Health care allocation and selective neglect in rural Peru : Intra-household allocation of food and health care : Current findings and understandings.
This study of health care allocation to children in northern Puno, Peru, utilizes quantitative and qualitative data to explore differential resource allocation to children in rural Andean households.
As part of a broader ethnographic study of health in two communities, quantitative data on reported health status, symptoms, and treatments (both lay and specialist) were collected for 23 children under the age of 7 over a one year period.
Additional data were collected from local health post records.
Data were analyzed by gender, and by three age groups (birth to 1 year, 1-3 years, and 4-6 years) to determine if differences existed in the allocation of health care.
The data suggest a pattern of discrimination against females and younger children, especially infants under age one, despite the fact that these groups were reported to be sicker.
Differences were especially significant in the allocation of biomedical treatments, the most costly in terms of parental time, effort, and money.
Ethnographic data on child illness, gender, and developmental concepts help to explain why children of different genders and ages may be treated differently in the rural Andes.
They provide a context in which to interpret health care allocation data, and, in the absence of a population-based study, reinforce findings based on the limited study sample.
Female children are valued less because of their future social and economic potential. (...)
Mots-clés Pascal : Milieu familial, Répartition ressource, Santé, Soin, Enfant, Homme, Age, Sexe, Pauvreté, Milieu rural, Milieu culturel, Ethnologie, Comportement parental, Pérou, Amérique du Sud, Amérique
Mots-clés Pascal anglais : Family environment, Resource repartition, Health, Care, Child, Human, Age, Sex, Poverty, Rural environment, Cultural environment, Ethnology, Parental behavior, Peru, South America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0338542
Code Inist : 002B30A11. Création : 12/09/1997.