EquiLAC II: Phase I 

EquiLAC II comprises a series of studies to measure and explain health systems inequalities in countries of the Americas. As such, EquiLAC II aims to update and further expand on the concepts and methods of previous studies during the late 1990s, while introducing new methodologies and advancements in health equity analysis. Please click on the following documents for more information : pdf Agenda , pdf EquiLAC Presentation , and  pdf Methodology Presentation .

Phase I studies will include an assessment of the sources of health care systems inequalities, the direction of inequality in selected health systems, as well as within country and cross-country comparisons. Each study will identify whether there is systematic variation in the use of health care services in relation to some variation of living standards. 

These studies seek to assess inequities of health systems in terms of health needs and health care utilization, using concentration curves and indexes to measure the extent of inequalities in income groups. Large-scale national surveys are used as data sources. Countries that participated in EquiLAC I and those with two or more years of data availability will be able to study the direction of inequalities over time, in addition to the measurement and explanation of health care inequalities. Please click on  pdf Technical Guidelines  for more information.

In 2010, there were six country studies in progress (Brazil, Canada, Chile, Jamaica, Mexico, and Peru) with the remaining three countries (Colombia, Ecuador, and the United States) to be added.

The nine studies will serve as the basis of a report to measure and explain health care inequalities and inequities in the Americas, and to see if countries' health systems and policies have evolved to deliver health services equitably, effectively, and efficiently.


Project Brief

pdf Technical Guidelines (117.85 kB)

pdf Equity in health systems
pdf Equidad en los sistemas de salud
Carissa F. Etienne


icon Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries [ pdf Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América. ] Gisele Almeida and Flavia Mori Sarti

icon Analysis of the evolution and determinants of income-related inequalities in the Brazilian health system, 1998—2008 [ pdf Análisis de la evolución y los determinantes de las desigualdades en la salud relacionadas con los ingresos en el sistema de salud de Brasil, 1998—2008 .]  Gisele Almeida, Flavia Mori Sarti, Fernando Fagundes Ferreira, Maria Dolores Montoya Diaz, and Antonio Carlos Coelho Campino

pdf Income-related inequality in health and health care utilization in Chile, 2000—2009 [ pdf Desigualdades en salud y en la atención sanitaria relacionadas con los ingresos en Chile, 2000—2009. ] Felipe Vásquez, Guillermo Paraje, and Manuel Estay

pdf Colombian health care system: results on equity for five health dimensions, 2003—2008 [ pdf Análisis de la equidad en cinco dimensiones del sistema de salud de Colombia, 2003—2008. ] Fernando Ruiz Gómez, Teana Zapata Jaramillo, and Liz Garavito Beltrán

pdf Measuring and explaining health and health care inequalities in Jamaica, 2004 and 2007 [ pdf Medición e interpretación de las desigualdades en la salud y la atención sanitaria en Jamaica, 2004 y 2007. ] Ewan Scott and Karl Theodore

icon Income-related inequalities and inequities in health and health care utilization in Mexico, 2000—2006 [ pdf Desigualdades e inequidades en la salud y en la utilización de la atención sanitaria relacionadas con los ingresos en México, 2000—2006. ] Mariana Barraza-Lloréns, Giota Panopoulou, and
Beatriz Yadira Díaz

icon Equity in health and health care in Peru, 2004—2008 [ pdf Equidad en la salud y la atención sanitaria en Perú: 2004—2008. ] Margarita Petrera, Martín Valdivia, Eduardo Jimenez, and Gisele Almeida

For additional information please contact Gisele Almeida

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