Center for Health Systems Research, National Institute of Public Health, Mexico.
Independent Consultant, Mexico.
Int J Health Plann Manage. 2020 Jul;35(4):867-877. doi: 10.1002/hpm.2956. Epub 2020 Feb 9.
To generate evidence on the influence of good management of resources in the delivery of maternal health services in Mexico.
We studied the managerial processes involved in the provision of maternal health services in four states of Mexico exhibiting differences in maternal mortality, maternal health service coverage, and maternal health expenditure. Analysis was based on five analytical dimensions of the cyclic process model designed by the National Council for the Evaluation of Social Development Policy in Mexico. We describe the processes, identify areas of opportunity, and discuss opinions concerning the relevance, timeliness, and sufficiency of human and material resources employed in the delivery of maternal health services.
Managerial performance in the four entities was very heterogeneous. In most of the analyzed entities, implementation of the processes was rated from "average" to "very good."
In order to contribute to universal coverage of maternal health services, managerial processes at the state level need to ensure an adequate, timely, and sufficient supply of resources.
为墨西哥提供的产妇保健服务中资源管理的影响提供证据。
我们研究了在四个州提供产妇保健服务所涉及的管理流程，这些州在产妇死亡率、产妇保健服务覆盖率和产妇保健支出方面存在差异。分析基于墨西哥国家社会发展政策评估委员会设计的循环过程模型的五个分析维度。我们描述了这些过程，确定了有机会改进的领域，并讨论了有关在提供产妇保健服务中使用的人力和物力资源的相关性、及时性和充足性的意见。
四个实体的管理绩效差异很大。在大多数分析的实体中，对流程的实施评价从“平均”到“非常好”不等。
为了促进产妇保健服务的普及，州一级的管理流程需要确保资源的充足、及时和充足供应。
