"The health gap between so-called
haves and have-nots is a phenomenon documented throughout the
world. Health gaps exist between rich and poor, well-educated
and less-educated, rural and urban—even between impoverished
and marginalized groups. The initiation of the Millennium
Development Goals (MDGs) brings new energy and resources to
the development agenda, with a strong emphasis on health
outcomes. However, ensuring that such goals are met in an
equitable manner, with the worst-off groups benefiting at the
same or greater rate as the better-off groups, is a central
challenge. One place to start is by identifying inequity
between different population groups and across different
social strata. Inequity baselines can be created to illuminate
how different indicators and social stratifiers yield
different patterns of disparity. Using population-based
surveys, such baselines can be established even in data-poor
countries. Using survey data from Ghana, Ethiopia, Kenya,
Tajikistan, Dominican Republic and Cambodia, this Guide
demonstrates how to establish such a baseline. This Guide is
for researchers, program staff, and policymakers interested in
undertaking equity-sensitive monitoring of key health (or
other development) indicators within a given country (as
opposed to cross-national studies). The Guide provides a
method for analyzing indicators across a number of social
strata including wealth, ethnicity, education, region, sex,
and geography. The methodology presented includes both single
and simultaneous stratification that allow for the generation
of fairly simple, quick equity-monitoring tools. The mode of
presentation is instructional, rather than theoretical." [By:
Meg Wirth, Enrique Delamonica, Emma Sacks, et al. Center for
International Earth Science Information Network (CIESIN) and
the United Nations Children’s Fund (UNICEF), January 2006]
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