Evaluación de una Vía de Atención Integrada para la salud materna, neonatal e infantil.
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| Title: | Evaluación de una Vía de Atención Integrada para la salud materna, neonatal e infantil. |
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| Alternate Title: | Assessment of an Integrated Care Pathway for maternal, newborn, and child health. |
| Authors: | Ramírez-Palacios, Paula, Brenes-Monge, Greivin Alexander1 alexander.brenes@insp.mx, Poblano-Verástegui, Ofelia1, Yáñez-Álvarez, Iraís1, Maya-Ríos, María Dolores2, Saturno-Hernández, Pedro Jesús3 |
| Source: | Salud Pública de México. ene/feb2026, Vol. 68 Issue 1, p72-83. 12p. |
| Abstract (English): | Objetive. To assess the Integrated Care Pathways (ICP) using a set of indicators to measure adherence to evidence-based practices across the continuum of care for pregnancy, childbirth, the postpartum period, and essential care for children under one year of age. Materials and methods. Fortyfour indicators were desigsned for pre-post intervention evaluation. Compliance percentages and absolute differences in pre-post intervention were calculated for both simple and composite indicators. The statistical significance of the differences was assessed. Results. In Chiapas, there was an increase in timely initiation of prenatal care (+31.4 percentage points [pp]), newborn hearing screening (+41.9pp), immediate breastfeeding (+30pp), counseling on postpartum warning signs for mothers (+s38.4pp), and for newborns (+28.9pp). In Puebla, there was an increase in the detection of obstetric risk, violence, and depression during the first prenatal visit (+35.5pp), safety plan updates (+27.7pp), postpartum consultations at 5 (+29.5pp), 28 (+22.4pp), and 42 (+14pp) days, immediate breastfeeding (+34.8pp), immediate skin-to-skin contact (+38.2pp), and delayed umbilical cord clamping (+30.5pp). Conclusions. Tailored strategies adapted to local contexts and evidence-based practices are urgently needed, without neglecting continuous evaluation of proposed innovations. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo. Evaluar la Vía de Atención Integrada (VAI) mediante un set de indicadores sobre el cumplimiento de actividades esenciales del proceso dentro del continuo de la atención del embarazo, parto, puerperio y atención indispensable al menor de un año de edad. Material y métodos. Se diseñaron 44 indicadores para evaluación pre y posintervención. Se calcularon porcentajes de cumplimiento y diferencia absoluta pre y posintervención en indicadores simples y compuestos. Se evaluó significancia estadística de las diferencias. Resultados. En Chiapas incrementó el inicio oportuno de control prenatal (+31.4 puntos porcentuales [pp]), tamiz auditivo en recién nacido o nacida (RN) (+41.9pp), lactancia materna inmediata (LMI) (+30pp), consejería sobre signos de alarma del puerperio de la madre (+38.4pp) y en RN (+28.9pp). En Puebla incrementó detección de riesgo obstétrico, violencia y depresión en primera consulta prenatal (+35.5pp), actualización en plan de seguridad (+27.7pp), consultas a los cinco (+29.5pp), 28 (+22.4pp) y 42 (+14pp) días posparto, LMI (+34.8pp), apego inmediato piel con piel (+38.2pp) y pinzamiento tardío de cordón umbilical (+30.5pp). Conclusión. Urgen estrategias adaptadas a contextos locales, prácticas basadas en evidencia, sin descuidar la evaluación continua de las innovaciones propuestas. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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