巴西参与式卫生治理与艾滋病毒/艾滋病

IF 1.7 2区社会学 Q1 AREA STUDIES

Latin American Politics and Society Pub Date : 2023-06-08 DOI:10.1017/lap.2023.15

Michael Touchton, Natasha Borges Sugiyama, Brian Wampler

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引用次数: 0

摘要

本研究说明评估了巴西参与性的艾滋病毒和艾滋病健康治理做法。此外，我们还评估了市政民主治理对公共卫生成果的影响。我们从一个关于2006-2017年巴西所有5570个城市的城市艾滋病毒/艾滋病流行率和参与性卫生治理的独特数据集中得出结论。我们使用负二项回归和与治疗效果的粗化精确匹配来估计社区卫生治理机构对HIV/AIDS流行率的影响。在其他条件相同的情况下，拥有参与式卫生委员会的市镇的艾滋病毒/艾滋病流行率比其他市镇低14%。家庭健康计划覆盖率、市政府能力和市政府人均医疗支出也与系统性降低艾滋病毒/艾滋病流行率有关。我们得出的结论是，参与式卫生治理可以通过市政支出、教育和社区动员来对抗艾滋病毒和艾滋病。市卫生委员会可以促进这些战略，并为改善世界各地的福祉提供机会。

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Participatory Health Governance and HIV/AIDS in Brazil

This research note assesses participatory health governance practices for HIV and AIDS in Brazil. By extension, we also evaluate municipal democratic governance to public health outcomes. We draw from a unique dataset on municipal HIV/AIDS prevalence and participatory health governance from 2006–17 for all 5,570 Brazilian municipalities. We use negative binomial regression and coarsened exact matching with treatment effects to estimate the influence of community health governance institutions on HIV/AIDS prevalence. Municipalities with participatory health councils experience 14% lower HIV/AIDS prevalence than other municipalities, all else equal. Family Health Program coverage, municipal state capacity, and municipal per capita health spending are also associated with systematically lower HIV/AIDS prevalence. We conclude that participatory health governance may combat HIV and AIDS through municipal spending, education, and community mobilization. Municipal health councils can facilitate these strategies and offer opportunities for improving well-being around the world.

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来源期刊

Latin American Politics and Society Multiple-

CiteScore

3.10

自引率

5.30%

发文量

期刊介绍： Latin American Politics and Society publishes the highest-quality original social science scholarship on Latin America. The Editorial Board, comprising leading U.S., Latin American, and European scholars, is dedicated to challenging prevailing orthodoxies and promoting innovative theoretical and methodological perspectives on the states, societies, economies, and international relations of the Americas in a globalizing world.