cobertura efectiva de las intervenciones en salud de américa latina y el caribe: métrica para evaluar los sistemas de salud effective coverage of health interventions in latin america and the caribbean: metrics for the assessment of health systems performance

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ID: 152819
2011
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Abstract
OBJETIVO: Medir la cobertura efectiva para once intervenciones de salud en nueve países de América Latina utilizando las encuestas de demografía y salud o registros administrativos que abarcan la salud infantil, de la mujer y el adulto. MATERIAL Y MÉTODOS: Se seleccionaron las intervenciones y se armonizaron definiciones y métodos de cálculo de acuerdo con la información disponible para lograr la comparabilidad entre países. RESULTADOS: Chile es el país con mejores indicadores de coberturas crudas y efectivas, seguido por México y Colombia, y existen brechas importantes entre regiones, departamentos o estados. CONCLUSIONES: La métrica de cobertura efectiva es un indicador sensible que relaciona la necesidad de las intervenciones en salud, su utilización y calidad, lo que permite valorar los programas de salud al aportar datos precisos de dónde y a quién deben dirigirse los recursos y esfuerzos nacionales para que los países alcancen los propósitos y metas planteados.
OBJECTIVE: To measure effective coverage for ll health interventions in Latin America including the children's, women's and adult health, as part of program evaluation. MATERIAL AND METHODS: Interventions were selected; the definitions and calculation methods were harmonized according to the information available to ensure comparability between countries. RESULTS: Chile has better indicators of crude and effective coverage followed by Mexico and Colombia.There are significant gaps between regions, counties or states. CONCLUSIONS: The health metric on effective coverage is a sensitive indicator that links three important aspects: Coverage of health interventions, use of health services, and access to such services. Effective coverage is a good tool to evaluate health programs performance, and also provides data of where and to whom the system should address national efforts and resources to achieve the purposes and goals set.
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Authors Sandra Martínez, Gabriel Carrasquilla, Ramiro Guerrero, Héctor Gómez-Dantés, Victoria Castro, Héctor Arreola-Ornelas, Paula Bedregal, Cecilia Vidal, Gerardo Solano, Marlén Roselló, Ronald Evans, Jaqueline Peraza, Edgar Kestler, Rafael Lozano, Oscar Méndez, Javier Dorantes, Felicia Marie Knaul, Erika López, Héctor Gómez, Maria Victoria Castro, César Cárcamo, Gisela Quiterio, Pablo Pulido
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Journal journal of anatomy
Year 2011
DOI
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http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342011000800004
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