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Suárez-López L, Hubert C, de la Vara-Salazar E, et al. Continuum of care for maternal, newborn and child health: Evidence from a national survey in Mexico. Sex Reprod Healthc. 2021;31:100690doi: 10.1016/j.srhc.2021.100690.
Suárez-López, L., Hubert, C., de la Vara-Salazar, E., Villalobos, A., de Castro, F., Hernández-Serrato, M. I., & Ávila-Burgos, L. (2021). Continuum of care for maternal, newborn and child health: Evidence from a national survey in Mexico. Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 31100690. https://doi.org/10.1016/j.srhc.2021.100690
Suárez-López, Leticia, et al. "Continuum of care for maternal, newborn and child health: Evidence from a national survey in Mexico." Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives vol. 31 (2021): 100690. doi: https://doi.org/10.1016/j.srhc.2021.100690
Suárez-López L, Hubert C, de la Vara-Salazar E, Villalobos A, de Castro F, Hernández-Serrato MI, Ávila-Burgos L. Continuum of care for maternal, newborn and child health: Evidence from a national survey in Mexico. Sex Reprod Healthc. 2021 Dec 10;31:100690. doi: 10.1016/j.srhc.2021.100690. Epub 2021 Dec 10. PMID: 34942491.
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Sex Reprod Healthc. 2021 Dec 10;31:100690. doi: 10.1016/j.srhc.2021.100690. Epub 2021 Dec 10.

Continuum of care for maternal, newborn and child health: Evidence from a national survey in Mexico.

Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives

Leticia Suárez-López, Celia Hubert, Elvia de la Vara-Salazar, Aremis Villalobos, Filipa de Castro, María I Hernández-Serrato, Leticia Ávila-Burgos

Affiliations

  1. National Institute of Public Health, Reproductive Health Division, Population Health Research Center, Mexico. Electronic address: [email protected].
  2. National Institute of Public Health, Reproductive Health Division, Population Health Research Center, Mexico. Electronic address: [email protected].
  3. National Institute of Public Health, Reproductive Health Division, Population Health Research Center, Mexico. Electronic address: [email protected].
  4. National Institute of Public Health, Reproductive Health Division, Population Health Research Center, Mexico. Electronic address: [email protected].
  5. National Institute of Public Health, Reproductive Health Division, Population Health Research Center, Mexico. Electronic address: [email protected].
  6. National Institute of Public Health, Information for Public Health Decision Center, Mexico. Electronic address: [email protected].
  7. National Institute of Public Health, Health Systems Research Center, Mexico. Electronic address: [email protected].

PMID: 34942491 DOI: 10.1016/j.srhc.2021.100690

Abstract

OBJECTIVE: To compare coverage of maternal, newborn and child health (MNCH) continuum of care between women who had experienced adolescent maternity (AM) and those who had not.

METHODS: Using a Mexican probabilistic survey representative at the national level (ENSANUT 2018-19), we developed a cross-sectional analysis of 1,768 women aged 12 to 49 years who had a child within five years before the interview. We used modified Poisson models to estimate prevalence ratios (PRs) and independent and conditional coverage levels based on the probability estimates yielded by these models at different stages of maternal-newborn care process.

RESULTS: PRs for the MNCH continuum of care were approximately 40% lower for women who had experienced AM compared to those who had not (95%CI:0.35, 1.14). The coverage for the MNCH continuum of care was only 7.4% [95%CI: 3.5, 11.2] and 11.7% [95%CI: 9.3, 14.1] in women who had/not experienced AM, respectively.

CONCLUSIONS: The provision of a continuum of care for mothers and their children can be achieved through a combination of well-defined policies and strategies that improve health care practices and services throughout the life cycle. It is necessary to expand the coverage and quality of care, which will provide the opportunity to shift the focus from vertical programs to integrated continuous care. Policy makers must implement interventions that are consistent with specific problems of population and health-care providers. Our analysis highlights the deficiencies in the care process, making this study a useful reference for countries with similar characteristics.

Copyright © 2021 Elsevier B.V. All rights reserved.

Keywords: Adolescent motherhood; Health care; Maternal and child care; Mexico

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