TREND COMPARISON OF THE COLOMBIAN MULTIDIMENSIONAL POVERTY INDEX, INEQUITIES IN MATERNAL MORTALITY, NEONATAL MORTALITY AND GINI COEFFICIENT, 1997-2011

Author(s)

Romero Moreno LF, Eslava Schmalbach JH, Sandoval Vargas G, Saboya Romero DM
Universidad Nacional de Colombia, Bogotá, Colombia

OBJECTIVES To describe and to compare the Colombian multidimensional poverty index (MPI)’s trends against Gini coefficient (GC) and inequities in maternal mortality and neonatal mortality since 1997 to 2011. METHODS An ecological study was performed.  MPI and Gini coefficient were obtained from National Statistics Department´s (DANE) databases. The Maternal Mortality Rate and Neonatal Mortality Rate were estimated and standardized by age and sex respectively. The Attributable Fraction (AF) was estimated as the inequity indicator for these two variables estimating the excess of risk by geographical exposure. We estimate the trend and behavior among MPI’s Colombian version and health inequities and disparities indicators over time from 1997 until 2011. RESULTS A substantial change was evident in the MPI 51% decrease (1997-2011) and 40%, ( 2003-2011) decreasing from 0.6 to 0.3 (2003-2011), whilst Maternal Mortality attributable Fraction (MMAF) showed a 3% increase, rising from 83.4 % to 86.2%  (2000-2008), and a slight reduction for Neonatal Mortality attributable fraction (NMAF) 1.6%, (2000-2008)  decreasing from 88.9%  to  88.4 .%  At the same time.  GC evidenced a  1% decrease between 2000-2011 decreasing from  0.57 to 0.54. CONCLUSIONS The established MPI for Colombia in the last decade had a descending trend and did not resemble the stationary behavior of the major inequity indicators calculated for the country in the same time span. Consequently, there was an undervalued perception over the issues where affected population were not target of requested interventions. It is therefore important to question the validity of measures used to quantify the poverty (MPI’s Colombian version) in order to reconsider the strategies of interventions where health inequity is an important referent to create control and intervention measures.

Conference/Value in Health Info

2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands

Value in Health, Vol. 17, No. 7 (November 2014)

Code

PHP75

Topic

Health Policy & Regulatory

Topic Subcategory

Health Disparities & Equity

Disease

Multiple Diseases

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