Maternal Mortality of Indigenous Women in Mexico: An Analysis from the Perspective of Human Rights

Enciso, Graciela Freyermuth; Avendaño, Hilda E. Argüello

doi:10.1007/978-3-319-71538-4_20

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“…10,11 In this study, we used the three delay model to analyze the process of health-care-seeking in children under-5. This model was proposed initially for the analysis of maternal mortality; 12,13 however, it has been applied to the analysis of other types of deaths, including emergency situations. 14 This model identifies three periods in the search for care where delays can occur: 1) identifying a health problem and deciding to seek care; 2) transportation time to reach a health facility; and 3) the wait time at a health facility to receive adequate and appropriate treatment.…”

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confidence: 99%

Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico

et al. 2021

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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.

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