SDG3-Related Inequalities in Women’s, Children’s, and Adolescents’ Health: A Baseline for Latin America and the Caribbean

  • International Center for Equity in Health
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... Finally, the quality of healthcare delivery is at the core of an efficient and equitable healthcare system. Access to services has expanded dramatically in recent decades in Latin America and the Caribbean, and it appears that essential services are much more equitably distributed than two decades ago (Sanhueza et al. 2020;Wagstaff et al. 2015) However, quality of care and productivity are generally low. An estimated 70 percent of preventable deaths in the region can be attributed to poor-quality care, such as unskilled staff, inadequate surgical facilities, or improperly managed chronic conditions, while less than one-third is due to lack of access (Kruk et al. 2018). ...
Technical Report
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This technical note describes how the COVID-19 pandemic has affected Latin America and the Carib - bean, and considers the implications for future population health, health spending, healthcare service reforms, and investments to prepare for future health emergencies. It provides a summary of the few existing empirical studies and then contributes original analysis using administrative data from hospitals and vital registration systems in four countries. It shows substantial declines in health and healthcare delivery during the first year of the pandemic, especially for preventive and elective care. Some coun - tries were able to return healthcare to historical levels, while others were still below average in 2021. The study concludes with reflections on how the pandemic has altered health policy recommendations for the region, generating a greater sense of urgency to make progress on long-standing agendas —such as eliminating fragmentation, integrating care, and pursuing digital transformation— while reordering priorities toward investments in emergency preparedness, disease surveillance, resilience, and self-suf - ficiency. In other words, going beyond normal.
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