Inequity in the distribution of human resources for health at health care services in four Peruvian regions

Authors

  • Betsy Moscoso Rojas Dirección General de Gestión del Desarrollo de Recursos Humanos, Ministerio de Salud del Perú, Lima, Perú
  • Lizardo Huamán Angulo Dirección General de Gestión del Desarrollo de Recursos Humanos, Ministerio de Salud del Perú, Lima, Perú
  • Manuel Núñez Vergara Dirección General de Gestión del Desarrollo de Recursos Humanos, Ministerio de Salud del Perú, Lima, Perú
  • Ena Llamosas Félix Dirección General de Gestión del Desarrollo de Recursos Humanos, Ministerio de Salud del Perú, Lima, Perú
  • Walter Pérez Dirección General de Gestión del Desarrollo de Recursos Humanos, Ministerio de Salud del Perú, Lima, Perú

DOI:

https://doi.org/10.15381/anales.v76i0.10968

Keywords:

Human resources, equity, Health Status Indicators.

Abstract

Background: The density of Human Resources for Health (HRH) at Peru has exceeded the threshold set by WHO to ensure coverage of health services, which is 25 per 10 000 population. However this national average could masks regionally HRH densities that could be below the stipulated threshold, particularly in poorest areas. As a result it is necessary to study the existence of possible inequities in the distribution HRH inside the regions. Inequity must be understood as the unnecessary, avoidable, and unjustified lack of HRH. Objectives: To determine inequities in the distribution of HRH at health care services of four poor regions of Peru (Cajamarca, Loreto, Apurimac and San Martin). Design: Cross sectional descriptive study. Institution: Dirección General de Gestión de Desarrollo de Recursos Humanos of Ministry of Health. Methods: Density of HRH for each region was calculated. In order to evaluate inequity, Gini index was calculated for the regional settings and Theil T Index for provincial settings. Results: HRH densities in 3 of the 4 regions were below the minimum stipulated by WHO. Gini index found were Cajamarca 0.175, Loreto 0.157, Apurimac 0.372 and San Martin 0.146 indicating a tendency to equity. Meanwhile, in intra-regional analysis, Theil T index showed that a significant number of provinces had good distribution of HRH. Conclusions: Despite low density of HRH in most regions studied, HRH distribution showed a trend towards equity.

Downloads

Published

2015-03-16

Issue

Vol. 76 (2015): Número Especial

Section

Trabajos originales

License

Copyright (c) 2015 Betsy Moscoso Rojas, Lizardo Huamán Angulo, Manuel Núñez Vergara, Ena Llamosas Félix, Walter Pérez

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Those authors who have publications with this magazine accept the following terms:

  1. Authors will retain their copyrights and guarantee the journal the right of first publication of their work, which will be simultaneously subject to Creative Commons Attribution License that allows third parties to share the work as long as its author and its first publication this magazine are indicated.
  2. Authors may adopt other non-exclusive licensing agreements for the distribution of the version of the published work (eg, deposit it in an institutional electronic file or publish it in a monographic volume) provided that the initial publication in this magazine is indicated.
  3. Authors are allowed and recommended to disseminate their work over the Internet (eg: in institutional telematic archives or on their website) before and during the submission process, which It can produce interesting exchanges and increase quotes from the published work. (See El efecto del acceso abierto ).

How to Cite

1.
Moscoso Rojas B, Huamán Angulo L, Núñez Vergara M, Llamosas Félix E, Pérez W. Inequity in the distribution of human resources for health at health care services in four Peruvian regions. An Fac med [Internet]. 2015 Mar. 16 [cited 2024 Jul. 17];76:35-40. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/10968