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Old principles, persisting challenges: Maternal health care market alignment in Mexico in the search for UHC

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  • Roxana Rodríguez-Franco
  • Edson Serván-Mori
  • Octavio Gómez-Dantés
  • David Contreras-Loya
  • Carlos Pineda-Antúnez

Abstract

The purpose of this study is to analyze the alignment of supply and demand for antenatal care (ANC) in Mexico based on the definition of access provided by Donabedian: the “degree of adjustment” between resources and needs. Alignment was studied in the teenage and adult population of Mexico that lacked conventional social security between 2008 and 2015, a period of expanding financial resources for health and public health insurance coverage. Spatial econometric methods were used to analyze data from the Ministry of Health on the supply and demand for ANC in 2,314 municipalities (94% of all municipalities in Mexico). During this period, the relative weight of ANC demand among adolescents increased 37% while the production of antenatal consultations for adolescent and adult women remained unchanged. Bivariate spatial analyses of correlation between supply and demand for ANC services yielded a minimal spatial correlation, or lack of territorial correspondence, between supply and demand among women in both age groups. Spatial econometric analysis confirmed a non-significant association between supply and demand for ANC services. Our findings suggest the existence of misalignment between supply and demand for these services. This requires a reassessment of the management and delivery of ANC services at the local level in order to increase effective coverage and improve the overall performance of the health system.

Suggested Citation

  • Roxana Rodríguez-Franco & Edson Serván-Mori & Octavio Gómez-Dantés & David Contreras-Loya & Carlos Pineda-Antúnez, 2018. "Old principles, persisting challenges: Maternal health care market alignment in Mexico in the search for UHC," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-14, July.
    • Handle: RePEc:plo:pone00:0199543
    DOI: 10.1371/journal.pone.0199543
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    References listed on IDEAS

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    5. 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.
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    1. Leticia Avila-Burgos & Julio César Montañez-Hernández & Lucero Cahuana-Hurtado & Aremis Villalobos & Patricia Hernández-Peña & Ileana Heredia-Pi, 2020. "Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003–2015," IJERPH, MDPI, vol. 17(9), pages 1-17, April.

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