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|Title: ||Measuring global health inequity|
|Authors: ||Reidpath, DD|
|Publication Date: ||2007|
|Publisher: ||BioMed Central|
|Citation: ||International Journal for Equity in Health. 6 (16)|
|Abstract: ||Background: Notions of equity are fundamental to, and drive much of the current thinking about
global health. Health inequity, however, is usually measured using health inequality as a proxy –
implicitly conflating equity and equality. Unfortunately measures of global health inequality do not
take account of the health inequity associated with the additional, and unfair, encumbrances that
poor health status confers on economically deprived populations.
Method: Using global health data from the World Health Organization's 14 mortality sub-regions,
a measure of global health inequality (based on a decomposition of the Pietra Ratio) is contrasted
with a new measure of global health inequity. The inequity measure weights the inequality data by
regional economic capacity (GNP per capita).
Results: The least healthy global sub-region is shown to be around four times worse off under a
health inequity analysis than would be revealed under a straight health inequality analysis. In
contrast the healthiest sub-region is shown to be about four times better off. The inequity of poor
health experienced by poorer regions around the world is significantly worse than a simple analysis
of health inequality reveals.
Conclusion: By measuring the inequity and not simply the inequality, the magnitude of the
disparity can be factored into future economic and health policy decision making.|
|Appears in Collections:||School of Health Sciences and Social Care Research Papers|
Community Health and Public Health
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