DOI
10.1017/lap.2020.5
Abstract
Access to quality healthcare varies across the national territory inside Latin American countries, with some subnational units enjoying higher-quality care than others. Such territorial inequality is consequential, as residents of particular regions face shorter life spans and an increased risk of preventable disease. This article analyzes trajectories of territorial healthcare inequality across time in Argentina, Brazil, and Mexico. The data reveal a large decline in Brazil, a moderate decline in Mexico, and low levels of change followed by a moderate decline in Argentina. The article argues that two factors account for these distinct trajectories: the nature of the coalition that pushed health decentralization forward and the existence of mechanisms for central government oversight and management.
Document Type
Article
Publication Date
2020
Publisher Statement
© University of Miami 2020
Recommended Citation
Giraudy, Agustina, and Jennifer Pribble. “Territorial Inequality in Health Service Delivery: Lessons from Latin America’s Federations.” Latin American Politics and Society 62, no. 3 (2020): 19–43. https://doi.org/10.1017/lap.2020.5.
Included in
Latin American Studies Commons, Maternal and Child Health Commons, Political Science Commons