Las Américas: Una Región de Extremos. Presentación de la Directora de la OPS en el Instituto Nacional de Salud (NIH), durante la Serie de Seminarios sobre Disparidades de Salud, donde presenta las desigualdades sociales más apremiantes en la Región como una barrera para ejercer el derecho a salud. [ En Inglés].
Y el rol de la OPS para enfrentar algunas de estas inequidades de salud haciéndolas más visibles, avanzando más allá de los promedios nacionales, fortalecimiendo los sistemas de información sanitaria y empoderando a los más desfavorecidos.
Washington DC. 16 september 2010.
NIH. Health Disparities Seminar Series.
Poor and deteriorating health, along with premature death, are the result of inequality in a society.
In the Americas, the poorest and most vulnerable populations get sick or die because of their lack of access to health promotion and disease prevention, as well as health services and health care that meet their needs.
In every country in the Region, studies with a breakdown by socioeconomic level, ethnicity, sex, age, and geographic location show that discrimination and exclusion are practiced at different levels and that the exercise of rights, especially the right to health, must be expanded if better outcomes, as measured by universally accepted indicators, are to be obtained.
Dr. Roses discussed strategies to improve:
a) health status of the most vulnerable populations, and
b) health information, including the importance of data in monitoring progress and guiding decision-making on interventions that would result in better health.
During her presentation, PAHO Director also highlights the need for improved access to health promotion, disease prevention, health services and health care. PAHO works to develop basic health infrastructure, improve education, and promote gender equality.
In every case, even in countries where the level of well-being is among the highest, additional comprehensive efforts are needed. While their scale and nature will vary, special emphasis must be placed on the local level and most vulnerable populations to guarantee them the highest attainable standard of health, the right to health.
As for social policy and intersectoral activities, it is imperative to emphasize those related to the development of basic infrastructure, such as sanitation and access to good-quality water; a good level of schooling for the entire population (especially women); strategies to guarantee a living wage for the poor population, especially women; and the promotion of gender equality, ethnic equity, and intercultural approaches.
Furthermore, in addition to the efforts to improve the health status of the population, specific emphasis and support are needed to improve health information. Without consistent, valid, and timely data and indicators, it is difficult to monitor regional, national, and local progress to guide decision-making on resource allocation and choose interventions that will result in better health.
One alternative is the good use of estimates, whose limitation is that they do not reflect the situation in every country. There is an urgent need in our Region to promote the critical validation of information, develop suitable methodologies, and upgrade the existing technical capacity and structures to generate information on births and deaths and also to strengthen administrative registries, which are key components of PAHO's Regional Plan of Action for Strengthening Vital and Health Statistics.
The National Center on Minority Health and Health Disparities (NCMHD) sponsors the monthly NIH Health Disparities Seminar Series. The forum disseminates information on advances, gaps, and current issues related to health disparities research. It features national and international health disparities research experts, including many funded by the NCMHD, the other NIH Institutes and Centers, and federal agency partners. Each seminar focuses on a specific theme.