INVISIBILITY OF SOCIAL VULNERABILITY AND SOCIAL RIGHTS TO A COMPREHENSIVE HEALTH CARE IN CHILE

Arcos, Estela; Canales, Mónica; Muñoz, Luz Angélica; Toffoletto, María Cecilia; Sánchez, Ximena; Vollrath, Antonia

doi:10.1590/0104-07072016006150015

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ORIGINAL ARTICLE • Texto contexto - enferm. 25 (04) • 2016 • https://doi.org/10.1590/0104-07072016006150015 copy

INVISIBILITY OF SOCIAL VULNERABILITY AND SOCIAL RIGHTS TO A COMPREHENSIVE HEALTH CARE IN CHILE

(IN)VISIBILIDADE DA VULNERABILIDADE SOCIAL E DO DIREITO AO CUIDADO INTEGRAL DA SAÚDE NO CHILE

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To estimate the magnitude of perception of invisibility of social vulnerability and its impact on the access to universal and specific services of the Comprehensive Childhood Protection System in Chile.

Method:

Cross-sectional study in 50 vulnerable dyads, who were registered in a family health care center (Metropolitan Region, Chile; 2012). After the informed consent, mothers were interviewed using a structured questionnaire. A correspondence analysis model was applied.

Results:

The invisibility of social vulnerability estimated for mothers (92.0%) and children (86.0%), and a better access was observed to universal services by children and to specific services by mothers.

Conclusion:

The invisibility of vulnerability limits the opportunities of social protection for disadvantaged groups. Therefore, public policy does not correct social inequalities, which deserve attention by the public health managers in Chile.

DESCRIPTORS:
Social vulnerability; Public policy; Risk groups; Health inequalities; Comprehensive health care

	Female household leadership				Total
	With		Without
	22		28		50
	n	%	n	%	n	%

By perception of the health professional who enters the pregnant women.	20	90.9	26	92.9	46	92.0
By perception of the health professional who enters the infants.	20	90.9	23	82.1	43	86.0
Visibility of the psychosocial risk
Mothers with psychosocial risk by application of psychosocial guideline.	6	27.3	11	39.3	17	34.0
Infants with psychosocial risk by application of psychosocial guideline.	5	22.7	10	35.7	15	30.0
Mothers with psychosocial risk by screening and clinical records.	13	59.1	12	42.9	25	50.0
Infants with psychosocial risk by screening and the clinical records.	16	72.7	20	71.4	36	72.0

Condition	Coverage of services
Condition	Universal	Specific
With invisible vulnerability.	69.6%	78.4%
With invisible vulnerability in 24 women who received information about Chile Crece Contigo.	68.9%	84.1%
With psychosocial risk by screening.	66.2%	63.0%
With psychosocial risk by screening and review of clinical records.	69.4%	75.7%
Women as household heads.
With invisible vulnerability.	66.7%	83.2%
With invisible vulnerability of woman who received information about Chile Crece Contigo.	70.3%	87.2%
With psychosocial risk by screening.	60.0%	71.4%
With psychosocial risk by screening and review of clinical records.	69.0%	90.1%

Condition	Coverage of services
Condition	Universal	Specific
With invisible vulnerability.	91.0%	56.5%
With psychosocial risk by screening.	96.4%	54.5%
With psychosocial risk by screening and review of clinical records.	92.9%	47.1%
With history of developmental delay.	95.7%	25.0%
Infants from household-head mothers with invisible social vulnerability.
With invisible vulnerability.	91.1%	70.3%
With psychosocial risk by screening.	100.0%	57.1%
With psychosocial risk by screening and review of clinical records.	95.2%	35.0%
With a history of developmental delay.	100.0%	42.3%

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Estela Arcos Facultad de Enfermería, Universidad Andrés Bello Sazié 2212, 7° piso, 8320000 Santiago de Chile, Chile E-mail: marcos@unab.cl