OEA - Documento CP ACTA. 2417 25 de 2025

[image] OEA/Ser.G

CP/ACTA 2417/23

22 febrero 2023

ACTA

DE LA SESIÓN EXTRAORDINARIA

CELEBRADA

EL 22 DE FEBRERO DE 2023

Aprobada en la sesión del 10 de diciembre de 2025

ÍNDICE

Página

Nómina de los miembros que asistieron a la sesión 1

Aprobación del proyecto de orden del día 2

Conmemoración del Día Mundial de la Justicia Social: Abordar el privilegio

no equitativo y la ventaja injusta en el acceso a los servicios sociales en las

Américas 3

Presentación del proyecto de declaración “Impulso y promoción de la justicia

social y la equidad en las Américas” 21

Diálogo entre los Estados Miembros y los ponentes 22

Resumen de los resultados y las recomendaciones presentado por la Secretaría

de Acceso a Derechos y Equidad 51

Palabras de clausura del Presidente del Consejo Permanente 53

DOCUMENTO CONSIDERADO EN LA SESIÓN

(SE PUBLICA POR SEPARADO)

CP/doc. 5846/23 rev. 1, Proyecto de declaración “Impulso y promoción de la justicia social y la equidad en las Américas” (Presentado por la Presidencia del Consejo Permanente, con el copatrocinio de las Delegaciones de Antigua y Barbuda, Argentina, Barbados, Bahamas, Belize, Bolivia, Colombia, Granada, y Panamá) (En esta versión actualizada se incluyen los comentarios presentados por las Delegaciones de Antigua y Barbuda, Canadá, Colombia, Estados Unidos, y Guatemala)

CONSEJO PERMANENTE DE LA ORGANIZACIÓN DE LOS ESTADOS AMERICANOS

ACTA DE LA SESIÓN ORDINARIA

CELEBRADA EL 22 DE FEBRERO DE 2023

CONSEJO PERMANENTE DE LA ORGANIZACIÓN DE LOS ESTADOS AMERICANOS

ACTA DE LA SESIÓN ORDINARIA

CELEBRADA EL 22 DE FEBRERO DE 2023

En la ciudad de Washington, D. C., a las tres y treinta dos de la tarde del miércoles 22 de febrero de 2023, celebró sesión extraordinaria el Consejo Permanente de la Organización de los Estados Americanos para conmemorar el Día Mundial de la Justicia Social 2023. Presidió la sesión el Embajador Anthony Phillips-Spencer, Representante Permanente de Trinidad y Tobago y Presidente del Consejo Permanente. Asistieron los siguientes miembros:

Embajadora Rita Claverie de Sciolli, Representante Permanente de Guatemala

Embajador Noel Anderson Lynch, Representante Permanente de Barbados

Embajadora Yolande Yvonne Smith, Representante Permanente de Grenada

Embajador Washington Abdala, Representante Permanente del Uruguay

Embajador Héctor Enrique Arce Zaconeta, Representante Permanente de Bolivia

Embajador Samuel Hinds, Representante Permanente de Guyana

Embajador Agustín Vásquez Gómez, Representante Permanente de El Salvador

Embajador Leon Charles, Representante Permanente de Haití

Embajador Chet Donovan Neymour, Representante Permanente del Commonwealth de las

Bahamas

Embajador Jan Marten Willem Schalkwijk, Representante Permanente de Suriname

Embajador Mauricio Montalvo Samaniego, Representante Permanente del Ecuador

Embajador Carlos Roberto Quesada López, Representante Permanente de Honduras

Embajador Sebastián Kraljevich Chadwick, Representante Permanente de Chile

Embajador Luis Ernesto Vargas, Representante Permanente de Colombia

Embajador Francisco O. Mora, Representante Permanente de los Estados Unidos

Ministro Raúl Mariano Martínez Villalba, Representante Interino del Paraguay

Primera Secretaria Judith-Anne Rolle, Representante Interina del Commonwealth de Dominica

Embajador Francisco O. Mora, Representante Permanente de los Estados Unidos

Ministro Raúl Mariano Martínez Villalba, Representante Interino del Paraguay

Primera Secretaria Judith-Anne Rolle, Representante Interina del Commonwealth de Dominica

Ministra Consejera Carla María Cueva Navarro, Representante Interina del Perú

Ministra Maria Cecilia Villagra, Representante Interina de Argentina

Embajadora Samy Araya Rojas, Representante Interina de Costa Rica

Ministra Consejera Joy-Dee Davis Lake, Representante Alterna de Antigua y Barbuda

Ministro Consejero Omari Seitu Williams, Representante Alterno de San Vicente y las Granadinas

Segunda Secretaria Juana de Dios Mudarra de Morales, Representante Alterna de Panamá

Consejero Pedro Eliud Cisneros Cuervo, Representante Alterno de México

Primera Secretaria Mary Alexandra White, Representante Alterna del Canadá

Embajadora Anabel Bueno Santana, Representante Alterna de la República Dominica

Consejera Shanelle Simmonds, Representante Alterna de Saint Kitts y Nevis

Ministro Ciro Leal Martins Da Cunha, Representante Alterno del Brasil

Consejera Venessa Ramhit-Ramroop, Representante Alterna de Trinidad y Tobago

Ministra Nicholette Erane Simoni Williams, Representante Alterna de Jamaica

También estuvo presente el Secretario General de la Organización, señor Luis Almagro Lemes.

El PRESIDENTE: Distinguished permanent representatives and alternate representatives, I am pleased to declare open this special meeting of the Permanent Council, convened for the purpose of commemorating the World Day of Social Justice 2023, under the theme “Addressing inequitable privilege and unjust advantage in access to social services in the Americas.”

Before proceeding with the approval of the agenda, I would like to acknowledge, first, and thank our distinguished authorities and speakers for their presence, whether virtually or here in-person in the Hall of the Americas. I extend to you all a cordial welcome on behalf of the Permanent Council.

APROBACIÓN DEL PROYECTO DE ORDEN DEL DÍA

Before proceeding with the approval of the agenda, I would like to acknowledge, first, and thank our distinguished authorities and speakers for their presence, whether virtually or here in-person in the Hall of the Americas. I extend to you all a cordial welcome on behalf of the Permanent Council.

APROBACIÓN DEL PROYECTO DE ORDEN DEL DÍA

El PRESIDENTE: Excellencies, esteemed colleagues, in accordance with Article 43 of the Rules of Procedure, we will now proceed to adopt the order of business for this meeting, which has been circulated as document CP/OD-2417/23.

El proyecto de orden del día contiene los siguientes puntos:

1. Aprobación del orden del día (CP/OD-2417/23)

2. Conmemoración del Día Mundial de la Justicia Social 2023: Abordar el privilegio no equitativo y la ventaja injusta en el acceso a los servicios sociales en las Américas

• Discurso principal de la Excelentísima Señora Donna Cox, Senadora y Ministra de Desarrollo Social y Servicios Familiares de Trinidad y Tobago (grabación por video) - Alocuciones de: - Honorable Jueza Deborah Thomas-Felix, Presidenta del Tribunal Industrial de Trinidad y Tobago y miembro de la Comisión de Expertos en Aplicación de Convenios y Recomendaciones, Organización Internacional del Trabajo (OIT) - Dra. Orielle Solar Hormazabal, Asesora, Determinantes Sociales de la Salud, Departamento de Familia, Promoción de la Salud y Curso de Vida, Organización Panamericana de la Salud (OPS) - Sr. Ariel Fiszbein, Director del Programa de Educación, Diálogo Interamericano - Sra. Soledad García Muñoz, Relatora Especial sobre Derechos Económicos, Sociales, Culturales y Ambientales, Comisión Interamericana de Derechos Humanos (CIDH) - Sra. Maricarmen Plata, Secretaria de Acceso a Derechos y Equidad

1. Presentación del proyecto de declaración “Impulso y promoción de la justicia social y la equidad en las Américas” ([CP/doc. 5846/23 rev. 1)

2. Diálogo entre los Estados Miembros y los ponentes

3. Resumen de los resultados y las recomendaciones presentado por la Secretaría de Acceso a Derechos y Equidad (SADyE)

4. Palabras de clausura a cargo del Presidente del Consejo Permanente, Anthony Phillips-Spencer, Representante Permanente de Trinidad y Tobago.]

If there are no objections or observations, it is approved.

Approved.

CONMEMORACIÓN DEL DÍA MUNDIAL DE LA JUSTICIA SOCIAL 2023:

ABORDAR EL PRIVILEGIO NO EQUITATIVO Y LA VENTAJA INJUSTA

EN EL ACCESO A LOS SERVICIOS SOCIALES EN LAS AMÉRICAS

El PRESIDENTE: Excellencies, distinguished colleagues, as Chair of the Permanent Council and as the Permanent Representative of Trinidad and Tobago, I am indeed honored to preside over this important, timely, special meeting. This meeting commemorates the World Day of Social Justice, which was established at its adoption at the United Nations General Assembly in resolution A/RES/62/10, adopted on November 26, 2007.

Since February 20, 2009, the World Day of Social Justice has been commemorated, and it seeks to support the work of the international community in eradicating poverty and promoting full employment and decent work, equality between the sexes, and access to social welfare. In adopting this resolution, the United Nations General Assembly recognized that social development and social justice are indispensable for the achievement and maintenance of peace and security within and among nations, and that social development and social justice cannot be attained in the absence of the respect for all human rights and fundamental freedoms.

Similarly, at the adoption of the Social Charter of the Americas on June 4, 2012, at its forty-second regular session, the General Assembly of the Organization of American States (OAS) recognized that, “Social justice and equity are essential for democracy.” Further, OAS member states without exception resolved in Article 1 of the Social Charter of the Americas that development with equity strengthens and consolidates democracy. Therefore, the imperative for social justice in the Americas is acknowledged and accepted as essential and cross cutting for all four strategic pillars of the OAS: democracy, human rights, multidimensional security, and integral development.

This occasion invites us to take a sobering look at the various forms of social injustice within our Hemisphere and to reflect on ways to address and overcome the structural and systemic sources of such injustice. On behalf of the Permanent Council, I reiterate my warmest welcome to the speakers who have joined us this morning to participate in this important commemoration.

Esteemed colleagues, following the order of business, we will now proceed to the presentations by our distinguished guests. I am honored that the first presentation will be the video-recorded remarks of today’s keynote speaker, Senator the Honourable Donna Cox, Minister of Social Development and Family Services of Trinidad and Tobago.

Secretariat, thank you.

[Se muestra el vídeo.]

La MINISTRA DE DESARROLLO SOCIAL Y SERVICIOS FAMILIARES DE TRINIDAD Y TOBAGO: On behalf of the Government and people of the Republic of Trinidad and Tobago, I extend my sincerest appreciation for the opportunity to address this special meeting of the Permanent Council to commemorate the World Day of Social Justice.

The significance of today’s meeting is valued by the Government of Trinidad and Tobago and the ministry I currently have the privilege to lead, the Ministry of Social Development and Family Services. It is through this Ministry, amongst others, that the Government of Trinidad and Tobago seeks to ensure that no one is left behind and that the principles of equality, equity, and social justice are not mere buzz words, but are in fact, deeply rooted in governmental policy, programs, and services.

Ladies and gentlemen, we begin with a simple premise that every citizen deserves the opportunity to live in hope with respect and equitable chance at realizing his or her fullest potential. For this reason, we hold fast to the principle that when none is ignored, all will thrive. Moreover, we are equally convinced that it must be the responsibility of those privileged to be stewards of the public purse to ensure that we can create a world where social justice is the norm.

Indeed, we share the view of Nelson Mandela, that “Overcoming poverty is not a gesture of charity. It is an act of justice.” In this regard, we have adopted a whole-of-government approach so that all arms of the state work collaboratively with each other to ensure that equality of opportunity remains the distinguishing feature of our active support of the poor and vulnerable.

This is why our government ensures education is free to all citizens, from early childhood to university. Healthcare is free from the cradle to the grave. Prescription drugs and other pharmaceutical items are free for citizens with chronic diseases. Antiretroviral drugs for persons with HIV/AIDS are provided free of charge. Our national school feeding program provides over 1 million free meals to primary and secondary school children annually. Our electricity and water rates remain among the lowest in Latin America and the Caribbean. State housing is subsidized for lower and middle-income families. Citizens earning up to TTD$90,000 dollars or approximately US$12,000 annually pay no taxes. Our Project Building Blocks provides a three-step health model approach to reduce gun and gang violence. Police and prison youth clubs have been established to provide support to underprivileged children and guide them away from crime and criminal activities. There are many other initiatives that can be accessed by our citizens, families, and communities in a way that preserves their dignity and respect.

Ladies and gentlemen, even with national resources constrained in many ways, we have sought to maintain these tenets of our social safety net because we recognize that equality is the backbone of social justice. The converse is also true. Inequality takes many forms and strikes at different aspects of human rights, including access to education, healthcare, housing, and employment opportunities.

We must ensure that our policies contribute immeasurably to the creation of a more inclusive and sustainable socioeconomic developmental pathway. There can be little disagreement that, as poverty and inequality within and among countries increase in many parts of the world, concerted actions and measures for social justice have become more urgent. The economic and social crises experienced recently across the world have been compounded by the consequences of the COVID-19 pandemic, coupled with natural disasters and ongoing armed conflicts. These have both impacted and widened inequality gaps within our communities.

The Ministry of Social Development and Family Services is the primary social sector ministry mandated to address the challenges of poverty, vulnerability, social inequality, marginalization, and social exclusion in Trinidad and Tobago. We have the national responsibility for the implementation of a robust safety net to build resilience and promote the tenants of human and social development among our citizens. In keeping with this mandate, we have set out a comprehensive agenda to reduce and prevent poverty, vulnerability, and inequality. This is in keeping with Sustainable Development Goal 1: End poverty in all its forms everywhere in our vision 2030.

In this regard, the Ministry continues to address social injustice through the provision of social assistance to meet the basic needs of the poor and vulnerable within specified programs and initiatives—one such focus is in the area of food security. The COVID-19 pandemic in 2020 triggered the loss of jobs and livelihoods and increases in demands for food support. Despite the numerous health and economic challenges we experienced as a nation, we have maintained our food support program.

The prevention of elder abuse is one critical area that the Ministry has prioritized. In addition to promoting awareness of the issue, persons are encouraged to report instances of elder abuse, mistreatment, and neglect via our special toll-free hotline.

In addition to the provision of these and other grants and services, we are also proactively identifying and addressing the current vulnerabilities of families, as well as focusing on those with the potential for becoming vulnerable, through our National Family Services Division. To this end, the Ministry continuously provides individuals, groups, couples, and families with free, comprehensive psychosocial support.

Ladies and gentlemen, the Ministry has steadfastly pursued a path of social transformation with a singular aim of ensuring that our social delivery systems are equipped with the capabilities to better respond to persons more susceptible to poverty and vulnerabilities. We do this because we believe equality of opportunity is the essence of social justice. We have therefore been working assiduously on all fronts to minimize and rollback poverty while undertaking steps to genuinely live up to our motto: helping, empowering, and transforming lives.

Some of our major measures include: the establishment of our Social Services Empowerment Unit, which is expected to facilitate the holistic development of social welfare clients to enable them to live more independently; the establishment and implementation of a national register of vulnerable persons, which is predicted to significantly improve how the government identifies and targets the poor and vulnerable in society; the continued implementation of the National Social Mitigation Plan to ensure the expansion of food security and the growth of microand small enterprises within households and communities; and, the implementation of our Sowing Empowerment through Entrepreneurial Development (SEED) initiative, which is to provide small and micro-entrepreneurs with the means to develop and bring to reality their business ideas, all with a view with weaning them from reliance on the state.

As we answer the call to ensure greater social justice and equity for all, the Government of the Republic of Trinidad and Tobago, and, more specifically, the Ministry for Social Development and family services, will continue to develop and implement requisite policies, programs, and services necessary to assist and empower the most vulnerable. Through our actions, we can promote peace, social justice, equity and unity. It is not enough to be compassionate; we must act. It is insufficient for us to only express empathy, we must do. We must continue to do all that is necessary to ensure that no one is left behind.

Ladies and gentlemen, I thank you for the courtesy of your attention, and may God bless you.

El PRESIDENTE: Thank you very much, and I wish to ask the Permanent Mission of Trinidad and Tobago to convey our deepest appreciation to Senator the Honorable Donna Cox, Minister of Social Development and Family Services of Trinidad and Tobago for her very insightful keynote remarks at today’s Commemoration of the World Day of Social Justice.

Excellencies, colleagues, I am now pleased to offer the floor to another distinguished—I want to say fellow Trini, if you will allow me—a very, very exceptional and distinguished member of the international community, this is Her Honor Deborah Thomas-Felix, President of the Industrial Court of Trinidad and Tobago, and Member of the Committee of Experts on the Application of Conventions and Recommendations of the International Labour Organization (ILO).

Excellencies, colleagues, you may be aware of the very important role played by the ILO in the process to establish the World Day of Social Justice and ongoing.

Madame President, welcome to the Organization of American States (OAS) Permanent Council. We are very delighted that you are here with us in person, the floor is yours.

La PRESIDENTA DEL TRIBUNAL INDUSTRIAL DE TRINIDAD Y TOBAGO Y MIEMBRO DE LA COMISIÓN DE EXPERTOS EN APLICACIÓN DE CONVENIOS Y RECOMENDACIONES, ORGANIZACIÓN INTERNACIONAL DEL TRABAJO: Thank you very much, Chair,

Chair, permanent, interim, and alternate representatives, permanent observers, fellow presenters, distinguished ladies and gentlemen. My warmest congratulations to this special meeting to celebrate the World Day of Social Justice.

The concept of social justice is about fairness and equity across society. Social justice speaks to, among other things, equal economic, educational, and workplace opportunities for all, and promotes the safety and security of individuals and communities. In fact, access to resources is a fundamental principle of social justice, and so is equity, diversity, participation, and human rights.

I will focus my short presentation today on social justice in the world of work. Social justice is very fundamental in the practice of labor law and good industrial regulations. More than a century ago, the International Labor Organization (ILO) in the preamble of its constitution in 1919, stated that: “Universal and lasting peace can be established only if it is based on social justice.” According to the ILO, the aspirations of social justice is for every working man and woman to claim freely, and on the basis of equality and opportunity, their fair share of the wealth they have helped to generate—aspirations which are as important today as they were in 1919, especially in these times of rising inequalities and exclusions.

The concept of social justice features prominently in the ILO’s Declaration of Philadelphia in 1944, a declaration which was adopted, and it has been recognized by employers and workers and governments worldwide. The declaration reminds us that labor is not a commodity, and that work is part of everyone’s daily life, and is crucial to a person’s dignity, well-being, and development as a human being. Therefore, economic development should include the creation of jobs, working conditions in which people can work in freedom, safety, and dignity.

Social justice is inextricably linked to international labor standards, which are essential to sustained progress, the improvement of the quality of life, and the dignity of men and women. To appreciate the role of which international labor standards play in promoting social justice, one has to first understand the work of the ILO, which is to set labor standards and promote policies of decent and productive work in conditions of freedom, equity, security, and dignity for all men and women around the world. Currently, in the world of work, workers are faced with a number of unexpected challenges, and there is evidence of the deepening of inequality.

Permit me though, to remind of the importance of the concept of equity, which I feel is critical to any discussion on social justice. Equality, as we are well aware, refers to each individual or group of people being given the same resources or same opportunities. Equity, on the other hand, I feel may better expand any discussion on social justice, as it takes into account the fact that each person has different circumstances and therefore aims to provide the requisite resources and opportunities needed to reach an equal outcome. Both are essential to achieving and sustaining social justice, but I like to think of equality as the destination and equity as the vehicle we use to arrive there.

I submit that understanding this distinction assumes even greater urgency when we consider the distribution of wages at the individual level. That distribution has become even more unequal, with the gap growing between the highest 10 percent of the wage scale and the lowest 10 percent. Social justice, therefore, is a linchpin to addressing the deep ending of inequality.

Permit me to take a quick and brief look at the Americas. The ILO’s World Employment and Social Outlook: Trends 2023 reports that the macroeconomic situation and growth outlook for both Latin America and the Caribbean and North America has been dampened by the combination of geopolitical uncertainty in Ukraine and the persistent inflation. Both factors have eroded consumer and business confidence and reduced overall aggregate demand and investment. In turn, job growth has weakened and, in some cases, turned negative.

The ILO’s social protection overview for Latin America and the Caribbean region in December 2022 has focused on pension systems in the region. It has reported that improvements in coverage, sufficiency, and sustainability are essential to provide economic security, particularly to those people most effected by crises such as COVID-19. The ILO has warned that age-related social protection coverage is deteriorating in the region, leaving 34.5 percent of people over the age of 65 without any labor related income or pension—a situation of vulnerability and economic insecurity that has been made worse by the COVID-19 crisis.

This overview states that the pandemic made visible the importance of social protection systems, and that social protection is essential to promote social inclusion and cohesion and reduce poverty and social disparities, especially in the context of a crisis that has hit the most vulnerable sectors hardest.

Moreover, the ILO’s most recent report on Latin America and the Caribbean, which was released this month in February 2023, noted that the unemployment rate in the region fell to 7.2 percent in 2022. Although that has happened, job quality problems persist in the region as inflation impacts wage levels. The report also stated that the region faces a highly complex and uncertain labor market in 2023, due to a conjunction of multiple crises that impact labor markets and make it necessary to implement policies to create formal employment.

The report states that for that economic scenario, the most pressing labor issue for the region is the quality of employment and the insufficient labor income generated by workers and their families. The report further highlights that a labor recovery so far has been strongly driven by the increase in informal occupations, which represent between 40 to 80 percent of the market. This, I think, should be data of concern in the region, and I suggest that this data should be examined, together with the findings of the ILO, that informal workers are between three to four times more likely to be poor than formal workers, while accounting for between 70 to 90 percent of the total working poor. As you know, a larger informal economy has its attendant social issues, such as job instability, low income, and little or no social protection.

I will end where I started, with the words of the ILO’s Constitution, that, “Universal and lasting peace can be established only if it is based on social justice.” Therefore, we as individuals and as a global community should each play our part in promoting and adopting policies to ensure that a world of equity, equality, fairness, and inclusion is not a dream, but in fact, reality.

I thank you for listening.

El PRESIDENTE: Thank you very much, Madam President.

I thank you for listening.

El PRESIDENTE: Thank you very much, Madam President.

I have to tell you, your presentation had me taking some notes. There was one particular reference you made which I know will stick with me. I am not sure for colleagues, where refer to the distinction—clearly a complementary clarification—of the difference between equity and equality, where you describe equality as the destination and equity as the vehicle. I found that insightful. I am sure there were other insights that others gathered.

Thank you again.

I am now pleased to offer the floor to Dr. Orielle Solar Hormazabal, Advisor on Social Determinants of Health, from the Family, Health Promotion and Life Course Department at the Pan American Health Organization (PAHO).

Dr. Solar, welcome to the Organization of American States (OAS) Permanent Council. The floor is yours.

La ASESORA SOBRE DETERMINANTES SOCIALES DE LA SALUD, DEL DEPARTAMENTO DE FAMILIA, PROMOCIÓN DE LA SALUD Y CURSO DE VIDA DE LA ORGANIZACIÓN PANAMERICANA DE LA SALUD: Muy buenas tardes a todos y todas.

Agradezco, en nombre del Director de la Organización Panamericana de la Salud (OPS), doctor Jarbas Barbosa, esta amable invitación a la conmemoración del Día Mundial de la Justicia Social; doy las gracias a la Presidencia del Consejo Permanente por darnos esta oportunidad, al conjunto de Estados Miembros, a los panelistas invitados.

Me voy a permitir hacer una breve presentación –por favor, si pueden presentarla– para ilustrar las principales ideas y reflexiones que traemos a esta sesión con base en la interesante nota conceptual recibida con respecto a la convocatoria.

[Se muestra el vídeo.]

Me voy a permitir hacer una breve presentación –por favor, si pueden presentarla– para ilustrar las principales ideas y reflexiones que traemos a esta sesión con base en la interesante nota conceptual recibida con respecto a la convocatoria.

[Se muestra el vídeo.]

Quisiéramos abordar el tema de las inequidades y las desigualdades en materia de acceso a servicios sociales, poniendo el foco en lo imperativo y lo oportuno que se hace abordar estos temas en el contexto de recuperación postpandemia, dado que es una de las regiones que es fuertemente golpeada en este contexto, en una matriz regional de enormes desigualdades que ya han sido expresadas y descritas anteriormente por los panelistas y por la nota conceptual de la convocatoria.

Queremos señalar, en primer lugar, que la justicia social es un concepto fuertemente vinculado a los temas de salud pública, a la salud; y también reiterar que la salud es más que la enfermedad, construir salud implica no solo la atención del requerimiento de necesidad frente a una enfermedad o a una dolencia, sino que también plantea la necesidad de crear condiciones para una mejor salud de la población, sobre todo para aquellos grupos que están en una situación de mayor desventaja.

En ese sentido, muchas veces el acento, cuando miramos al ministerio o al área de la salud, lo vemos centrado en la atención del cuidado frente a un requerimiento, a una urgencia y a una necesidad, y, por lo tanto, nos centramos en la equidad en el acceso, la oportunidad de calidad de los tratamientos y del cuidado.

Sin embargo, ponemos a veces poca atención en la salud en sí misma. En este sentido, traemos una breve gráfica que muestra cómo y cuánto miramos influyen en la salud. Vemos el gran peso de los resultados en salud en las distintas realidades del mundo dicen relación con aquellas condiciones sociales, económicas, ambientales y c