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Organizational elements of health service related to a reduction in maternal mortality: The cases of Chile and Colombia

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  • Ruiz-Rodríguez, Myriam
  • Wirtz, Veronika J.
  • Nigenda, Gustavo

Abstract

Three differences related to the organization of maternal care services are notable when comparing the cases of Chile and Colombia. The first is the role of geographic (territorial) planning of service availability; second the existence of personnel trained specifically to provide labor and delivery care; and, finally, the level of comprehensiveness of strategies for service delivery. The reduction in maternal mortality is seen as the effect of operationalizing these strategies, among others in both countries. These strategies are compared over a period spanning the pre-reform stage, reform and the following years. The lessons learned from both countries are applicable to effective policy making in other countries from the region. The state is the driver and modulator for these changes, particularly in the reform processes in which there are multiples key actors.

Suggested Citation

  • Ruiz-Rodríguez, Myriam & Wirtz, Veronika J. & Nigenda, Gustavo, 2009. "Organizational elements of health service related to a reduction in maternal mortality: The cases of Chile and Colombia," Health Policy, Elsevier, vol. 90(2-3), pages 149-155, May.
    • Handle: RePEc:eee:hepoli:v:90:y:2009:i:2-3:p:149-155
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    References listed on IDEAS

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    1. Bertranou, Fabio M., 1999. "Are market-oriented health insurance reforms possible in Latin America?: The cases of Argentina, Chile and Colombia," Health Policy, Elsevier, vol. 47(1), pages 19-36, April.
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    Cited by:

    1. Edson Servan-Mori & Leticia Avila-Burgos & Gustavo Nigenda & Rafael Lozano, 2016. "A Performance Analysis of Public Expenditure on Maternal Health in Mexico," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-14, April.
    2. Carlos Eduardo Pinzón-Flórez & Julian Alfredo Fernandez-Niño & Luz Mery Cardenas-Cardenas & Diana Marcela Díaz-Quijano & Myriam Ruiz-Rodriguez & Ludovic Reveiz & Armando Arredondo-López, 2017. "Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-15, August.

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