Impactos de la epidemia del coronavirus en el trabajo de las mujeres en el Perú / Impacts of the coronavirus epidemic on women's work in Peru

En el presente documento nos centramos en un análisis comparativo de la inserción laboral de las mujeres en contraste con la de los hombres, explorando sus fortalezas y debilidades frente al choque que vivimos. Se incluye a las mujeres jefas de hogar, algunas interseccionalidades relevantes para el diseño de políticas, así como también la posible evolución de la violencia doméstica. En el agregado, el impacto de la epidemia a corto (cuarentena para todos excepto actividades económicas esenciales) y mediano plazo (considerando la primera etapa de reinicio de la actividad productiva), es similar para hombres y mujeres. Sin embargo, los grupos especialmente vulnerables en este contexto incluyen a mujeres en el entorno urbano, con varios hijos, trabajando en los sectores de comercio y servicios y de manera informal. Además, se identifican opciones de políticas para mejorar la empleabilidad de las mujeres, sugiriendo su monitoreo efectivo, así como mecanismos de atención para manejar la violencia doméstica

Effects of ethnic attributes on the quality of family planning services in Lima, Peru: a randomized crossover trial.

Most studies reporting ethnic disparities in the quality of healthcare come from developed countries and rely on observational methods. We conducted the first experimental study to evaluate whether health providers in Peru provide differential quality of care for family planning services, based on the indigenous or mestizo (mixed ethnoracial ancestry) profile of the patient. In a crossover randomized controlled trial conducted in 2012, a sample of 351 out of the 408 public health establishments in Metropolitan Lima, Peru were randomly assigned to receive unannounced simulated patients enacting indigenous and mestizo profiles (sequence-1) or mestizo and then indigenous profiles (sequence-2), with a five week wash-out period. Both ethnic profiles used the same scripted scenario for seeking contraceptive advice but had distinctive cultural attributes such as clothing, styling of hair, make-up, accessories, posture and patterns of movement and speech. Our primary outcome measure of quality of care is the proportion of technical tasks performed by providers, as established by Peruvian family planning clinical guidelines. Providers and data analysts were kept blinded to the allocation. We found a non-significant mean difference of -0.7% (p = 0.23) between ethnic profiles in the percentage of technical tasks performed by providers. However we report large deficiencies in the compliance with quality standards of care for both profiles. Differential provider behaviour based on the patient's ethnic profiles compared in the study did not contribute to deficiencies in family planning outcomes observed. The study highlights the need to explore other determinants for poor compliance with quality standards, including demand and supply side factors, and calls for interventions to improve the quality of care for family planning services in Metropolitan Lima.