The Role of Health Inequality in the Maternal Health Services Provided by Public Institutions in Mexico (original) (raw)
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2015
Health inequalities are differences in health across population groups defined by socioeconomic, demographic, or geographic factors. The access and availability to public health services for the peoples of the Americas varies in terms of coverage and quality. The MASCOT Consortium defined a set of health and PROGRESS indicators as to perform an initial assessment of the maternal and child health (MCH) in Bolivia, Brazil, Chile, Costa Rica, and Mexico. Methodology: Using a list of the original categories with descriptions set by the World Health Organization (WHO), we had a selection of 13 indicators of MCH, and together with the PROGRESS framework, for summarizing and describing the broad field of health determinants. Data for each country was selected from national and/or international sources as to construct the chosen indicators. Data was filled in matrixes and analyzed. Results: The results obtained show differences of better health indicators for women and children of educated ...
Health inequalities are differences in health across population groups defined by socioeconomic, demographic, or geographic factors. The access and availability to public health services for the peoples of the Americas varies in terms of coverage and quality. The MASCOT Con- sortium defined a set of health and PROGRESS indicators as to per- form an initial assessment of the maternal and child health (MCH) in Bolivia, Brazil, Chile, Costa Rica, and México. Methodology: Using a list of the original categories with descriptions set by the World Health Organization (WHO), we had a selection of 13 indicators of MCH, and together with the PROGRESS framework, for summarizing and de- scribing the broad field of health determinants. Data for each country was selected from national and/or international sources as to con- struct the chosen indicators. Data was filled in matrixes and analyzed. Results: The results obtained show differences of better health indica- tors for women and children of...
Social Medicine, 2015
Introduction: The care provided to Mexican women during pregnancy, childbirth, and the postpartum period is imbued with deep inequalities and inequities. These problems are seen in both the access to and the quality of maternal health services. They stem from the poverty, marginalization, and discrimination experienced by Mexico’s indigenous peoples. Research Question: This study was conducted to identify situations that might compromise the quality of healthcare provided to women during pregnancy, childbirth, and the postpartum period. Methods: This was a descriptive study examining the obstetric and post-partum care provided in two public clinics located in rural areas within the municipality of Oaxaca de Juarez, the capital of Oaxaca state. Standardized surveys and direct observation were used to collect data. Data was inputted into an Excel spreadsheet in order to obtain descriptive statistics (frequencies and percentages). Results: Specific human and reproductive rights are den...
Equity of access to maternal health interventions in Brazil and Colombia: a retrospective study
International journal for equity in health, 2018
Reducing maternal mortality is a top priority in Latin American countries. Despite the progress in maternal mortality reduction, Brazil and Colombia still lag behind countries at similar levels of development. Using data from the Demographic Health Survey, this study quantified and compared, by means of concentration indices, the socioeconomic-related inequity in access to four key maternal health interventions in Brazil and Colombia. Decomposition analysis of the concentration index was used for two indicators - skilled attendance at birth and postnatal care in Brazil. Coverage levels of the four key maternal health interventions were similar in the two countries. More specifically, we found that coverage of some of the interventions (e.g. ante-natal care and skilled birth assistance) was higher than 90% in both countries. Nevertheless, the concentration index analysis pointed to significant pro-rich inequities in access in all four key interventions in both countries. Interestingl...