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This paper analyzes the intrahousehold allocation of housework and paid work in five Latin American countries. Prior work has consistently shown that income plays a major role in the region’s large gender gaps in the distribution of unpaid work at the aggregate level. However, the extent to which earnings shape intrahousehold decisions regarding the allocation of unpaid work remains unexplored. Using harmonized time-use surveys for Chile, Colombia, Mexico, Peru, and Uruguay, we analyze the relationship between earnings and housework drawing on the framework of the dependency, gender deviance neutralization, and autonomy. We find that in Latin America, increases in women’s absolute earnings are related to decreases in the hours women devote to housework. At the same time, the allocation of men’s time into housework does not seem to be related to their own or their partners’ earnings. Against our expectations, differences in contextual gender inequality across countries does not seem to be relevant. These findings help us assess how well existing theories, formulated to account for phenomena of the developed world, apply to more unequal contexts that have higher levels of gender inequality and where a high proportion of women are excluded from paid work. [ABSTRACT FROM AUTHOR]

In Latin America, approximately 70 million individuals live with a disability. Although global evidence suggests that people with disabilities are one of the poorest groups and present lower employment rates, the evidence for Latin America is still weak. This article aims to contribute to the literature by estimating and analysing the levels of employment opportunity for persons with disabilities in six countries in Latin America (Chile, Bolivia, Mexico, Peru, Colombia, and Costa Rica). Using household survey data, we measure inequality of opportunities using the Paes de Barros approach and compare the probability distributions of being employed for people with disabilities according to different individual characteristics. This research makes several contributions to the literature. First, it analyses and compares the characteristics of persons with disabilities in six countries of the region. Second, it is the first paper in the region that computes and compares the levels of employment opportunities for persons with disabilities, using the Human Opportunity Index. Third, it analyses which are the main aspects contributing to the levels of employment opportunities for persons with disabilities in each of the countries. The main results of the study reveal that people with disabilities face high levels of inequality of employment opportunity compared with people without disabilities in the six countries. Peru shows the lowest disadvantage, with higher coverage of opportunities for people with disabilities. Colombia and Costa Rica were the countries where this group presents the largest disadvantages to be employed. In addition, women with disabilities and people with disabilities living in rural areas have a lower probability of being employed compared with people without disabilities. These findings reveal that policies in the region aiming to include this group in the labour market have not been effective, and there is a necessity to guarantee the proper labour inclusion of this group. [ABSTRACT FROM AUTHOR]

While organisations across the world struggle to extend access to the 522 million living in rural areas without clean water, those who do have access do not necessarily use it. This paper explores why, within areas that have public taps with treated water, some individuals continue to use water from untreated sources. We focus on non-use of available rural water supply systems as well as inconsistent use, a phenomenon typically overlooked. Based on surveys in 12 rural communities with water systems in the Peruvian Amazon and qualitative interviews, this study finds community meeting attendance is important for consistent use as attendance increases social influence and reinforces information about the importance of clean water. Non-users are more likely to be those living furthest from the water source and with lower levels of education. Findings point to ways in which community approaches to heath interventions may be more likely to reach some – those with stronger ties to communities, who live closer and have higher levels of education – than others. [ABSTRACT FROM AUTHOR]

Maternal immunization rates and vaccine uptake in Latin America vary from country to country. This variability stems from factors related to pregnant women, vaccine recommendations from healthcare providers and the health system. The aim of this paper is to describe women's knowledge and attitudes to maternal immunziation, and barriers to access and vaccination related decision-making processes in Latin American countries. We conducted focus group discussions (FGD) with pregnant women in five middle-income countries: Argentina, Brazil, Honduras, Mexico and Peru, between July 2016 and July 2018. The FGDs were conducted by trained qualitative researchers in diverse clinics located in the capital cities of these countries. A total of 162 pregnant women participated in the FGDs. In general, participants were aware of the recommendation to receive vaccines during pregnancy but lacked knowledge regarding the diseases prevented by these vaccines. Pregnant women expressed a desire for clearer and more detailed communication on maternal vaccines by their healthcare professionals instead of relying on other sources of information such as the internet. Overall, participants had positive attitudes towards maternal immunization and were open to receiving vaccines in pregnancy based on general trust they have in recommendations made by their healthcare providers. The main obstacles pregnant women said they encounter were mainly centered around their clinical experience: long waiting times, vaccine shortages, and impolite behavior of healthcare providers or clinical staff. Important advances have been made in Latin America to promote maternal immunization. Results from this study show that an important aspect that remains to be addressed, and is crucial in improving vaccine uptake in pregnancy, is women's clinical experience. We recommend pregnant women to be treated as a priority population for providing immunization and related healthcare education. It is imperative to train healthcare providers in health communication so they can effectively communicate with pregnant women regarding maternal vaccines and can fill knowledge gaps that otherwise might be covered by unreliable sources dispensing inaccurate information. [ABSTRACT FROM AUTHOR]

Maternal immunization rates and vaccine uptake in Latin America vary from country to country. This variability stems from factors related to pregnant women, vaccine recommendations from healthcare providers and the health system. The aim of this paper is to describe women's knowledge and attitudes to maternal immunziation, and barriers to access and vaccination related decision-making processes in Latin American countries. We conducted focus group discussions (FGD) with pregnant women in five middle-income countries: Argentina, Brazil, Honduras, Mexico and Peru, between July 2016 and July 2018. The FGDs were conducted by trained qualitative researchers in diverse clinics located in the capital cities of these countries. A total of 162 pregnant women participated in the FGDs. In general, participants were aware of the recommendation to receive vaccines during pregnancy but lacked knowledge regarding the diseases prevented by these vaccines. Pregnant women expressed a desire for clearer and more detailed communication on maternal vaccines by their healthcare professionals instead of relying on other sources of information such as the internet. Overall, participants had positive attitudes towards maternal immunization and were open to receiving vaccines in pregnancy based on general trust they have in recommendations made by their healthcare providers. The main obstacles pregnant women said they encounter were mainly centered around their clinical experience: long waiting times, vaccine shortages, and impolite behavior of healthcare providers or clinical staff. Important advances have been made in Latin America to promote maternal immunization. Results from this study show that an important aspect that remains to be addressed, and is crucial in improving vaccine uptake in pregnancy, is women's clinical experience. We recommend pregnant women to be treated as a priority population for providing immunization and related healthcare education. It is imperative to train healthcare providers in health communication so they can effectively communicate with pregnant women regarding maternal vaccines and can fill knowledge gaps that otherwise might be covered by unreliable sources dispensing inaccurate information. [ABSTRACT FROM AUTHOR]