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Explicando las ganancias de equidad en la supervivencia infantil en Bangladesh: escala, velocidad y selectividad en
Alayne M Adams1, Atonu Rabbani2, Shamim Ahmed3
1Centre for Equity and Health Systems, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Lancet (London, England)
|November 26, 2013
Resumen
Bangladesh logró importantes avances en la salud infantil al abordar las desigualdades de género y socioeconómicas. Este progreso, impulsado por un enfoque de los determinantes sociales de la salud, destaca el impacto de la orientación sistemática hacia la equidad en el desarrollo.
Área de la Ciencia:
- Salud Global La salud global.
- Estudios de desarrollo Estudios de desarrollo Estudios de desarrollo.
- Política de salud pública Política de salud pública.
Sus antecedentes:
- La salud infantil en Bangladesh ha experimentado un progreso notable en las últimas décadas.
- El análisis revela reducciones significativas en las desigualdades de género y socioeconómicas que contribuyen a estas ganancias.
- Se emplea un marco de determinantes sociales de la salud para comprender la trayectoria única de salud de Bangladesh.
Objetivo del estudio:
- Desglosar las mejoras en la salud infantil en Bangladesh.
- Identificar los factores clave de desarrollo que explican las ganancias de salud del país.
- Examinar el papel de la equidad en la salud y el desarrollo socioeconómico.
Principales métodos:
- Utilizando un enfoque de los determinantes sociales de la salud.
- Analizar datos desagregados sobre los resultados de la salud infantil.
- Examinar las políticas nacionales de desarrollo y las estrategias de implementación.
Principales resultados:
- Mejoras significativas en la supervivencia infantil vinculadas a la reducción de las disparidades de género y socioeconómicas.
- Se identificaron los principales impulsores: enfoque sistemático en la equidad y atributos de implementación de escala, velocidad y selectividad.
- A pesar del progreso, persisten las desigualdades residuales entre las niñas y los quintiles de riqueza más bajos.
Conclusiones:
- La estrategia de desarrollo pro-equidad de Bangladesh ha sido crucial para las mejoras en la salud.
- Es vital abordar los desafíos emergentes como la urbanización, las enfermedades crónicas y el cambio climático.
- Sostener y mejorar la equidad en salud requiere un fortalecimiento de la gobernanza y el pensamiento sistémico para el desarrollo inclusivo.
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