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Challenging Inequities in HealthFrom Ethics to Action$
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Timothy Evans, Margaret Whitehead, Finn Diderichsen, Abbas Bhuiya, and Meg Wirth

Print publication date: 2001

Print ISBN-13: 9780195137408

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195137408.001.0001

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Mexico: Marginality, Need, and Resource Allocation at the County Level

Mexico: Marginality, Need, and Resource Allocation at the County Level

Chapter:
(p.276) Chapter 19 Mexico: Marginality, Need, and Resource Allocation at the County Level
Source:
Challenging Inequities in Health
Author(s):

RAFAEL LOZANO

BEATRIZ ZURITA

FRANCISCO FRANCO

TERESITA RAMÍREZ

PATRICIA HERNÁNDEZ

JOSÉ LUIS TORRES

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195137408.003.0019

This chapter presents the case of Mexico, which reveals the fact that district/provincial expenditures in health care are inversely related to need, a case in point of the “inverse care law.” Mexico is a middle-income country facing a double burden of infectious and chronic disease and engaged in health sector reform and decentralization. Using the marginality index developed by the Mexican government, the chapter employs a policy-relevant mechanism for highlighting disparity and mapping the intersection of marginality, membership in an indigenous group, and rural poverty. It outlines the implications of the analyses for resource allocation to meet the differential needs for health care more equitably in marginalized areas.

Keywords:   health care provision, resource allocation, Mexico, equity, mapping

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