Measuring health inequities in low and middle income countries for the development of observatories on inequities and social determinants of health

International Journal for Equity in Health
German GuerraV Nelly Salgado de Snyder

Abstract

Almost seven years after the publication of the final report of the World Health Organization's Commission on Social Determinants of Health (CSDH), its third recommendation has not been attended to properly. Measuring health inequities (HI) within countries and globally, in order to develop and evaluate evidence-based policies and actions aimed at the social determinants of health (SDH), is still a pending task in most low and middle income countries (LMIC) in the Latin American region. In this paper we discuss methodological and conceptual issues to measure HI in LMIC and suggest a three-stage methodology for the creation of observatories on health inequities (OHI) and social determinants of health, based on the experience of the Brazilian Observatory on Health Inequities (BOHI) that has been successfully operating since 2010 at the Fundação Oswaldo Cruz (FIOCRUZ). A three-stage methodology for the creation of an OHI was developed based on a literature review on the following topics: SDH, HI measurement, and the process of setting-up of health observatories; followed by semi-structured interviews with key informants from the BOHI. We describe the three stages and discuss the replicability of this methodology in other Latin Ame...Continue Reading

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Citations

Oct 26, 2007·BMC Public Health·Mark ThomasMerlin C Thomas
Mar 13, 2008·PloS One·Benjamin S C UzochukwuMaduka D Ughasoro
Jan 17, 2019·Scandinavian Journal of Occupational Therapy·Eric Asaba, Yolanda Suarez-Balcazar
Jul 12, 2019·Frontiers in Public Health·Seman Kedir OusmanJeanette H Magnus

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