Noticia Avances de Salud Mesoamérica 2015 en Chiapas

    • It was conducted a visit for supervision and monitoring progresses of the Mesoamerican Health Initiative 2015 in Chiapas.
  • The objectives were to review progress in the management and implementation of the operation; as well as discuss the identified problems and develop solution strategies.
  • The Health Institute of the State of Chiapas, the Inter-American Development Bank, the Carlos Slim Health Institute, the Management Sciences for Health, the College of the Southern Border and the Ministry of Finance of the State of Chiapas participated
  • The aim of the Mesoamerican Health Initiative 2015 in the state of Chiapas is to contribute to the reduction of maternal, newborn and child morbidity and mortality in 30 of the poorest municipalities, through a strategy of comprehensive health care to improve access, quality and utilization of maternal, reproductive, neonatal and child health services.

    From 19 to 22 last November, it was conducted a visit for supervision and monitoring progresses of the Mesoamerican Health Initiative 2015 in Chiapas. The Carlos Slim Health Institute (CSHI) was present as donor and technical advisor.

    The interesting discussions among expert representatives of the participating institutions made ​​it clear that there has been significant progress in the acquisition of medical equipment, medicines and supplies to equip 232 primary care medical facilities and hospitals in secondary care; supporting care quality to mothers and children. The joint and coordinated work of the State of Chiapas Health Institute Directorates of Public Health, Health Care and Finance Administration is prominent.

    The implementation of the Humanized Birth Plan, culturally adapted to the Chiapas indigenous populations, began. For this, 50 doctors have been trained in simple but very effective actions in preventing complications during labor: application of oxytocin to prevent uterine bleeding, delayed cord clamping to reduce the rate of anemia in infants and use of partograph -a tool in which the health of the mother and baby throughout labor are recorded- to timely detect and address potential complications.

    También se han hecho contrataciones de diversos tipos de personal para reforzar la operación de los servicios de salud en las zonas participantes en la Iniciativa. Entre ellos cabe mencionar a 6 parteras tradicionales y 4 enfermeras que conformarán un equipo encargado de mejorar el registro y análisis de las muertes perinatales (menores de 1 mes de vida), algo fundamental para poder identificar causas de defunción y factores de riesgo, lo que permitirá mejorar la atención prenatal y del parto. Este personal se encuentra en fase de capacitación actualmente.

    Also, various types of staff have been hired to reinforce health services operations in the areas participating in the Initiative. These include 6 traditional midwifes and 4 nurses, who form a team to improve the recording and analysis of perinatal deaths (under 1 month of age). This is essential to identify causes of death and risk factors, allowing improved prenatal and delivery care. This staff is currently undergoing training.

    Through the Initiative, it was possible ​​the installation of radio communication repeater towers. This has enabled networking between the different levels of care health units, to improve processes of referral and counter-referral of patients and the supply of medicines and provisions.

    On November 22 it was launched a system of transport vouchers for pregnant woman; in order to solve the economic barrier for which many women do not attend to health facilities for childbirth care, and to medical examination for her or her newborn. Moreover, monetary incentives will be given to traditional midwifes who accompany a woman into a health unit during her childbirth; in order to respect intercultural factors and aiming women feel more confident. These two strategies will be subject to stringent assessments to determine their impact.