Author: AURORA DEL RIO ZOLEZZI

Financing Maternal Health Family Planning: Are We on the Right Track? Evidence from the Reproductive Health Subaccounts in Mexico, 2003–2012

JULIO CESAR MONTAÑEZ HERNANDEZ AURORA DEL RIO ZOLEZZI Leticia Avila Lucero Cahuana_Hurtado Edson Servan Mori Belkis Aracena Genao (2016)

OBJECTIVE:

To analyze whether the changes observed in the level distribution of resources for maternal health family planning (MHFP) programs from 2003 to 2012 were consistent with the financial goals of the related policies.

MATERIALS METHODS:

A longitudinal descriptive analysis of the Mexican Reproductive Health Subaccounts 2003 2012 was performed by financing scheme health function. Financing schemes included social security, government schemes, household out of pocket (OOP) payments, private insurance plans. Functions were preventive care, including family planning, antenatal puerperium health services, normal cesarean deliveries, treatment of complications. Changes in the financial imbalance indicators covered by MHFP policy were tracked: (a) public OOP expenditures as percentages of total MHFP spending; (b) public expenditure per woman of reproductive age (WoRA, 15 49 years) by financing scheme; (c) public expenditure on treating complications as a percentage of preventive care; (d) public expenditure on WoRA at state level. Statistical analyses of trends distributions were performed.

RESULTS:

Public expenditure on government schemes grew by approximately 300%, the financial imbalance between populations covered by social security government schemes decreased. The financial burden on households declined, particularly among households without social security. Expenditure on preventive care grew by 16%, narrowing the financing gap between treatment of complications preventive care. Finally, public expenditure per WoRA for government schemes nearly doubled at the state level, although considerable disparities persist.

CONCLUSIONS:

Changes in the level distribution of MHFP funding from 2003 to 2012 were consistent with the relevant policy goals. However, improving efficiency requires further analysis to ascertain the impact of investments on health outcomes. This, in turn, will require better financial data systems as a precondition for improving the monitoring accountability functions in Mexico.

Article

MEDICINA Y CIENCIAS DE LA SALUD

Prevalencia y factores asociados a violencia de pareja en usuarias de servicios públicos de salud en México: un análisis comparativo

MARIA DEL ROSARIO VALDEZ SANTIAGO CHRISTIAN ABIGAIL BARROSO QUIAB MARTHA CECILIA HIJAR MEDINA MARIA ROSALBA ROJAS MARTINEZ AURORA DEL RIO ZOLEZZI Leticia Avila (2014)

Objetivo. Conocer la evolución de la prevalencia de violencia de pareja entre 2003 y 2006 en México, identificando los factores asociados a su severidad y comprarlos con lo obtenido en 2003. Material y métodos. Se usó la Encuesta Nacional de Violencia contra las Mujeres (ENVIM 2006), que tiene representatividad nacional, urbana rural de usuarias de servicios de salud. Se entrevistó a 22,318 mujeres mayores de 14 años. Se ajustó el modelo de Regresión Logística Multinomial. La variable dependiente fue el Índice de Severidad de Violencia de Pareja. Resultados. La prevalencia de violencia de pareja se incrementó 17% en relación con 2003. El maltrato en la infancia (ORA = 5.12 IC95% 4.15 6.30) y la violación (ORA = 3.5, 95%IC = 2.66 4.62) fueron las características más importantes para maltrato severo de la mujer. El consumo diario de alcohol de la pareja incrementó hasta 11 veces la posibilidad para maltrato severo. El menor acuerdo de la mujer con roles tradicionales y la mayor escolaridad en ambos fueron factores protectores. Los factores asociados a violencia y su severidad fueron consistentes con lo encontrado en 2003. Conclusiones. La violencia de pareja es un problema social de alta prevalencia que requiere estrategias intersectoriales que apoyen un mayor empoderamiento de las mujeres a través de mayor educación, identificación oportuna y atención de las maltratadas, así como intervenciones para la prevención de la violencia en futuras generaciones

Article

Violencia de pareja, Severidad de la violencia, Encuesta nacional, México MEDICINA Y CIENCIAS DE LA SALUD