Heredia-Pi Ileana, Serván-Mori Edson, Reyes-Morales Hortensia, Lozano Rafael
Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Institute for Health Metrics and Evaluation, Seattle, WA, EUA.
Salud Publica Mex. 2013;55 Suppl 2:S249-58.
To develop a composite index for coverage of antenatal and delivery continuum of care, and use it to measure the gaps among different populations of pregnant women in Mexico.
Based in the information of 5 766 women from the National Health and Nutrition Survey 2012, a composite index of coverage of continuum of care (Cobac in spanish) was developed, integrating five interventions for antenatal, delivery, and puerperium periods.
Women living in metropolitan areas who were affiliated to social security had the best Cobac (0.879; IC95%:0.867-0.891); the worst were found in women living in rural areas, with the lower socio-economic level (NSE-I), (0.722; IC95%: 0.700-0.745), women without health insurance (0.735; IC95%: 0.700-0.770), and indigenous women (0.759; IC95%: 0.740-0.779).
The Cobac during pregnancy and childbirth has important differences within the country, which allows for the identification of areas where we must focus efforts to move towards universal health coverage.
制定一项用于衡量产前和分娩连续护理覆盖情况的综合指数，并使用该指数来衡量墨西哥不同孕妇群体之间的差距。
基于2012年全国健康与营养调查中5766名女性的信息，制定了一项连续护理覆盖综合指数（西班牙语为Cobac），整合了产前、分娩和产褥期的五项干预措施。
隶属于社会保障体系且居住在大都市地区的女性Cobac指数最高（0.879；95%置信区间：0.867 - 0.891）；指数最低的是居住在农村地区、社会经济水平较低（NSE - I）的女性（0.722；95%置信区间：0.700 - 0.745）、没有医疗保险的女性（0.735；95%置信区间：0.700 - 0.770）以及土著女性（0.759；95%置信区间：0.740 - 0.779）。
该国孕期和分娩期间的Cobac指数存在重要差异，这有助于确定我们必须集中努力以实现全民健康覆盖的领域。
