Jacques Nadège, Meneghel Stela Nazareth, Danilevicz Ian Meneghel, Schramm Joyce Mendes de Andrade, Ferla Alcindo Antônio
Universidade Federal do Rio Grande do Sul (UFRGS) Programa de Pós-Graduação em Saúde Coletiva Porto Alegre (RS) Brasil Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Saúde Coletiva, Porto Alegre (RS), Brasil.
Universidade Federal do Rio Grande do Sul (UFRGS) Programa de Pós-Graduação em Saúde Coletiva e Programa de Pós-Graduação em Enfermagem Porto Alegre (RS) Brasil Programa de Pós-Graduação em Saúde Coletiva e Programa de Pós-Graduação em Enfermagem, Porto Alegre (RS), Brasil.
Rev Panam Salud Publica. 2017 Mar 23;41:e34. doi: 10.26633/RPSP.2017.34. eCollection 2017.
To describe primary health care provided to women in Haiti and evaluate equity in the care provided to this group.
In this cross-sectional study, 114 women receiving primary health care services in the country's 10 health departments were interviewed. Two groups of indicators were used for analysis of equity: access indicators (walking time to reach services, waiting time, and need to pay for the service) and quality (knowing the name of the healthcare provider, length of the consultation, and discrimination). Payment and discrimination were used as outcomes for access and quality, respectively.
Most women were younger than 30 years of age (59.0%), black (92.1%), and migrants (63.2%). Family income was known by only 21.3%, and 47,4% were literate. Most consultations lasted less than 10 minutes (68.3%). The provider's name was not known by 72.7% of the women interviewed. Consultations were paid by 63.4%, especially in the South ( = 0.016). Also, women in the South spent more time walking to reach health services. Those who did not pay had shorter consultations ( < 0.001). Finally, discrimination was detected in 28.9% of the women interviewed.
This research revealed difficulties in the access to and discrimination in the care provided to women in Haiti, and suggests that gender is an important category of analysis to evaluate health equity.
描述海地为女性提供的初级卫生保健情况，并评估为该群体提供的保健服务的公平性。
在这项横断面研究中，对该国10个卫生部门中接受初级卫生保健服务的114名女性进行了访谈。使用两组指标来分析公平性：可及性指标（到达服务机构的步行时间、等待时间以及服务付费情况）和质量指标（知晓医疗服务提供者的姓名、咨询时长以及歧视情况）。付费和歧视分别用作可及性和质量的结果指标。
大多数女性年龄小于30岁（59.0%），为黑人（92.1%），且是移民（63.2%）。仅21.3%的人知晓家庭收入，47.4%的人识字。大多数咨询持续时间不到10分钟（68.3%）。72.7%的受访女性不知道医疗服务提供者的姓名。63.4%的咨询需要付费，尤其是在南部地区（P = 0.016）。此外，南部地区的女性步行前往卫生服务机构的时间更长。那些不付费的女性咨询时间较短（P < 0.001）。最后，28.9%的受访女性存在歧视情况。
这项研究揭示了海地女性在获得保健服务方面存在困难以及在保健服务中受到歧视，表明性别是评估卫生公平性的一个重要分析类别。
