دورية أكاديمية
أعرض في EDS

Impact of the Salud Mesoamerica Initiative on delivery care choices in Guatemala, Honduras, and Nicaragua.

التفاصيل البيبلوغرافية
العنوان: Impact of the Salud Mesoamerica Initiative on delivery care choices in Guatemala, Honduras, and Nicaragua.
المؤلفون: Hernandez B; Institute for Health Metrics and Evaluation. Department of Health Metrics Sciences, University of Washington, Seattle, WA, USA. bhp3@uw.edu., Harris KP; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA., Johanns CK; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA., Palmisano EB; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA., Cogen R; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA., Thom MG; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA., Linebarger E; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA., El Bcheraoui C; Robert Koch Institute, Berlin, Germany., Kamath AM; Department of Anesthesiology, University of Washington, Seattle, WA, USA., Camarda J; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA., Rios-Zertuche D; Salud Mesoamerica Initiative, Inter-American Development Bank, Washington, DC, USA., Zúñiga-Brenes MP; Salud Mesoamerica Initiative, Inter-American Development Bank, San Jose, Costa Rica., Bernal-Lara P; Salud Mesoamerica Initiative, Inter-American Development Bank, Washington, DC, USA., Colombara D; Seattle & King County. Assessment, Policy Development, & Evaluation Unit, Seattle, WA, USA., Schaefer A; Global Center for Integrated Health of Women, Adolescents, and Children, University of Washington, Seattle, WA, USA., Salvatierra B; Departamento de Salud, El Colegio de la Frontera Sur, San Cristóbal de las Casas, Chiapas, Mexico., Mateus JC; Universidad del Valle, Cali, Colombia., Casas I; Universidad del Valle, Cali, Colombia., Flores G; UNIMER, San Salvador, El Salvador., Iriarte E; Salud Mesoamerica Initiative, Inter-American Development Bank, Washington, DC, USA., Mokdad AH; Institute for Health Metrics and Evaluation. Department of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2022 Jan 03; Vol. 22 (1), pp. 5. Date of Electronic Publication: 2022 Jan 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Delivery, Obstetric* , Health Promotion* , Health Services Accessibility* , Maternal Health Services* , Prenatal Care*, Adolescent ; Adult ; Female ; Guatemala ; Health Facilities ; Honduras ; Humans ; Middle Aged ; Nicaragua ; Pregnancy ; Pregnancy Outcome ; Young Adult
مستخلص: Background: The Salud Mesoamérica Initiative (SMI) is a public-private collaboration aimed to improve maternal and child health conditions in the poorest populations of Mesoamerica through a results-based aid mechanism. We assess the impact of SMI on the staffing and availability of equipment and supplies for delivery care, the proportion of institutional deliveries, and the proportion of women who choose a facility other than the one closest to their locality of residence for delivery.
Methods: We used a quasi-experimental design, including baseline and follow-up measurements between 2013 and 2018 in intervention and comparison areas of Guatemala, Nicaragua, and Honduras. We collected information on 8754 births linked to the health facility closest to the mother's locality of residence and the facility where the delivery took place (if attended in a health facility). We fit difference-in-difference models, adjusting for women's characteristics (age, parity, education), household characteristics, exposure to health promotion interventions, health facility level, and country.
Results: Equipment, inputs, and staffing of facilities improved after the Initiative in both intervention and comparison areas. After adjustment for covariates, institutional delivery increased between baseline and follow-up by 3.1 percentage points (β = 0.031, 95% CI -0.03, 0.09) more in intervention areas than in comparison areas. The proportion of women in intervention areas who chose a facility other than their closest one to attend the delivery decreased between baseline and follow-up by 13 percentage points (β = - 0.130, 95% CI -0.23, - 0.03) more than in the comparison group.
Conclusions: Results indicate that women in intervention areas of SMI are more likely to go to their closest facility to attend delivery after the Initiative has improved facilities' capacity, suggesting that results-based aid initiatives targeting poor populations, like SMI, can increase the use of facilities closest to the place of residence for delivery care services. This should be considered in the design of interventions after the COVID-19 pandemic may have changed health and social conditions.
(© 2021. The Author(s).)
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فهرسة مساهمة: Keywords: Evaluation; Low-income countries; Maternal and child health
تواريخ الأحداث: Date Created: 20220104 Date Completed: 20220106 Latest Revision: 20220107
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8720941
DOI: 10.1186/s12884-021-04279-2
PMID: 34979990
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2393
DOI:10.1186/s12884-021-04279-2