The effects of the transformations of the public health system on the equity of Mexico, 1995-2002

https://doi.org/10.18294/sc.2009.263

Published 7 August 2009 Open Access


Nivaldo Linares Pérez Médico. Doctor en Ciencias en Salud Colectiva. Coordinador del Programa de Influenza y Capacidades de Vigilancia. Investigador Asociado del Centro de Estudios en Salud, Universidad del Valle de Guatemala , Oliva López Arellano Médica. Doctora en Ciencias en Salud Pública. Investigadora y Profesora del Programa de Doctorado en Ciencias en Salud Colectiva, Universidad Autónoma Metropolitana Unidad Xochimilco, México



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Keywords:

Health Care Reform, Health Inequalities, Equity in Health, Mexico

Abstract


Identify the possible effects on health equity that may be linked to the "reform interventions" developed in Mexico during 1995 and 2005. The health inequalities among the country Federal Entities were analyzed and those which constitute inequities were identified. The inequalities were measured through the Health Inequities Index (HII) with help of EPIDAT 3.1 package. The inequity analysis included a comparison of the indicators on health outcomes and the access services and the basic indicators similar for Latin America, and the valuation of the inequalities referred of the unavoidable, injustice, and unacceptability criteria according to recognized standards of the definition of inequality. The values of INIQUIS showed that the global relative inequality among the States had an increase higher than 30% between 1995 and 2002. The relative inequality in living conditions decreased in 12%; meanwhile, the health and service access results increased in 30% and 10% respectively those years. The behavior of INIQUIS suggested that the inequality-inequity levels between Federal Entities not appear to have been influenced significantly for the sanity reform interventions developed from 1995 to 2002 in Mexico