Skip to main content
Top
Published in: BMC Women's Health 1/2012

Open Access 01-12-2012 | Debate

A comprehensive approach to women’s health: lessons from the Mexican health reform

Authors: Julio Frenk, Octavio Gómez-Dantés, Ana Langer

Published in: BMC Women's Health | Issue 1/2012

Login to get access

Abstract

Background

This paper discusses the way in which women’s health concerns were addressed in Mexico as part of a health system reform.

Discussion

The first part sets the context by examining the growing complexity that characterizes the global health field, where women’s needs occupy center stage. Part two briefly describes a critical conceptual evolution, i.e. from maternal to reproductive to women’s health. In the third and last section, the novel “women and health” (W&H) approach and its translation into policies and programs in the context of a structural health reform in Mexico is discussed. W&H simultaneously focuses on women’s health needs and women’s critical roles as both formal and informal providers of health care, and the links between these two dimensions.

Summary

The most important message of this paper is that broad changes in health systems offer the opportunity to address women’s health needs through innovative approaches focused on promoting gender equality and empowering women as drivers of change.
Literature
1.
go back to reference Lozano R, Wang H, Foreman K, Knoll-Rajaratnam J, Naghavi M, Marcus JR, et al: Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet. 2011, 378 (9797): 1139-1165. 10.1016/S0140-6736(11)61337-8.CrossRefPubMed Lozano R, Wang H, Foreman K, Knoll-Rajaratnam J, Naghavi M, Marcus JR, et al: Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet. 2011, 378 (9797): 1139-1165. 10.1016/S0140-6736(11)61337-8.CrossRefPubMed
2.
go back to reference Langer A, Frenk J, Horton R: Women and Health Initiative: integrating needs and response. Lancet. 2012, 380: 631-632. 10.1016/S0140-6736(11)60742-3.CrossRefPubMed Langer A, Frenk J, Horton R: Women and Health Initiative: integrating needs and response. Lancet. 2012, 380: 631-632. 10.1016/S0140-6736(11)60742-3.CrossRefPubMed
4.
go back to reference Rosenfield A, Maine D: Maternal mortality-a neglected tragedy. Where is the M in MCH?. Lancet. 1985, 13;2 (8446): 83-85.CrossRef Rosenfield A, Maine D: Maternal mortality-a neglected tragedy. Where is the M in MCH?. Lancet. 1985, 13;2 (8446): 83-85.CrossRef
5.
go back to reference AbouZahr C: Safe motherhood: a brief history of the global movement 1947–2002. Br Med Bull. 2003, 67: 13-25. 10.1093/bmb/ldg014.CrossRefPubMed AbouZahr C: Safe motherhood: a brief history of the global movement 1947–2002. Br Med Bull. 2003, 67: 13-25. 10.1093/bmb/ldg014.CrossRefPubMed
6.
go back to reference Boston Women's Health Book Collective: Our bodies, ourselves. 1973, New York: Simon and Schuster Boston Women's Health Book Collective: Our bodies, ourselves. 1973, New York: Simon and Schuster
8.
go back to reference Dixon-Mueller R: The sexuality connection in reproductive health. JSTOR Studies Family Plann. 1993, 24 (5): 269-282. 10.2307/2939221.CrossRef Dixon-Mueller R: The sexuality connection in reproductive health. JSTOR Studies Family Plann. 1993, 24 (5): 269-282. 10.2307/2939221.CrossRef
10.
go back to reference World Health Organization: Geneva: Making Pregnancy Safer. Annual Report 2006. 2007, WHO World Health Organization: Geneva: Making Pregnancy Safer. Annual Report 2006. 2007, WHO
11.
go back to reference Hogan MC, Foreman KJ, Naghave M, et al: Maternal mortality for 181 countries, 1980–2008: systematic analysis of progress towards Millenium Development Goal 5. Lancet. 2010, 375 (9726): 1609-1623. 10.1016/S0140-6736(10)60518-1.CrossRefPubMed Hogan MC, Foreman KJ, Naghave M, et al: Maternal mortality for 181 countries, 1980–2008: systematic analysis of progress towards Millenium Development Goal 5. Lancet. 2010, 375 (9726): 1609-1623. 10.1016/S0140-6736(10)60518-1.CrossRefPubMed
13.
go back to reference United Nations Development Programme: What will it take to achieve Millenium Development Goals?. 2010, New York: UNDP United Nations Development Programme: What will it take to achieve Millenium Development Goals?. 2010, New York: UNDP
14.
go back to reference World Health Organization: Women and health. Today’s evidence tomorrow’s agenda. 2009, Geneva: WHO World Health Organization: Women and health. Today’s evidence tomorrow’s agenda. 2009, Geneva: WHO
15.
go back to reference Gill K, Pande R, Malhota A: Women deliver for development. Lancet. 2007, 370: 1347-1357. 10.1016/S0140-6736(07)61577-3.CrossRefPubMed Gill K, Pande R, Malhota A: Women deliver for development. Lancet. 2007, 370: 1347-1357. 10.1016/S0140-6736(07)61577-3.CrossRefPubMed
17.
go back to reference Frenk J: Bridging the divide: global lessons from evidence-based health policy in Mexico. Lancet. 2006, 368: 954-961. 10.1016/S0140-6736(06)69376-8.CrossRefPubMed Frenk J: Bridging the divide: global lessons from evidence-based health policy in Mexico. Lancet. 2006, 368: 954-961. 10.1016/S0140-6736(06)69376-8.CrossRefPubMed
18.
go back to reference Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM: Comprehensive reform to improve health system performance in Mexico. Lancet. 2006, 368: 1525-1534. Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM: Comprehensive reform to improve health system performance in Mexico. Lancet. 2006, 368: 1525-1534.
19.
go back to reference González-Pier E, Gutiérrez-Delgado C, Stevens G, et al: Priority setting for health interventions in Mexico´s System for Social Protection in Health. Lancet. 2006, 368: 1608-1618. 10.1016/S0140-6736(06)69567-6.CrossRefPubMed González-Pier E, Gutiérrez-Delgado C, Stevens G, et al: Priority setting for health interventions in Mexico´s System for Social Protection in Health. Lancet. 2006, 368: 1608-1618. 10.1016/S0140-6736(06)69567-6.CrossRefPubMed
20.
go back to reference Lozano R, Soliz P, Gakidou E, et al: Benchmarking of performance of Mexican states with effective coverage. Lancet. 2006, 368: 1729-1741. 10.1016/S0140-6736(06)69566-4.CrossRefPubMed Lozano R, Soliz P, Gakidou E, et al: Benchmarking of performance of Mexican states with effective coverage. Lancet. 2006, 368: 1729-1741. 10.1016/S0140-6736(06)69566-4.CrossRefPubMed
21.
go back to reference Knaul FM, Arreola-Ornelas H, Méndez-Carniada O, et al: Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico. Lancet. 2006, 368: 1828-1841. 10.1016/S0140-6736(06)69565-2.CrossRefPubMed Knaul FM, Arreola-Ornelas H, Méndez-Carniada O, et al: Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico. Lancet. 2006, 368: 1828-1841. 10.1016/S0140-6736(06)69565-2.CrossRefPubMed
22.
go back to reference Gakidou E, Lozano R, González-Pier E, et al: Assessing the effect of the 2001–06 Mexican health reform: an interim report card. Lancet. 2006, 368: 1920-1935. 10.1016/S0140-6736(06)69568-8.CrossRefPubMed Gakidou E, Lozano R, González-Pier E, et al: Assessing the effect of the 2001–06 Mexican health reform: an interim report card. Lancet. 2006, 368: 1920-1935. 10.1016/S0140-6736(06)69568-8.CrossRefPubMed
23.
go back to reference Sepúlveda J, Bustreo F, Tapia R, et al: Improvement of child survival in Mexico: the diagonal approach. Lancet. 2006, 368: 2017-2027. 10.1016/S0140-6736(06)69569-X.CrossRefPubMed Sepúlveda J, Bustreo F, Tapia R, et al: Improvement of child survival in Mexico: the diagonal approach. Lancet. 2006, 368: 2017-2027. 10.1016/S0140-6736(06)69569-X.CrossRefPubMed
24.
go back to reference Frenk J, Lozano R, González-Block MA, et al: Economía y salud: propuestas para el avande del sistema de salud en México. Informe final. 1994, Mexico City: Fundación Mexicana para la Salud Frenk J, Lozano R, González-Block MA, et al: Economía y salud: propuestas para el avande del sistema de salud en México. Informe final. 1994, Mexico City: Fundación Mexicana para la Salud
25.
go back to reference Secretaría de Salud. Programa Nacional de Salud 2001–2006: La democratización de la salud en México. Hacia un sistema universal de salud. 2001, Mexico City: Secretaría de Salud Secretaría de Salud. Programa Nacional de Salud 2001–2006: La democratización de la salud en México. Hacia un sistema universal de salud. 2001, Mexico City: Secretaría de Salud
27.
go back to reference Secretaría de Salud: Sistema de Protección Social en Salud. Informe de resultados. Segundo semestre de 2010. 2010, Mexico City: Secretaría de Salud Secretaría de Salud: Sistema de Protección Social en Salud. Informe de resultados. Segundo semestre de 2010. 2010, Mexico City: Secretaría de Salud
29.
go back to reference Secretaría de Salud: Salud: México. 2001, Mexico City: Secretaría de Salud, 94-95. Secretaría de Salud: Salud: México. 2001, Mexico City: Secretaría de Salud, 94-95.
30.
go back to reference Secretaría de Salud: Rendición de Cuentas en Salud 2010. 2011, Mexico CityL: Secretaría de Salud, 96-107. Secretaría de Salud: Rendición de Cuentas en Salud 2010. 2011, Mexico CityL: Secretaría de Salud, 96-107.
32.
go back to reference Secretaría de Salud: Salud México 2004. Información para la rendición de cuentas. 2005, Mexico City: Secretaría de Salud, 32-33. Secretaría de Salud: Salud México 2004. Información para la rendición de cuentas. 2005, Mexico City: Secretaría de Salud, 32-33.
33.
go back to reference Walker D, De María L, Campero L, González D, Suárez L, Romero M: El uso y rol de proveedores no-médicos para la atención prenatal y obstétrica en México: parteras profesionales técnicas y enfermeras obstetras. Evidencias y áreas de oportunidad. 2011, Cuernavaca, Mexico: Instituto Nacional de Salud Pública Walker D, De María L, Campero L, González D, Suárez L, Romero M: El uso y rol de proveedores no-médicos para la atención prenatal y obstétrica en México: parteras profesionales técnicas y enfermeras obstetras. Evidencias y áreas de oportunidad. 2011, Cuernavaca, Mexico: Instituto Nacional de Salud Pública
34.
go back to reference Lozano-Ascencio R: ¿Es posible seguir mejorando los registros de defunciones en México?. 2006, Mexico City: Dirección General de Información en Salud, Secretaría de Salud Lozano-Ascencio R: ¿Es posible seguir mejorando los registros de defunciones en México?. 2006, Mexico City: Dirección General de Información en Salud, Secretaría de Salud
35.
go back to reference Secretaría de Salud: Programa Nacional de Salud 2007–2012. Por un México sano: construyendo alianzas para una mejor salud. 2007, Mexico City: Secretaría de Salud, 39. Secretaría de Salud: Programa Nacional de Salud 2007–2012. Por un México sano: construyendo alianzas para una mejor salud. 2007, Mexico City: Secretaría de Salud, 39.
36.
go back to reference Secretaría de Salud: Rendición de cuentas en Salud 2007. 2008, Mexico City: Secretaría de Salud Secretaría de Salud: Rendición de cuentas en Salud 2007. 2008, Mexico City: Secretaría de Salud
37.
go back to reference World Health Organization: World health statistics 2009. 2009, Geneva: WHO World Health Organization: World health statistics 2009. 2009, Geneva: WHO
43.
go back to reference Parkin M, Bray F, Ferlay J, Pisani P: Estimating the world cancer burden: Globocan 2000. International J Cancer. 2001, 94: 153-156. 10.1002/ijc.1440.CrossRef Parkin M, Bray F, Ferlay J, Pisani P: Estimating the world cancer burden: Globocan 2000. International J Cancer. 2001, 94: 153-156. 10.1002/ijc.1440.CrossRef
44.
go back to reference Cavalli F: Cancer in the developing world: can we avoid the disaster?. Nat Clin Pract Oncol. 2006, 3 (11): 582-583.CrossRefPubMed Cavalli F: Cancer in the developing world: can we avoid the disaster?. Nat Clin Pract Oncol. 2006, 3 (11): 582-583.CrossRefPubMed
47.
go back to reference García M, Jemal A, Ward EM, et al: Global cancer facts and figures 2007. 2007, Atlanta, GA: American Cancer Society García M, Jemal A, Ward EM, et al: Global cancer facts and figures 2007. 2007, Atlanta, GA: American Cancer Society
48.
go back to reference Secretaría de Salud: Rendición de Cuentas en Salud 2007. 2008, Mexico City: Secretaría de Salud, 29-30. Secretaría de Salud: Rendición de Cuentas en Salud 2007. 2008, Mexico City: Secretaría de Salud, 29-30.
49.
go back to reference Lazcano-Ponce E, Palacio-Mejía LS, Allegn-Leigh B, Yunes-Diaz E, Alonso PH, Schiavon R, et al: Decreasing cervical cancer mortality in Mexico: effect of Papanicoalaou coverage, birthrate, and the importance of diagnostic validity cytology. Cancer Epidemiol Biomarkers Prev. 2008, 17 (10): 2808-2817. 10.1158/1055-9965.EPI-07-2659.CrossRefPubMed Lazcano-Ponce E, Palacio-Mejía LS, Allegn-Leigh B, Yunes-Diaz E, Alonso PH, Schiavon R, et al: Decreasing cervical cancer mortality in Mexico: effect of Papanicoalaou coverage, birthrate, and the importance of diagnostic validity cytology. Cancer Epidemiol Biomarkers Prev. 2008, 17 (10): 2808-2817. 10.1158/1055-9965.EPI-07-2659.CrossRefPubMed
50.
go back to reference Lozano-Ascencio R, Gómez-Dantés H, Lewis S, Torres-Sánchez L, López-Carrillo L: Tendencias del cáncer de mama en América Latina y El Caribe. Salud Publica Mex. 2009, 51 (suppl 2): S147-S156.CrossRefPubMed Lozano-Ascencio R, Gómez-Dantés H, Lewis S, Torres-Sánchez L, López-Carrillo L: Tendencias del cáncer de mama en América Latina y El Caribe. Salud Publica Mex. 2009, 51 (suppl 2): S147-S156.CrossRefPubMed
51.
go back to reference Peters-Golden H: Breast cancer: varied perceptions of social support in the illness experience. Soc Sci Med. 1982, 16 (4): 483-491. 10.1016/0277-9536(82)90057-0.CrossRefPubMed Peters-Golden H: Breast cancer: varied perceptions of social support in the illness experience. Soc Sci Med. 1982, 16 (4): 483-491. 10.1016/0277-9536(82)90057-0.CrossRefPubMed
52.
go back to reference Ganz P: Psychological and social aspects of breast cancer. Oncology. 2008, 22 (6): 642-646.PubMed Ganz P: Psychological and social aspects of breast cancer. Oncology. 2008, 22 (6): 642-646.PubMed
53.
go back to reference Frenk J: Sensibilización, detección temprana y combate a los prejuicios. Claves en la lucha contra el cáncer de mama. Salud Publica Mex. 2009, 51 (supl 2): S135-S137.CrossRefPubMed Frenk J: Sensibilización, detección temprana y combate a los prejuicios. Claves en la lucha contra el cáncer de mama. Salud Publica Mex. 2009, 51 (supl 2): S135-S137.CrossRefPubMed
Metadata
Title
A comprehensive approach to women’s health: lessons from the Mexican health reform
Authors
Julio Frenk
Octavio Gómez-Dantés
Ana Langer
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2012
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/1472-6874-12-42

Other articles of this Issue 1/2012

BMC Women's Health 1/2012 Go to the issue