Lags in the provision of obstetric services to indigenous women and their implications for universal access to health care in Mexico

Sexual and Reproductive Health Matters

Gustavo Nigenda¹  Aremis Villalobos²  Clara Juárez-Ramírez²  Alma L. Sauceda-Valenzuela² 

[1] Professor, National School of Nursing and Obstetrics, National Autonomous University of Mexico;Researcher, Centre for Health Systems Research, National Institute of Public Health;

关键词: universal health coverage;    indigenous women;    access;    obstetric services;    social determinants of health;    mexico;   

DOI  :  10.1080/26410397.2020.1778153

来源: DOAJ

【 摘 要 】

Through quantitative and qualitative methods, in this article the authors describe the perspectives of indigenous women who received antenatal and childbirth medical care within a care model that incorporates a non-governmental organisation (NGO), Partners in Health. They discuss whether the NGO model better resolves the care-seeking process, including access to health care, compared with a standard model of care in government-subsidised health care units (setting of health services networks). Universal health coverage advocates access for the most disadvantaged and vulnerable populations as a priority. However, the issue of access includes problems related to the effect of certain structural social determinants that limit different aspects of the obstetric care process. The findings of this study show the need to modify the structure of organisational values in order to place users at the centre of medical care and ensure respect for their rights. The participation of agents outside the public system, such as NGOs, can be of great value for moving in this direction. Women’s participation is also necessary for learning how they are being cared for and the extent to which they are satisfied with obstetric services. This research experience can be used for other countries with similar conditions.

【 授权许可】

Unknown