Objectives. Identify the barriers that cause delays in the route of obstetric care in pregnant women of Yaxkukul, Yucatán, from January 2016 to May 2018. Methodology. Observational, descriptive, cross-sectional and retrospective study. Pregnant women who attended prenatal control at the rural health center of Yaxkukul were interviewed and reviewed their clinical record. Sociodemographic characteristics, prenatal control were studied and the critical route of obstetric care was described, under the model of the three delays. Percentages, measures of central tendency and dispersion were calculated; as well as square chi to look for association between delays and maternal morbidity. A 95% confidence level and a value of p <0.05 were used. Contribution. The present study contributes to the prevention of maternal and perinatal mortality. Knowing the barriers that cause delays in care can identify deficiencies in the obstetric emergency protocol established in rural health units, to improve the quality of obstetric care.

Objective. We examined delays during the search for care and associations with mother, child, or health services characteristics, and with symptoms reported prior to death. Materials and methods. Cross-sectional study compris­ing household interviews with 252 caregivers of children under-5 who died in the state of Yucatán, Mexico, during 2015-2016. We evaluated the three main delays: 1) time to identify symptoms and start search for care, 2) transport time to health facility, and 3) wait time at health facility. Results. Children faced important delays including a mean time to start the search for care of 4.1 days. The mean transport time to the first facility was longer for children enrolled in Seguro Popular and there were longer wait times at public facilities, especially among children who also experienced longer travel time. Conclusions. Providing resources to enable caregiv­ers to access health services in a timely manner may reduce delays in seeking care.

Worldwide it is estimated that there is a slowdown in population growth and a decrease in the birth rate. According to the institutions, much of this change is due to the success of family planning programs. Family planning is recognized as one of the main interventions that saves the lives of mothers and children, especially in postpartum women who have a greater need to achieve longer intergenic intervals or to reduce unplanned pregnancies and their repercussions on maternal and child health. The objective of this work was to determine the level of knowledge and the acceptance of family planning methods, as well as the unmet need in pregnant women who attend prenatal control in a Health Unit of the state of Yucatan from May to July 2018. The study It was cross-sectional, it included 164 women who had prenatal control in the rural medical unit, were invited to participate and informed consent was requested. A low level of knowledge in family planning methods was found, the acceptance of family planning methods after the obstetric event was 18.3%, while the frequency of unmet need was 54.9%.

Community perceptions and practices towards the disease are mainly influenced by traditional medicine. The intercultural perspective in health allows building symmetrical relationships between medical and traditional knowledge. One of the most vulnerable group is under five years age. Exploring the perceptions and practices of mothers and caregivers on the disease and care of children can guide towards better health practices. Objective. Describe the perceptions and practices of mothers about the main health problems of their children during an emergency. Methodology. Quantitative-qualitative study, participatory action-research type with an intercultural perspective. Question guide was prepared for the exchange of knowledge with the focus group technique. Through inductive analysis of the transcripts, themes emerged. Results. Thirty-one mothers and caregivers attended the workshops. There were 48.6% emergencies due to diarrhea, fever and accidents. Home remedies, lack of hygiene in homes and lack of doctors on weekends were noted. Conclusions. Emergencies in children occured in almost half of the morbidity cases in the community studied. A new regionalization is necessary to reduce health gaps for children under five years of age.

Objective. To identify main environmental hazards to which pregnant women in Kinil, Yucatan are exposed. Methodology. Cross-sectional study consisting of two parts: 1) review of clinical archieves of women who received prenatal care from 2015 to 2017, registered in the Pregnancy Census of the Kinil Health Center, to obtain prenatal medical records, data on babies and perinatal conditions of their births; 2) the patients were visited in their homes to explain the objective of the study and request the pertinent permits with informed consent, as well as the caregivers in the case of minors. The frequency of major diseases during pregnancy was determined, as well as the prevalence of adverse perinatal outcomes. Contribution. Approach to environmental diagnosis, identify potential sources of risks of disease, characterize positive or negative situations to detect groups in vulnerable situations.