scholarly journals National and subnational coverage and inequalities in reproductive, maternal, newborn, child, and sanitary health interventions in Ecuador: a comparative study between 1994 and 2012

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Paulina Rios Quituizaca ◽  
Giovanna Gatica-Domínguez ◽  
Devaki Nambiar ◽  
Jair Licio Ferreira Santos ◽  
Stefan Brück ◽  
...  

Abstract Background Latin America (LA) has experienced constant economic and political crises that coincide with periods of greater inequality. Between 1996 and 2007 Ecuador went through one of the greatest political and socio-economic crises in Latin America, a product of neo-liberal economic growth strategies. Between 2007 and 2012 it regained political stability, promoted redistributive policies, and initiated greater social spending. To understand the possible influence on the political and economic context, we analyzed the coverage and inequalities in five Reproductive, Maternal, and Child Health (RMNCH) and two water and sanitation interventions using survey data from a broad time window (1994–2012), at a national and subnational level. Methods The series cross-sectional study used data from four representative national health surveys (1994, 1999, 2004 and 2012). Coverage of RMNCH and sanitary interventions were stratified by wealth quintiles (as a measure of the socio-economic level), urban-rural residence and the coverage for each province was mapped. Mean difference, Theil index and Variance-weighted least squares regression were calculated to indicate subnational and temporal changes. Results From 1994 to 2004, Ecuador evidenced large inequalities whose reduction becomes more evident in 2012. Coverage in RMNCH health service-related interventions showed a rather unequal distribution among the socioeconomic status and across provinces in 1994 and 2004, compared to 2012. Sanitary interventions on the contrary, showed the most unequal interventions, and failed to improve or even worsened in several provinces. While there is a temporary improvement also at the subnational level, in 2012 several provinces maintain low levels of coverage. Conclusions The remarkable reduction of inequalities in coverage of RMNCH interventions in 2012 clearly coincides with periods of regained political stability, promoted redistributive policies, and greater social spending, different from the former neo-liberal reforms which is consistent with observations made in other Latin American countries. Territorial heterogeneity and great inequalities specially related with sanitation interventions persists. It is necessary to obtain high quality information with sharper geographic desegregation that allows to identify and understand local changes over time. This would help to prioritize intervention strategies, introduce multisectoral policies and investments that support local governments.

2014 ◽  
Vol 13 (5-6) ◽  
pp. 626-647 ◽  
Author(s):  
Barbara Hogenboom

Chinese oil companies have recently started to set up operations in Latin America, and they are doing this at a rapid pace. This article aims to provide an overview of the increasing flows of oil and capital (fdiand credit) between Latin America and China, and to clarify how they interact with the broader Sino-Latin American relations as well as Latin America’s changing political landscape. In addition to regional trends, the cases of Venezuela, Brazil and Ecuador are discussed. The article combines an assessment of factual data with an analysis of the broader political economy context in which these new oil relations operate. Next to national differences, three general tendencies stand out: first, the type of arrangements and coordinated activities that Chinese companies, banks and government agencies deploy differ from those of other large oil-seeking nations; second, while the arrival of Chinese capital is welcomed by Latin American governments and pictured as part of non-imperialist South-South relations, Chinese oil companies and loans are sometimes criticized in local media by scholars, opposition andngos; and third, Chinese oil imports and investments have added to changing attitudes and policies towards strategic sectors under new political regimes, which allows for more social spending but which critics have labeled as the return to an ‘extractivist model.’


2016 ◽  
Vol 16 (3) ◽  
pp. 361-375 ◽  
Author(s):  
Camila Arza

Gender inequalities are a key issue for most pension systems in Latin America. Contributory pension schemes that link benefit entitlements to work and earnings tend to reflect in the benefits they offer the gender gaps that prevail in the labour market. This deepened with the implementation of individual private accounts as part of structural pension reforms in a number of countries. This article evaluates how recent pension policies, including measures geared to coverage expansion and so-called pension ‘re-reforms’, have addressed gender gaps in pensions in four Latin American countries. It shows that the expansion of non-contributory pensions and a greater emphasis on redistribution are important for the protection of older women in a context of gendered labour markets and the unequal distribution of paid and unpaid work between women and men. Looking at the cases of Argentina, Bolivia, Brazil and Chile, the article identifies progress but also the persistence of gender gaps in pensions and emphasises the need for further measures to promote adequate social protection for older women.


2015 ◽  
Vol 38 (2) ◽  
pp. 149-165 ◽  
Author(s):  
Verónica Baena

Purpose This study aims to enhance the knowledge that managers and scholars have on franchising expansion. In this sense, it is worth mentioning that although the body of literature on international management focusing on emerging markets is growing, the attention paid to the Latin American context continues to be limited. This is surprising given the substantive economic importance of the region with a population over 590 million, and a gross domestic product of approximately US$5 trillion. To cover this gap, the present study examines how a number of market conditions may drive diffusion of franchising into Latin America: geographical distance, cultural distance, political stability and economic development. The authors also controlled for the host country’s market potential, transparency, unemployment rate and efficiency of contract enforcement. Design/methodology/approach This study uses a quantitative approach applied to a sample of 77 Spanish franchisors operating through 4,064 franchisee outlets across 21 Latin American countries in late 2012. They are: Argentina, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Bolivia, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, Uruguay and Venezuela. Findings Results conclude that geographical distance between the host and home countries, as well as the level of host country’s political stability, economic development, market potential and transparency are able to drive the spread of international franchising across Latin American nations. Research limitations/implications This study provides readers with a general overview of the current state of global franchising diffusion overseas. Results obtained in this study are useful for understanding and predicting the demand for franchising in Latin American countries. Practical implications Economics reports argue that by 2050, the largest economies in the world will be China, the USA, India, Brazil and Mexico. This fact highlights the substantive importance of Latin America for foreign investors willing to expand their business abroad. In an attempt to give insights from the Latin American context, the present paper develops and tests a model that can be useful to franchisors willing to establish new outlets in the region. In addition, our findings offer guidance to firm managers seeking to target their franchises in Latin America. Franchisors may then use the results of this study as a starting point for identifying such regions whose characteristics best meet their needs of expansion. Originality/value This paper explores how market conditions may drive international diffusion of franchising into Latin American markets. The scant theoretical or empirical attention given to this topic has usually been examined from the USA and British base and focused on developed markets. To fill this gap, the present study analyzes the international spread of the Spanish franchise system into Latin America as a market for franchising expansion.


1996 ◽  
Vol 38 (2-3) ◽  
pp. 39-46 ◽  
Author(s):  
Lloyd G. Reynolds

AbstractThis paper considers the deep-seated roots of income inequality in the structure of Latin American economics. These include unequal distribution of land ownership, the “Kuznets effect” of rapid industrialization, regressive tax systems, and failure of governments to pursue aggressively income equalization policies. While examples are drawn from the experience of Brazil and Mexico, similar conclusions hold for other countries of the region.


2020 ◽  
Vol 62 (2) ◽  
pp. 99-109
Author(s):  
Dongkyu Kim ◽  
Mi-son Kim ◽  
Cesar Villegas

ABSTRACTThe theories and evidence about relationships between democracy and social spending in Latin America are highly contested. A recent study shows that collective protest by organized labor effectively increases social security and welfare spending, whereas mass protest does not have comparable effects on human capital spending in Latin American democracies. This article reexamines the analysis and demonstrates that organized labor alone cannot sway democratic governments. Labor strikes require the synchronizing effect of mass protest to obtain government concessions. Only through concurrent episodes of mass protest can organized labor overcome the numerical disadvantage of pressing democratic government for social welfare spending. In understanding the relationship between labor protests and social welfare spending through the lens of insider-outsider dichotomy, it is critical to consider the synchronizing effect of mass protests. The findings remain robust with alternative measures of democracy and various model specifications.


2001 ◽  
Vol 43 (4) ◽  
pp. 1-35
Author(s):  
Kenneth P. Jameson

AbstractThe choice of exchange rate regime is a continuing challenge to Latin American policymakers, who currently face pressure to dollarize their economies. The constraints imposed by the “dollar bloc,” the informal but powerful currency bloc that ties Latin America to the dominant currency, are central to that choice. Current weak economic performance has called the bloc's norms and principles into question and has made the exchange rate an open issue. Ecuador's full official dollarization is one possible strategy for countries with political stability but poor economic performance to gain access to needed dollar resources. Most of Latin America, however, will continue with variants of managed floating exchange rates, and the periodic foreign exchange crises will provide access to official dollar resources and facilitate renegotiation of the terms of outstanding debt.


2021 ◽  
Vol 13 (4) ◽  
pp. 1837
Author(s):  
Tamara Guerrero-Gómez ◽  
Andrés Navarro-Galera ◽  
David Ortiz-Rodríguez

Although transparency on the sustainability of public services is an issue of urgent interest to both governments and academics, previous research in this area has mainly focused on developed European countries, and has paid insufficient attention to areas that are still developing, such as many Latin American countries. The aim of this study is to identify factors that promote transparency on sustainability by local governments in Latin America, in the view that greater transparency will help them meet the goals of the 2030 Agenda for Sustainable Development. Therefore, using content analysis and following the GRI guidelines, we analyze the economic, social and environmental information published on the websites of 200 large local governments in 18 Latin American countries. In addition, using linear regression and calculating the corresponding Spearman coefficients, we analyze the influence of idiosyncratic and systemic variables on the volume of information disclosed. Our findings show that certain factors—population size, education level, unemployment, the quality of legislation and political corruption—affect transparency on sustainability. The conclusions drawn from this analysis enable us to identify useful measures for enhancing transparency on sustainability, including the reform of transparency laws and the analysis and disclosure of citizens’ information demands.


2018 ◽  
Vol 70 (4) ◽  
pp. 555-594 ◽  
Author(s):  
Alisha C. Holland

In Latin America, the relationship between income and support for redistribution is weak and variable despite the region's extreme income inequality. This article shows that this condition is rooted in the truncated structure of many Latin American welfare states. Heavy spending on contributory social insurance for formal-sector workers, flat or regressive subsidies, and informal access barriers mean that social spending does far less for the poor in Latin America than it does in advanced industrial economies. Using public opinion data from across Latin America and original survey data from Colombia, the author demonstrates that income is less predictive of attitudes in the countries and social policy areas in which the poor gain less from social expenditures. Social policy exclusion leads the poor to doubt that they will benefit from redistribution, thereby dampening their support for it. The article reverses an assumption in political economy models that welfare exclusion unleashes demands for greater redistribution. Instead, truncation reinforces skepticism about social policy helping the poor. Welfare state reforms to promote social inclusion are essential to strengthen redistributive coalitions.


2019 ◽  
Vol 12 (5) ◽  
pp. 44-63
Author(s):  
S. M. Kretov

The article offers an inquiry into the problem of “ethnic revival” in politics against the background of the accelerated globalization processes through the example of the indigenous movements in Latin America. In particular, it explains how such global trends as the democratization and liberalization of social and political spheres, intensified activities of international institutions on the empowerment of disadvantaged social groups, the inclusion of ecological problems in national and international agendas, growing interest of international society to the social and political problems of developing countries have contributed to the intensification of political activities of the indigenous peoples in Latin America in the last 25 years.The indigenous political activism has taken radically different institutional forms and has led to diverse outcomes. For instance, in Mexico the indigenous peoples did not manage to create a viable sociopolitical force capable of advocating for their rights. In some other Latin America states, there are indigenous organizations that successfully promote the interests of native peoples. Moreover, in various countries the indigenous representatives are elected to national and local governments. In Colombia, Ecuador and Nicaragua the indigenous political parties were found, which, as long as other political forces, are participating in electoral processes and are delegating their representatives to public institutions. Whereas in case of Bolivia, the indigenous movement in alliance with left and progressive social organizations, has become the leading political force.The author gives an explanation why the political activism of the indigenous peoples in different Latin American countries has taken such forms and has contributed to such results. On the basis of the analysis of these political activities the conclusion is made about common features of political culture, self-identification and perception of social and political processes by the indigenous peoples of Latin America.


2019 ◽  
Author(s):  
Gibran Cruz-Martinez

There is an ongoing debate between focalization and universalization on welfare policies as the best way to develop the welfare state in Latin America and the Caribbean. However, there is a need to develop a measure that exhibits the multidimensional nature of the welfare state, instead of focusing on the social spending dimension. Segura-Ubiergo (The political economy of the welfare state in Latin America: globalization, democracy and development. Cambridge University Press, New York, 2007) constructed a welfare effort index (WEI) to facilitate understand the relative degrees of welfare state development among Latin American countries. The WEI focuses mainly on social spending and ignores the other dimensions of welfare. Based on a comparative analysis of 17 Latin American countries and following the methodology of Segura-Ubiergo, a new index that aims at enriching the WEI was constructed. The new index is multidimensional in that it has eight indicators relating to three dimensions of welfare: social spending, coverage of welfare programs and outcome of welfare institutions. Principal component analysis was used for reducing the indicators into three indexes that represent three proposed dimensions of welfare. The combination of these three indexes gives the multidimensional welfare index. The results of the index account for more than 75 % of the data variance.


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