Pobreza y desigualdad en el acceso a la salud sexual y reproductiva de las mujeres peruanas

Objective: To determine the influence of poverty on sociogeographic inequality in the access to sexual and reproductive health of Peruvian women. Methods: An observational, analytical and ecological study with aggregate data corresponding to Metropolitan Lima, Constitutional Province of Callao and 24 departments of Peru registered for the year 2021 by the National Institute of Statistics and Informatics of Peru. The analysis included correlation tests, simple linear regression and the calculation of Kuznets indices, inequality concentration index (ICI) and slope inequality index (SII). Results: The proportion of women not using modern contraceptive methods was associated with the proportion of population in monetary poverty (r=0.448; p=0.022) with an absolute inequality gap of 6.92% and relative inequality gap of 1.16 (ICI =0.034; SII=7.875). The proportion of pregnant women without prenatal care by qualified health personnel and the proportion of deliveries without assistance from skilled health workers were associated with the proportion of the population in nonmonetary poverty. The absolute and relative inequality gaps were 5.29% and 8.90 (ICI=0.526; SII=5.270) for prenatal care, and 11.33% and 11.03 (ICI=0.453; SII=12,440) for delivery care. Conclusions: Non-monetary poverty would explain the inequality gaps observed in the proportion of pregnant women without prenatal care by qualified health personnel and the proportion of deliveries without the assistance of skilled health personnel in Peruvian women.