Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México

Detalhes bibliográficos
Autor(a) principal: Graciela Freyermuth Enciso
Data de Publicação: 2015
Outros Autores: Sergio Meneses Navarro, Martín Romero Martínez
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890
Resumo: The aim of this study was to analyze the institutional capacity for provision of women's health care services in Mexico in accordance with prevailing regulations. A probabilistic national sample of health care institutions was used to compare performance rates according to services packages based on analysis of variance. No package showed outstanding performance. Adequate performance was seen in referral and counter-referral centers for uterine cervical cancer, childbirth care, breast cancer diagnosis, family planning counseling, and training in sexual and reproductive health. The lowest performance was seen in the prevention of uterine cervical cancer, obstetric urgencies, family and sexual violence, and promotion of family planning. All the institutions showed low performance in the prevention of breast cancer, promotion of family planning, and management of family and gender violence. The Ministry of Health's leadership needs to be strengthened in order to overcome resistance for the institutions to adhere to the prevailing regulations.
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spelling Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de MéxicoEvaluación de Programas y Projectos de SaludSalud de la MujerSistemas de SaludThe aim of this study was to analyze the institutional capacity for provision of women's health care services in Mexico in accordance with prevailing regulations. A probabilistic national sample of health care institutions was used to compare performance rates according to services packages based on analysis of variance. No package showed outstanding performance. Adequate performance was seen in referral and counter-referral centers for uterine cervical cancer, childbirth care, breast cancer diagnosis, family planning counseling, and training in sexual and reproductive health. The lowest performance was seen in the prevention of uterine cervical cancer, obstetric urgencies, family and sexual violence, and promotion of family planning. All the institutions showed low performance in the prevention of breast cancer, promotion of family planning, and management of family and gender violence. The Ministry of Health's leadership needs to be strengthened in order to overcome resistance for the institutions to adhere to the prevailing regulations.El objetivo fue analizar la capacidad institucional de producción de servicios dirigidos a mujeres apegada a la normatividad. En una muestra probabilística nacional de las instituciones de salud, se compararon los índices de desempeño por paquetes de intervención mediante análisis de varianza. Ningún paquete tuvo un desempeño destacado. Con desempeño adecuado fueron los de referencia-contrarreferencia de cáncer cervicouterino, atención del parto, diagnóstico de cáncer de mama, consejería en planificación familiar y capacitación en salud sexual y reproductiva; los desempeños más bajos fueron los de prevención de cáncer cervicouterino, atención de las urgencias obstétricas, violencia familiar y sexual, y promoción de la planificación familiar. Todas las instituciones tienen un desempeño bajo en prevención de cáncer de mama, promoción de planificación familiar y atención a la violencia familiar y de género. Se debe fortalecer la función rectora de la Secretaría de Salud y vencer las resistencias para que las instituciones se apeguen a la normatividad.O objetivo foi analisar a capacidade institucional de produção de serviços dirigidos às mulheres, segundo os regulamentos. Numa amostra de probabilidades das instituições de saúde, em nível nacional, compararam-se os índices de desempenho por conjuntos de intervenção usando-se a análise de variantes. Nenhum conjunto teve um desempenho notório. Com desempenho adequado apresentaram-se os de referência-contrarreferência de cancro do colo do útero, assistência ao parto, diagnóstico de cancro de mama, aconselhamento no planejamento familiar e capacitação sobre saúde sexual e reprodutiva; os desempenhos mais baixos foram os de prevenção de cancro do colo do útero, assistência em urgências obstétricas, violência familiar e sexual, e promoção do planejamento familiar. Todas as instituições têm um baixo desempenho na prevenção de cancro de mama, na promoção do planejamento familiar e assistência nos casos de violência familiar e de gênero. É necessário fortalecer a função diretiva da Secretaria de Saúde e superar as resistências, para que as instituições se apeguem aos regulamentos.Reports in Public HealthCadernos de Saúde Pública2015-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890Reports in Public Health; Vol. 31 No. 1 (2015): JanuaryCadernos de Saúde Pública; v. 31 n. 1 (2015): Janeiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890/12335https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890/12336Graciela Freyermuth EncisoSergio Meneses NavarroMartín Romero Martínezinfo:eu-repo/semantics/openAccess2024-03-06T15:28:58Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5890Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:44.702047Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
title Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
spellingShingle Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
Graciela Freyermuth Enciso
Evaluación de Programas y Projectos de Salud
Salud de la Mujer
Sistemas de Salud
title_short Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
title_full Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
title_fullStr Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
title_full_unstemmed Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
title_sort Evaluación de los programas de atención a la salud de las mujeres en las principales instituciones del sistema de salud de México
author Graciela Freyermuth Enciso
author_facet Graciela Freyermuth Enciso
Sergio Meneses Navarro
Martín Romero Martínez
author_role author
author2 Sergio Meneses Navarro
Martín Romero Martínez
author2_role author
author
dc.contributor.author.fl_str_mv Graciela Freyermuth Enciso
Sergio Meneses Navarro
Martín Romero Martínez
dc.subject.por.fl_str_mv Evaluación de Programas y Projectos de Salud
Salud de la Mujer
Sistemas de Salud
topic Evaluación de Programas y Projectos de Salud
Salud de la Mujer
Sistemas de Salud
description The aim of this study was to analyze the institutional capacity for provision of women's health care services in Mexico in accordance with prevailing regulations. A probabilistic national sample of health care institutions was used to compare performance rates according to services packages based on analysis of variance. No package showed outstanding performance. Adequate performance was seen in referral and counter-referral centers for uterine cervical cancer, childbirth care, breast cancer diagnosis, family planning counseling, and training in sexual and reproductive health. The lowest performance was seen in the prevention of uterine cervical cancer, obstetric urgencies, family and sexual violence, and promotion of family planning. All the institutions showed low performance in the prevention of breast cancer, promotion of family planning, and management of family and gender violence. The Ministry of Health's leadership needs to be strengthened in order to overcome resistance for the institutions to adhere to the prevailing regulations.
publishDate 2015
dc.date.none.fl_str_mv 2015-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890/12335
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5890/12336
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 1 (2015): January
Cadernos de Saúde Pública; v. 31 n. 1 (2015): Janeiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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