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Meeting of RMEI parteners to plan the beginning of operations

Submitted by javierle@iadb.org on
The RMEI (Regional Malaria Elimination Initiative) technical partners met on February 18 - 20 in El Salvador with the purpose of coordinating the final details for the implementation of the plans aimed at eliminating malaria by 2020 in the seven Mesoamerican countries, in addition to Mexico, Colombia and the Dominican Republic. The goal of the meeting was to incorporate the malaria foci management focus proposed by the Pan American Health Organization (PAHO) and, in this manner, have a single foci focus for all the countries.
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Strengthening Quality Improvement & Leadership Skills to Drive Improvement on the Frontlines

Submitted by bid-saludmesoamerica on
Aceso Global has been working with the Inter-American Development Bank (IDB) on the Salud Mesoamérica Initiative (SMI). SMI is a pioneering public-private partnership between the Bill & Melinda Gates Foundation, the Carlos Slim Foundation, the Government of Spain, the IDB, the countries of Central America, and the state of Chiapas, Mexico. It is one of the most successful and thoughtfully designed results-based aid (RBA) models and we are excited to join and contribute to their effort, while also learning from their work.
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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 equity action spectrum: taking a comprehensive approach

Submitted by bid-saludmesoamerica on

Fuente: World Health Organization

This guidance aims to support European policy-makers to improve the design and implementation of policies to reduce inequities in health. It brings together current evidence on how to develop comprehensive policy action plans to identify and address social determinants of health inequities.

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