Health equity for women in Haiti/Equidade na atencao a saude de mulheres no Haiti.(Artigo original texto en portugues)

Objective. To describe primary health care provided to women in Haiti and evaluate equity in the care provided to this group. Methods. In this cross-sectional study, 114 women receiving primary health care services in the country's 10 health departments were interviewed. Two groups of indicators were used for analysis of equity: access indicators (walking time to reach services, waiting time, and need to pay for the service) and quality (knowing the name of the healthcare provider, length of the consultation, and discrimination). Payment and discrimination were used as outcomes for access and quality, respectively. Results. Most women were younger than 30 years of age (59.0%), black (92.1%), and migrants (63.2%). Family income was known by only 21.3%, and 47,4% were literate. Most consultations lasted less than 10 minutes (68.3%). The provider's name was not known by 72.7% of the women interviewed. Consultations were paid by 63.4%, especially in the South (P = 0.016). Also, women in the South spent more time walking to reach health services. Those who did not pay had shorter consultations (P < 0.001). Finally, discrimination was detected in 28.9% of the women interviewed. Conclusions. This research revealed difficulties in the access to and discrimination in the care provided to women in Haiti, and suggests that gender is an important category of analysis to evaluate health equity. Keywords Gender and health; primary health care; women's health; health equity; Haiti. Objetivo. Descrever a atencao basica em saude prestada as mulheres no Haiti e avaliar a equidade da atencao. Metodos. Neste estudo transversal, 114 mulheres atendidas na atencao basica nos 10 departamentos de saude do pais foram entrevistadas. Para analisar a equidade, foram utilizados dois grupos de indicadores: acesso (tempo de caminhada para chegar aos servicos, tempo de espera na fila de consultas e necessidade de pagamento) e qualidade (conhecer o nome do prestador de servicos, tempo de consulta e discriminacao). Pagamento e preconceito foram escolhidos como desfechos respectivamente para acesso e qualidade da atencao. Resultados. A maioria das mulheres tinha menos de 30 anos (59,0%), era negra (92,1%) e migrante (63,2%); apenas 21,3% souberam informar a renda familiar e 47,4% eram alfabetizadas. A maioria das consultas foi realizada em menos de 10 minutos (68,3%). O nome do profissional que prestou o servico nao era conhecido por 727% das mulheres. As consultas foram pagas por 63,4%, esp