Enríquez Nava Max Francisco, Esquivel Velásquez Adhemar David, Patón Sanjines Mabel, Pooley Ayarza Bertha Cecilia, Alarcón René, Hernández Muñoz Rosalinda, Sanhueza Antonio
Sistema Nacional de Información en Salud, Ministerio de Salud y Deportes La Paz Estado Plurinacional de Bolivia Sistema Nacional de Información en Salud, Ministerio de Salud y Deportes, La Paz, Estado Plurinacional de Bolivia.
Unidad de Análisis de Políticas Sociales y Económicas La Paz Estado Plurinacional de Bolivia Unidad de Análisis de Políticas Sociales y Económicas, La Paz, Estado Plurinacional de Bolivia.
Rev Panam Salud Publica. 2020 Aug 31;44:e101. doi: 10.26633/RPSP.2020.101. eCollection 2020.
To describe the behavior and social inequalities in prioritized indicators of Sustainable Development Goal 3 (ODS-3) among subpopulations and departments of Bolivia.
An analysis of the behavior of selected ODS-3 indicators over time was conducted. In addition, a study of social inequalities in these indicators was carried out for selected equity stratifiers. Simple measures (absolute gap and relative gap) and complex measures (slope inequality index and concentration index) were obtained to explore the magnitude of social inequalities.
The ODS-3 indicators that have increased significantly at the national and departmental levels are the prevalence of four prenatal controls and the prevalence of births attended by qualified health personnel. Social inequalities in these indicators have decreased significantly over time. The prevalence of adolescent pregnancy and its social inequalities have remained unchanged, although with low inequalities. The prevalence of modern contraceptive methods use has decreased slightly, although social inequality has declined more rapidly. The maternal mortality rate has decreased nationally and in most departments, but social inequality on this indicator still needs to be addressed.
National averages hide differences between subpopulations and departments in Bolivia. The findings show that the behavior and social inequality of some ODS-3 indicators have improved, but regarding other indicators interventions by different stakeholders must be strengthened to reduce social inequalities in health.
描述玻利维亚各亚人群体和部门在可持续发展目标3（SDG-3）优先指标方面的表现及社会不平等情况。
对选定的SDG-3指标随时间的变化情况进行分析。此外，针对选定的公平分层因素，对这些指标的社会不平等情况展开研究。获取简单指标（绝对差距和相对差距）和复杂指标（斜率不平等指数和集中指数）以探究社会不平等的程度。
在国家和部门层面显著增加的SDG-3指标是四次产前检查的普及率和合格卫生人员接生的分娩率。这些指标的社会不平等随时间显著下降。青少年怀孕率及其社会不平等状况保持不变，尽管不平等程度较低。现代避孕方法的使用率略有下降，不过社会不平等下降得更快。全国及大多数部门的孕产妇死亡率有所下降，但该指标的社会不平等问题仍需解决。
国家平均水平掩盖了玻利维亚各亚人群体和部门之间的差异。研究结果表明，一些SDG-3指标的表现和社会不平等状况有所改善，但对于其他指标，必须加强不同利益相关者的干预措施，以减少健康方面的社会不平等。
