Health inequalities in Brazil: proposed prioritization to achieve the Sustainable Development Goals

被引:0
作者
de Miranda, Wanessa Debortoli [1 ,3 ]
da Silva, Gabriela Drummond Marques [2 ]
Fernandes, Luisa da Matta Machado [2 ]
Silveira, Fabricio [2 ]
de Sousa, Romulo Paes [2 ]
机构
[1] Univ Fed Minas Gerais, Escola Enfermagem, Belo Horizonte, Brazil
[2] Fundacao Oswaldo Cruz, Inst Rene Rachou, Belo Horizonte, Brazil
[3] Univ Fed Minas Gerais, Dept Gestao Saude, Escola Enfermagem, Av Alfredo Balena 190, BR-30130100 Belo Horizonte, MG, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2023年 / 39卷 / 04期
关键词
Sustainable Development; Health Management; Health Planning; Health Priorities; SYSTEM; MORTALITY; COVID-19; AGENDA;
D O I
10.1590/0102-311XPT119022
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study aimed to develop a prioritization in-dex to speed up the achievement of national health targets proposed in the 2030 Agenda. This is an ecological study that addressed the Health Regions in Brazil. The index incorporated 25 indicators with analytical proximity to the official indica-tors of the 2030 Agenda whose data are available from public municipal sources for the period of 2015-2019. According to our study, the index was a powerful method to support health management decisions. The results showed the most vulnerable territories are located in the North Region of the country, and therefore, these are priority areas for resource allocation. The analysis of subindices highlighted local health bottlenecks, reinforcing the need for municipalities in each region to set their own priorities while making decisions for health resource allocation. By indicating Health Regions and priority themes for more investments, this in-vestigation shows paths to support the implemen-tation of the 2030 Agenda, from the local to the national level, in addition to providing elements that can be used by policy makers to minimize the effects of social inequalities on health, prioritizing territories with worse indices.
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页数:18
相关论文
共 67 条
[21]  
Departamento de Informatica do SUS, MORT BRAS
[22]  
Departamento de Informatica do SUS, HEP VIR CAS CONF NOT
[23]  
Departamento de Informatica do SUS, TRANSF ARQ
[24]   Underreporting of live births:: measurement procedures using the Hospital Information System [J].
Drumond, Eliane de Freitas ;
Machado, Carla Jorge ;
Franca, Elisabeth .
REVISTA DE SAUDE PUBLICA, 2008, 42 (01) :55-63
[25]  
de Oliveira VHFP, 2022, CAD SAUDE PUBLICA, V38, DOI [10.1590/0102-311X00311620, 10.1590/0102-311x00311620]
[26]  
Furtado JP, 2018, CAD SAUDE PUBLICA, V34, DOI [10.1590/0102-311x00087917, 10.1590/0102-311X00087917]
[27]   Health regionalization in Amazonas: progress and challenges [J].
Garnelo, Luiza ;
Lima Sousa, Amandia Braga ;
da Silva, Clayton de Oliveira .
CIENCIA & SAUDE COLETIVA, 2017, 22 (04) :1225-1234
[28]  
GBD 2015 SDG Collaborators, 2016, LANCET, V388, P1813, DOI [10.1016/S0140-6736(16)31467-2, DOI 10.1016/S0140-6736(16)31467-2]
[29]   Monitoring universal health coverage within the Sustainable Development Goals: development and baseline data for an index of essential health services [J].
Hogan, Daniel R. ;
Stevens, Gretchen A. ;
Hosseinpoor, Ahmad Reza ;
Boerma, Ties .
LANCET GLOBAL HEALTH, 2018, 6 (02) :E152-E168
[30]  
Instituto Brasileiro de Geografia e Estatistica, SIST EST VIT