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Maternal and Child Health Journal

Published in:

01-10-2015

Antenatal Care Among Poor Women in Mexico in the Context of Universal Health Coverage

Authors: Edson Servan-Mori, Veronika Wirtz, Leticia Avila-Burgos, Ileana Heredia-Pi

Published in: Maternal and Child Health Journal | Issue 10/2015

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.

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Title: Antenatal Care Among Poor Women in Mexico in the Context of Universal Health Coverage
Authors: Edson Servan-Mori
Veronika Wirtz
Leticia Avila-Burgos
Ileana Heredia-Pi
Publication date: 01-10-2015
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 10/2015
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-015-1751-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Antenatal Care Among Poor Women in Mexico in the Context of Universal Health Coverage

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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