| Journal: | Salud pública de México |
| Database: | PERIÓDICA |
| System number: | 000368505 |
| ISSN: | 0036-3634 |
| Authors: | Heredia Pi, Ileana1 Serván Mori, Edson1 Reyes Morales, Hortensia1 Lozano, Rafael1 |
| Institutions: | 1Instituto Nacional de Salud Pública, Cuernavaca, Morelos. México |
| Year: | 2013 |
| Volumen: | 55 |
| Pages: | 249-258 |
| Country: | México |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Aplicado |
| Spanish abstract | Objetivo. Construir un índice compuesto para medir la cobertura de atención continua durante el embarazo y el parto, e identificar la magnitud de las brechas entre distintas poblaciones de embarazadas en México. Material y métodos. Con información de la Encuesta Nacional de Salud y Nutrición 2012, que incluyó a 5 766 mujeres, se construyó un índice de cobertura de atención continua (Cobac), integrando cinco indicadores de cobertura de intervenciones durante el embarazo, parto y puerperio. Resultados. Las residentes en área metropolitana, afiliadas a la seguridad social, tuvieron la mejor Cobac (0.879; IC95%:0.867-0.891). Menores índices de Cobac se encontraron en mujeres de área rural con menor nivel socioeconómico (NSE-I) (0.722; IC95%: 0.700-0.745), sin aseguramiento (0.735; IC95%: 0.700-0.770) y de condición indígena (0.759; IC95%: 0.7400.779). Conclusiones. La Cobac durante el embarazo y el parto presenta diferencias importantes al interior del país, identificándose áreas en donde hay que focalizar esfuerzos para avanzar hacia la cobertura universal de salud |
| English abstract | Objective. To develop a composite index for coverage of antenatal and delivery continuum of care, and use it to measure the gaps among different populations of pregnant women in Mexico. Materials and methods. Based in the information of 5 766 women from the National Health and Nutrition Survey 2012, a composite index of coverage of continuum of care (Cobac in spanish) was developed, integrating five interventions for antenatal, delivery, and puerperium periods. Results. Women living in metropolitan areas who were affiliated to social security had the best Cobac (0.879; IC95%:0.867-0.891); the worst were found in women living in rural areas, with the lower socio-economic level (NSE-I), (0.722; IC95%: 0.700-0.745), women without health insurance (0.735; IC95%: 0.700-0.770), and indigenous women (0.759; IC95%: 0.740-0.779). Conclusions. The Cobac during pregnancy and childbirth has important differences within the country, which allows for the identification of areas where we must focus efforts to move towards universal health coverage |
| Disciplines: | Medicina |
| Keyword: | Ginecología y obstetricia, Salud pública, Salud materna, Atención a la salud, Embarazo, Parto, Indice de cobertura |
| Keyword: | Medicine, Gynecology and obstetrics, Public health, Maternal health, Health care, Coverage index, Pregnancy, Labor |
| Full text: | Texto completo (Ver HTML) |
