Administrative effectiveness in the production of maternal health services in four Mexican states

Summary Objective To generate evidence on the influence of good management of resources in the delivery of maternal health services in Mexico. Material and methods We studied the managerial processes involved in the provision of maternal health services in four states of Mexico exhibiting difference...

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Bibliographic Details
Published in:The International journal of health planning and management 2020-07, Vol.35 (4), p.867-877
Main Authors: Serván‐Mori, Edson, Bravo‐Ruiz, María Lilia, Gómez‐Dantés, Octavio
Format: Article
Language:English
Subjects:
Development policy
Efficiency, Organizational
Female
Health administration
Health care expenditures
Health Planning
Health Resources - organization & administration
Health services
Health status
Humans
managerial effectiveness
Maternal & child health
Maternal characteristics
maternal health services
Maternal Health Services - economics
Maternal Health Services - organization & administration
Maternal mortality
Mexico
Pregnancy
Resource management
Resources
Social development
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Summary:Summary Objective To generate evidence on the influence of good management of resources in the delivery of maternal health services in Mexico. Material and methods 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. Results 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.” Conclusion 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.
ISSN:0749-6753
1099-1751
DOI:10.1002/hpm.2956