 2017·Psychology, Health & Medicine·P S LillestonJ McCleary-Sills
Nov 22, 2018·Journal of Ethnobiology and Ethnomedicine·Madalena MontebanBenedicta Yucra Velasquez
May 1, 2021·International Journal of Environmental Research and Public Health·Vânia de la Fuente-NúñezLiat Ayalon

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