afro-descendants in brazil, colombia, ecuador and peru and the challenges of measuring health gap...

Identification in live biths Live Births

Total

White

Preto + Mixed

Preto

Mixed

Sample Survey (Selfidentification)

2,576,803

1,108,656

1,459,744

201,478

1,258,266

Administrative data (identification by health personnel)

2,715,143

1,284,697

1,432,013

46,086

1,385,927

0.98

0.23

Ratio A/S

1.05

1.16

1.10

Sistema de Informações sobre Nascidos Vivos–2009 Pnad 2009

•

Aggregation is needed to avoid racial ambiguity in classification in Surveys and Administrative data.

•

Aggregation is problematic if one wishes to identify those mostly affected by discrimination in health.

afro-descendants in brazil, colombia, ecuador and peru and the challenges of measuring health gap...

Published on Jul 7, 2012

IDB

About

in latin america, the inclusion of a race/ethnicity variable in the administrative records of health establishments is still very rare. additionally, health departments in the countries analyzed have not yet incorporated race/ethnicity variable following the standardization used by their national statistical offices (the only exception is brazil). this is a major area for improvement and deserves immediate attention by countries if they wish to quantify the magnitude and promote the analysis of existing race/ethnic disparities in access to health services. in this presentation to the ichad (international conference on health in the african diaspora) conference, we: (i) briefly review what is known about the connections between socio-economic and racial inequalities; (ii) describe the data available; (iii) estimate the magnitude of race gaps in some health outcomes and (iv) map out a research agenda for producing knowledge on these issues.

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