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Antenatal Care Among Poor and Indigenous Women in Central America and Mexico: A Cross-Country Study of Access, Utilization, and Barriers

Submitted by bid-saludmesoamerica on
Antenatal care (ANC) is an important service for improving maternal, infant, and child health. Across Central America and Mexico, high national rates of antenatal care coverage mask significant disparities among subgroups, primarily among poorly educated, lower-income, and indigenous women. This chapter presents and discusses information from the largest cross-country study conducted among poor and indigenous communities in Mesoamerica. Within these communities, 95% of women receive ANC from a skilled provider in Nicaragua, 94% in El Salvador, 84% in Honduras, 78% in Panama, 75% in Chiapas, Mexico, and 31% in Guatemala. ANC should begin in the first trimester to detect and prevent complications; in Guatemala, 20% of poor pregnant women meet this guideline, as do as many as 77% in El Salvador. ANC should be ongoing throughout pregnancy, but only 18% of poor Guatemalan women receive the recommended four visits, compared to 81% in Nicaragua. Women’s education, ethnicity, poverty, and control over fertility are associated with receiving ANC services and will require systemic, intersectoral action to make progress. Health system changes are also needed, including training providers to be respectful of indigenous patients, including their culture and language, as well as overcoming geographic and financial barriers to care. Universal ANC is possible, but reinvigorated political and financial commitments are needed to ensure accessible, inclusionary, and culturally sensitive care for marginalized populations.

The wealth gap is growing, but poor women see one improvement: healthier newborns

Fuente: The Washington Post

As a kid who grew up in violence-racked public housing here, Wanda Verret had no idea what to do when she got pregnant at age 14. She didn’t go to the doctor until her sixth month of pregnancy, smoked cigarettes and dropped out of school. “I was a baby having a baby,” she said.

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Postnatal care by provider type and neonatal death in sub-Saharan Africa: a multilevel analysis

Fuente: BMC Public Health

Globally postnatal care (PNC) of the newborn is being promoted as a strategy to reduce neonatal deaths, yet few studies have looked at associations between early PNC and neonatal outcomes in sub-Saharan Africa. In this study we look at the associations of PNC provided on day 1 and by day 7 of life by type of provider – skilled (doctor, midwife or nurse or unskilled (traditional birth attendant or community health worker) on neonatal death on days 2 to 7 and days 2 to 28.

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