Equity in the health systems of middle income countries: a review or reviews - Protocol

The report of the Commission on Social Determinants of Health (CDS) calls for countries to work in favor of reducing inequalities in the health situation that consults the poorest and, which are the result of the situation in which the population grows, lives, works, and ages, in addition to the type of systems used to combat the disease and the degree of protection of said affected people. These systematic differences in health status, which can be avoided, is what is called health inequity. Urges the member countries of the WHO to correct these health differences that can be solved and that exist within each country as a matter of social justice, considering that the degree of development of societies can be judged by the quality of the state of health of the population, by how health problems are distributed along the social spectrum (Commission on Social Determinants in Health, 2008, p. 1). The Health Systems of lower-middle and upper-middle-income countries seek to improve access to health services, especially for the poorest and most vulnerable population. But the functioning of Health Systems can increase inequities in the most vulnerable population groups. It is necessary to know the mechanisms through which Health Systems can generate inequities, for which a systematic review of reviews of lower-middle and upper-middle-income countries was carried out from the year 2000 until March 2020.