The impact of health interventions on inequalities

Infant and child health in Brazil

Cesar G. Victora, Fernando C. Barros, J. Patrick Vaughan

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter reports on the findings of two population-based cohort studies carried out eleven years apart in the same Brazilian city. These studies provide unique data for examining health inequities in the country, which has the second worst income distribution in the world. Data shows that the coverage of preventive programmes improved, particularly for the poorest mothers and children. The gap in malnutrition prevalence also diminished. For mortality, where reductions for the wealthy were still possible, the gap persisted with the same magnitude. Good quality care is most available to those who need it the least. The proposed corollary to this law - that new interventions will tend to increase inequity since they will initially reach those who are already better off - appears to hold. Thus, inequity gaps will increase with new technologies, but may eventually decrease as these trickle down the social scale.

Original languageEnglish (US)
Title of host publicationPoverty, Inequality, and Health: An International Perspective
PublisherOxford University Press
ISBN (Print)9780191723599, 0192631969, 9780192631961
DOIs
StatePublished - Sep 1 2009
Externally publishedYes

Fingerprint

Preventive Health Services
Quality of Health Care
Malnutrition
Brazil
Cohort Studies
Mothers
Technology
Mortality
Health
Population
Child Health
Infant Health

Keywords

  • Brazil
  • Cohort studies
  • Health care provision
  • Health inequalities
  • Income distribution
  • Mortality
  • Public health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Victora, C. G., Barros, F. C., & Vaughan, J. P. (2009). The impact of health interventions on inequalities: Infant and child health in Brazil. In Poverty, Inequality, and Health: An International Perspective Oxford University Press. https://doi.org/10.1093/acprof:oso/9780192631961.003.0006

The impact of health interventions on inequalities : Infant and child health in Brazil. / Victora, Cesar G.; Barros, Fernando C.; Vaughan, J. Patrick.

Poverty, Inequality, and Health: An International Perspective. Oxford University Press, 2009.

Research output: Chapter in Book/Report/Conference proceedingChapter

Victora, CG, Barros, FC & Vaughan, JP 2009, The impact of health interventions on inequalities: Infant and child health in Brazil. in Poverty, Inequality, and Health: An International Perspective. Oxford University Press. https://doi.org/10.1093/acprof:oso/9780192631961.003.0006
Victora CG, Barros FC, Vaughan JP. The impact of health interventions on inequalities: Infant and child health in Brazil. In Poverty, Inequality, and Health: An International Perspective. Oxford University Press. 2009 https://doi.org/10.1093/acprof:oso/9780192631961.003.0006
Victora, Cesar G. ; Barros, Fernando C. ; Vaughan, J. Patrick. / The impact of health interventions on inequalities : Infant and child health in Brazil. Poverty, Inequality, and Health: An International Perspective. Oxford University Press, 2009.
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