from the mothers' stories, significant patterns were identified in their experiences, yielding insights into society from these women's perspectives. For humanized, comprehensive nursing care, this expertise directs interventions designed to overcome despair in women excluded because of their invisibility and poverty.
Objectives: to establish the effectiveness of the public benefits and services of the "Chile Grows with You" and "Protect Network" programs for socially vulnerable women and children in an urban community in the Metropolitan Region of Chile. method: Descriptive study employing a questionnaire. The sample consisted of 132 mothers and their 133 infants, all grouped according to social vulnerability. Primary data were collected via a structured interview of the mothers and were complemented with institutional (secondary) data. Descriptive and associative analyses were performed. Results: the perception of social vulnerability by the professionals was low at the time of admission into the program. The effectiveness of the universal and specific benefits was low, with better results for the children than for the mothers. However, no significant differences were observed according to vulnerability. Another finding was the low access to specific benefits for children with psychosocial risk and psychomotor delay, especially in the most vulnerable group. Conclusion: the results revealed a gap in the access to the benefits guaranteed by law.To overcome this situation, nurses must strengthen their skills in contextualized health practices and the comprehensive administration of interdisciplinary and intersectoral networks.
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.
IN-VISIBILIDAD DE LA VULNERABILIDAD SOCIAL Y EL DERECHO AL CUIDADO DE SALUD INTEGRAL EN CHILE RESUMENObjetivo: estimar la magnitud de la percepción de la in-visibilidad de la vulnerabilidad social y sus consecuencias en el acceso a servicios universales y específicos del Sistema de Protección Integral de la Infancia en Chile.Método: estudio transversal en 50 díadas vulnerables, registradas en un centro de salud familiar (Región Metropolitana, Chile; 2012). Después de la firma de consentimiento informado, las madres fueran entrevistadas usando un cuestionario estructurado. Se aplicó un modelo de análisis de correspondencias.Resultados: la in-visibilidad de la vulnerabilidad social fue estimada para madres (92.0%) y hijos (86.0%), observándose un mejor acceso a los servicios universales a los infantes y específicos a las madres.Conclusión: la in-visibilidad de la vulnerabilidad limita las oportunidades de protección social a grupos desventajados. Como consecuencia, la política pública no corrige las desigualdades sociales, que merecen atención de los gestores de la salud pública chilena.DESCRIPTORES: Vulnerabilidad social. Protección social en salud. Grupos de riesgo. Inequidad en salud. Atención integral de salud. Texto Contexto Enferm, 2016; 25(4):e6150015 Arcos E, Canales M, Muñoz LA, Toffoletto MC, Sánchez X, Vollrath A 2/8 (IN)VISIBILIDADE DA VULNERABILIDADE SOCIAL E DO DIREITO AO CUIDADO INTEGRAL DA SAÚDE NO CHILE RESUMO Objetivo: estimar a magnitude da percepção da invisibilidade da vulnerabilidade social e suas consequências no acesso aos serviços universais e específicos do Sistema de Proteção Integral à Infância no Chile.Método: estudo transversal em 50 díades vulneráveis, registrados em um centro de saúde familiar (Região Metropolitana, Chile;2012). Depois do consentimento informado, as mães foram entrevistadas usando um questionário estruturado. Um modelo de análise de correspondência foi aplicado.Resultados: a invisibilidade da vulnerabilidade social foi estimada para mães (92...
OBJECTIVE To analyze the effectiveness of the Chilean System of Childhood Welfare in
transferring benefits to socially vulnerable families.METHODS A cross-sectional study with a sample of 132 families from the Metropolitan
Region, Chile, stratified according to degree of social vulnerability,
between September 2011 and January 2012. Semi-structured interviews were
conducted with mothers of the studied families in public health facilities
or their households. The variables studied were family structure,
psychosocial risk in the family context and integrated benefits from the
welfare system in families that fulfill the necessary requirements for
transfer of benefits. Descriptive statistics to measure location and
dispersion were calculated. A binary logistic regression, which accounts for
the sample size of the study, was carried out.RESULTS The groups were homogenous regarding family size, the presence of biological
father in the household, the number of relatives living in the same
dwelling, income generation capacity and the rate of dependency and
psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three
groups of the sample (≤ 23.0%). The benefit with the best coverage in the
system was the Single Family Subsidy, whose transfer was associated with the
size of the family, the presence of relatives in the dwelling, the absence
of the father in the household, a high rate of dependency and a high income
generation capacity (p ≤ 0.10).CONCLUSIONS The effectiveness of benefit transfer was poor, especially in families that
were extremely socially vulnerable. Further explanatory studies of benefit
transfers to the vulnerable population, of differing intensity and duration,
are required in order to reduce health disparities and inequalities.
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