This paper estimates health inequality utilization using PNAD 2008 data following the analytical framework proposed by O'Donnell et al. (2008). Beyond descriptive analysis in nine health services, methodological framework allows to measure predicted and standardized need by income classes. Results indicate that services utilization are unequal distributed for the wealthier (pro-rich), in seven out of nine health services. The inequality is higher for surgery services in a 12 months period, mammography and for doctor's visits in two weeks period, with estimated concentration index of 0.128; 0.20 and 0.37, respectively. Supplemental health coverage is the most relevant factor to comprehend positive percentage changes in concentration index. Contrastingly, Family Health Program decreases the concentration, however its impact pro-poor is modest and it is more than offset by the health insurance effect.
Health inequality; Concentration index; Family Health Program; Health insurance
