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Coordinación General de Investigación de la Facultad de Salud Pública y Nutrición y la Dirección General de Sistemas e Informática de la Universidad Autónoma de Nuevo León

2016, Number 1

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Rev Salud Publica Nutr 2016; 15 (1)

Equidad en salud para el desarrollo sostenible

Becerra PF, J Mújica O

Language: Spanish
References: 34
Page: 16-26
PDF size: 372.10 Kb.


ABSTRACT

ABSTRACTThe remarkable achievements of the Expanded Programme on Immunization in the Americas —across four decades of hard work in the control, elimination, and eradication of diseases, disabilities, and preventable deaths— have shown that, indeed, universality in health is attainable and equity in health is possible. Transforming these aspirational objectives into achievable goals and sustaining them over time demand an strategic and explicit focus on the fair distribution of opportunities for health and well-being, including access to vaccines and their proximal and distal determinants. Social inequalities in health are ubiquitous, deeply entrenched, and persistent in the Region; the available evidence shows that such gradients in health are reproduced in access to immunization services and vaccination coverage. The noble aspiration for equity in health is the moral and political support of any proposal for sustainable development; actually, the very sustainability of development will depend on the degree of social equity achieved. It is imperative to strengthen the action on the social determinants of health, through the progressive realization of universal health access and coverage, implementation of the intersectoral approach to Health-in-All-Policies, and by building institutional capacity to generate evidence on social determination of health and reduction of social inequalities in health. Two distinct regional lessons shall illuminate this path: vaccines as an equalizer element in public health and immunization programmes as a successful practice of universality in health.


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