Health equity issues at the local level: Socio-geography, access, and health outcomes in the service area of the Hôpital Albert Schweitzer-Haiti
2007

Health Equity Assessment in Haiti

Sample size: 3427 publication 10 minutes Evidence: high

Author Information

Author(s): Perry Henry B, King-Schultz Leslie W, Aftab Asma S, Bryant John H

Primary Institution: Hôpital Albert Schweitzer-Haiti

Hypothesis

How do socio-geographic factors affect access to health services and health outcomes in the Artibonite Valley of Haiti?

Conclusion

Local health programs must monitor health status and service quality to address health inequities among marginalized groups.

Supporting Evidence

  • Access to health services was markedly reduced in mountainous areas compared to central plains.
  • Under-five mortality rates were significantly higher in mountainous areas.
  • Immunization coverage was lower in mountainous areas than in plains.

Takeaway

This study shows that people living in the mountains of Haiti have less access to health care and worse health outcomes than those in the plains.

Methodology

The study involved demographic and health surveys, exit interviews, observations, and focus group discussions.

Potential Biases

Potential bias in self-reported data from interviews and surveys.

Limitations

The study may not fully capture all health inequities due to the limited geographic scope.

Participant Demographics

The study focused on a population of 148,000 in the Artibonite Valley, including both mountainous and plain areas.

Statistical Information

P-Value

p < 0.01

Confidence Interval

[59.7–83.6]

Statistical Significance

p < 0.05

Digital Object Identifier (DOI)

10.1186/1475-9276-6-7

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