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Gender equity and health sector reform in Colombia: Mixed state-market model yields mixed results

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  • Ewig, Christina
  • Bello, Amparo Hernández

Abstract

In 1993, Colombia carried out a sweeping health reform that sought to dramatically increase health insurance coverage and reduce state involvement in health provision by creating a unitary state-supervised health system in which private entities are the main insurers and health service providers. Using a quantitative comparison of household survey data and an analysis of the content of the reforms, we evaluate the effects of Colombia's health reforms on gender equity. We find that several aspects of these reforms hold promise for greater gender equity, such as the resulting increase in women's health insurance coverage. However, the reforms have not achieved gender equity due to the persistence of fees which discriminate against women and the introduction of a two-tier health system in which women heads of household and the poor are concentrated in a lower quality health system.

Suggested Citation

  • Ewig, Christina & Bello, Amparo Hernández, 2009. "Gender equity and health sector reform in Colombia: Mixed state-market model yields mixed results," Social Science & Medicine, Elsevier, vol. 68(6), pages 1145-1152, March.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:6:p:1145-1152
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    Cited by:

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    2. Martínez-Parra, Adriana Gisela & Pinilla-Alfonso, Maria Yaneth & Abadía-Barrero, César Ernesto, 2018. "Sociocultural dynamics that influence Chagas disease health care in Colombia," Social Science & Medicine, Elsevier, vol. 215(C), pages 142-150.
    3. Jasmine Gideon & Fenella Porter, 2014. "Unpacking Women's Health in Public-Private Partnerships: A Return to Instrumentalism in Development Policy and Practice?," WIDER Working Paper Series wp-2014-009, World Institute for Development Economic Research (UNU-WIDER).
    4. Buitrago Echeverri, María Teresa & Abadía-Barrero, César Ernesto & Granja Palacios, Consuelo, 2017. "Work-related illness, work-related accidents, and lack of social security in Colombia," Social Science & Medicine, Elsevier, vol. 187(C), pages 118-125.
    5. Akpalu, Wisdom & Dasmani, Isaac & Normanyo, Ametefee K., 2013. "Optimum Fisheries Management Under Climate Variability: Evidence from Artisanal Marine Fishing in Ghana," WIDER Working Paper Series 052, World Institute for Development Economic Research (UNU-WIDER).

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