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dc.contributor.authorSchattan Coelho, Vera
dc.coverage.spatialSão Pauloen
dc.date.accessioned2018-05-01T09:06:06Z
dc.date.available2018-05-01T09:06:06Z
dc.date.issued2018-05-01
dc.identifier.citationSchattan Coelho, V. (2018) 'Reducing Health Inequalities in Brazil’s Universal Health-Care System: Accountability Politics in São Paulo', in Nelson, E., Bloom, G and Shankland, A. (Eds) Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage, IDS Bulletin 49.2, Brighton: IDSen
dc.identifier.urihttp://opendocs.ids.ac.uk/opendocs/handle/123456789/13677
dc.description.abstractBrazil relies on the Sistema Único de Saúde (SUS), a public health-care system used by nearly 65 per cent of the population. This article analyses the role played by accountability mechanisms in expanding access to primary health care in the municipality of São Paulo, Brazil’s largest city. Two accountability mechanisms are described and discussed: political competition and outsourcing. The article shows that from 2001 to 2016 the supply of primary care grew and the disparities in access to public health services decreased across the city areas with both the best and worst indices of income, education, and health. These distributive results are striking given how difficult it is to reverse inequalities, as attested by the findings of a number of studies in different parts of the world which indicate that the richest populations tend to persistently benefit more than the poorest from public spending on health.en
dc.description.sponsorshipOpen Society Foundations, Vozes Desiguais/Unequal Voices, Future Health Systems consortium, the Impact Initiative and Health Systems Globalen
dc.language.isoenen
dc.publisherInstitute of Development Studiesen
dc.relation.ispartofseriesIDS Bulletin;49.2
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcodeen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectHealthen
dc.titleReducing Health Inequalities in Brazil’s Universal Health-Care System: Accountability Politics in São Pauloen
dc.typeArticleen
dc.rights.holderInstitute of Development Studiesen
dc.identifier.teamHealth and Nutritionen
dc.identifier.doi10.19088/1968-2018.139
dcterms.dateAccepted2018-05-01
rioxxterms.funderDefault funderen
rioxxterms.identifier.projectDefault projecten
rioxxterms.versionVoRen
rioxxterms.funder.projectd218e59e-c0fb-4cb3-8a07-92a57da72cd1en


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This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcode
Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcode