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Inequalities in access to health care for people with disabilities in Chile: the limits of universal health coverage

ROTAROU, Elena S
SAKELLARIOU, Dikaios
2017

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We analysed cross-sectional data collected as part of the National Socioeconomic Characterisation Survey (2013) in Chile, in order to explore if there are differences in access to health care between adult Chileans with and without disability. The study included 7459 Chilean adults with disability and 68,695 people without disability. Logistic regressions were performed in order to determine the adjusted odds ratios for the associated variables. We found that despite universal health coverage, Chileans with disabilities are more likely to report worse access to health care, even when controlling for socio-economic and demographic variables, including age, gender and income. Specifically, they are more likely to face greater difficulty arriving at a health facility, obtaining a doctor’s appointment, being attended to in a health facility, paying for treatment due to cost, and obtaining necessary medicine. Both people with and without disability are more likely to face difficulties in accessing health services if they are affiliated with the public health provider, an indication of the economic factors at play in accessing health care. This study shows that universal health coverage does not always lead to accessibility of health services and underlines the disadvantaged position of disabled people in Chile in accessing health services. While efforts have been made recently to improve equity in health care access, disability in Chile poses an additional burden on people’s access to health care, emphasising the necessity for policy to address this perpetual cycle of disadvantage for disabled people.

The right to vote of persons with disabilities in Chile : Law no 20.183 as a factor of progress for inclusive democracy

REYES, Maria Soledad Cisternas
March 2013

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"This article describes the process of adoption of Law 20.183 of 2007, which recognises the right of persons with disabilities to have support in the act of voting. The process began with a lawsuit which inspired legal research conducted at the national level. A project of civil society advocacy was subsequently developed and implemented to promote the right to vote of persons with disabilities. The process resulted in a legislative initiative and culminated in the adoption of the 2007 Constitutional Act on voting and elections which recognized the right to support in the act of voting for persons with disabilities"
IDA Human Rights Publication Series, Issue 1, The Right to Vote and to Stand for Election

Successful leadership : country actions for maternal, newborn and child health

PARTNERSHIP FOR MATERNAL, NEWBORN AND CHILD HEALTH
2008

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This document provides country-specific summaries of actions taken on a national level to improve maternal and child health. The summaries do not provide a comprehensive assessment of the progress made by individual countries, but demonstrate the importance of five factors: 1. Successful political leadership (Thailand) 2. Sound health policies (Indonesia and Tanzania) 3. Effective financing (Mexico) 4. Strong health systems (Nepal and Senegal) 5. Action to achieve equity (Bangladesh and Chile). Each summary covers: progress on MDGs, supportive policies and interventions, outcome, and key lesson

Integrating mental health into primary care : a global perspective

WORLD HEALTH ORGANIZATION (WHO)
WORLD ORGANIZATION OF FAMILY DOCTORS (WONCA)
2008

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This report provides the rationale and know-how on integrating mental health into primary health care. It outlines primary care for mental health in context and then presents primary care for mental health in practice, highlighting 12 case studies and key lessons learnt from specific countries. A detailed annex on the core functions of primary care workers is provided, as well as 10 core principles of mental health integration. This resource is useful to anyone interested in integrating mental health into primary care

First national study of disability in Chile

NATIONAL FUND FOR DISABILITY
May 2005

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Using the international classification of disability (ICF), this report presents information about the "prevalence of disability in its different types and degrees, and the extent in which this condition affects individuals in various aspects of their lives." The reports covers variables such as health conditions and socioeconomic and sociodemographic characteristics. This report is useful to anyone interested in disability in Chile

Estrategias nacionales para la Sociedad de la Información en América Latina y el Caribe

HILBERT, Martin
BUSTOS, Sebastián
FERRAZ, João Carlos
March 2005

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In order to take advantage of the benefits and opportunities offered by ICTs, the countries of Latin America and the Caribbean have established and implemented projects, policies and strategies to make an efficient transition towards the Information Society. The objective of this work is to review these efforts developed within the public agenda of 13 selected countries: Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Jamaica, Mexico, Panama, Peru, Dominican Republic, Trinidad and Tobago, and Venezuela

The significance of information and communication technologies for reducing poverty

MARKER, Phil
MCNAMARA, Kerry
WALLACE, Lindsay
January 2002

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A study for DFID staff, and for policy consideration, about the role of ICT in development. Identifies and assess the links between information and poverty, and concludes that although spreading ICT ('bridging the digital divide') should not be an end in itself, there is enormous potential for ICTs to increase information flow and empower poor people. The study then discusses the potential role of the international community, and sets out specific recommendations for DFID. Includes several appendices containing: a bibliography; brief case studies of Chile, Costa Rica and India; and list of related DFID funded projects. The study concludes that ICT should not be viewed as an end itself but has the potential as a tool to increase information flows and empower people. It can play a part in achieving International Development Goals

Health worker motivation and health sector reform

BENNETT, Sara
MILLER FRANCO, Lynne
March 2001

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This primer aims to provide a conceptual framework to help policy makers anticipate and plan for the effects of health sector reform on health worker motivation; summarise selected country experiences of the impact of health sector reform upon health worker motivation; and set out a number of basic rules which policy makers should take into account when developing and implementing reform policies so as to promote worker motivation

International disability rights monitor (IDRM) regional reports

CENTER FOR INTERNATIONAL REHABILITATION

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These regional reports are the primary focus of the International Disability Rights Monitor (IDRM) project and have been compiled by local IDRM researchers. Each report focuses upon several key areas such as legal protections, education, employment, accessibility, and health and housing services for people with disabilities. The reports include a detailed report on each country and a report card that compares the progress made by countries across the region. Reports are available on the Americas, Asia and Europe, as well as two thematic reports, in downloadable pdf format. They are useful for people interested in research on disability and development

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