Migração e repercussões na cobertura e desigualdades em intervenções de saúde materno-infantil: uma análise do Haiti e República Dominicana

Abstract

The present dissertation was elaborated during the master's degree program in the Postgraduate Program in Epidemiology (PPGE) of the Federal University of Pelotas (UFPel) under the guidance of Professor Fernando C. Wehrmeister and co-orientation of Dr. Giovanna Gatica-Domínguez. The research project began in August 2017 and the dissertation was completed in December 2018. The analyzes were developed at the International Center for Equity in Health (ICEH) using data from standardized DHS and MICS in low- and middle-income countries. With the objective of comparing indicators of maternal and child health in Haitians (immigrants in the DR or residents of the country) and Dominican women. Nine indicators of coverage were compared: satisfied demand for family planning (DFPSm), number of antenatal consultations (ANC4), skilled birth attendance (SBA), vaccination of children (BCG, measles and DPT3), use of oral rehydration salts for diarrhea (ORS), seek for care for suspected acute respiratory infection (CAREP), and a composite coverage index 1. The results suggest that the coverages were smaller for DFPSm, ANC4, SBA, CAREP, CCI and higher for ORS among Haitian residents while Haitian immigrants had lower coverage in DPT3, ORS and greater search for respiratory infection care. In the case of inequalities, Haitians present greater inequalities by level of wealth and place of residence, while Dominican women have smaller ones, with a generally pro-rich and pro-urban pattern. According to the program's regulations, the complete volume is composed of five items: the Research project, the project modifications, the fieldwork report, the original article and the press release.