Edson Servan-Mori1, Veronika Wirtz2, Leticia Avila-Burgos3, Ileana Heredia-Pi3. 1. National Institute of Public Health, Avenida Universidad # 655, Colonia: Santa María de Ahuacatitlán, CP 62100, Cuernavaca, Morelos, Mexico. eservan@insp.mx. 2. Department of Global Health, Boston University School of Public Health, Boston, MA, USA. 3. National Institute of Public Health, Avenida Universidad # 655, Colonia: Santa María de Ahuacatitlán, CP 62100, Cuernavaca, Morelos, Mexico.
Abstract
OBJECTIVES: To study the influence of enrollment in the subsidized insurance program, Seguro Popular (SP), on timely (within three gestational months) and complete (at least four visits) antenatal care, in the context of expanding health coverage in Mexico. METHODS: A cross-sectional study using data from the National Health and Nutrition Survey 2012 was conducted. Using quasi-experimental matching methods, we analyzed the influence of SP on timely antenatal care and a minimum of four visits for 6175 women (aged 14-49), and explored heterogeneous influences by socioeconomic status (SES) and educational level. RESULTS: Approximately 80 % of women reported timely antenatal care, with no significant difference between SP and non-SP-except among SP women from low SES households, who had an increased probability of timely antenatal care by 1.88 (p < 0.05). Enrollment in SP increased the probability of receiving at least four visits (1.65, p < 0.01) but this was not independently associated with SP enrollment when modeled together with timely antenatal care. Overall, higher SES increased the probability of antenatal care, while higher educational level increased the probability of four visits. CONCLUSIONS: To increase the impact of SP on antenatal care requires focusing on efforts to promote timely attendance as an important factor towards achieving the goal of universal health coverage of maternal and child health services in Mexico.
OBJECTIVES: To study the influence of enrollment in the subsidized insurance program, Seguro Popular (SP), on timely (within three gestational months) and complete (at least four visits) antenatal care, in the context of expanding health coverage in Mexico. METHODS: A cross-sectional study using data from the National Health and Nutrition Survey 2012 was conducted. Using quasi-experimental matching methods, we analyzed the influence of SP on timely antenatal care and a minimum of four visits for 6175 women (aged 14-49), and explored heterogeneous influences by socioeconomic status (SES) and educational level. RESULTS: Approximately 80 % of women reported timely antenatal care, with no significant difference between SP and non-SP-except among SPwomen from low SES households, who had an increased probability of timely antenatal care by 1.88 (p < 0.05). Enrollment in SP increased the probability of receiving at least four visits (1.65, p < 0.01) but this was not independently associated with SP enrollment when modeled together with timely antenatal care. Overall, higher SES increased the probability of antenatal care, while higher educational level increased the probability of four visits. CONCLUSIONS: To increase the impact of SP on antenatal care requires focusing on efforts to promote timely attendance as an important factor towards achieving the goal of universal health coverage of maternal and child health services in Mexico.
Entities:
Keywords:
Antenatal care; Mexico; Seguro Popular; Universal health
Authors: Margaret C Hogan; Kyle J Foreman; Mohsen Naghavi; Stephanie Y Ahn; Mengru Wang; Susanna M Makela; Alan D Lopez; Rafael Lozano; Christopher J L Murray Journal: Lancet Date: 2010-04-09 Impact factor: 79.321
Authors: Edson Serván-Mori; Diego Cerecero-García; Ileana B Heredia-Pi; Carlos Pineda-Antúnez; Sandra G Sosa-Rubí; Gustavo Nigenda Journal: J Glob Health Date: 2019-12 Impact factor: 4.413