In order to reduce infant and maternal mortality in 30 municipalities in the state of Chiapas, which account for 20 percent of people living in poverty, the state government works in coordination with the Inter-American Development Bank (IDB), the Mesoamerican Health Initiative 2015.
The progresses recorded by the project started in late 2012 were analyzed in an appraisal meeting headed by Governor Manuel Velasco Coello; in which participated the IDB Division of Social Protection and Health Chief Ferdinando Regalia and Senior Economist Ignez Tristao; as well as the Health Minister of Chiapas Carlos Eugenio Ruiz Hernandez.
The total investment amounts to USD 6.3 million. Of this amount, 2.5 million are provided by the Carlos Slim Health Institute (CSHI), Bill & Melinda Gates Foundation and the Government of Spain. The remaining USD 3.8 million, are granted by the Institute of Health of the State of Chiapas (ISECH).
Significantly, Chiapas is the only Mexican entity involved in this project; which includes actions for 5 years directed to care for women aged 15-49 years and children under 5 years old through 323 medical units, including nine hospitals in the sanitary jurisdictions of San Cristobal, Palenque, Pichucalco and Ocosingo.
The project manager is the IDB, while technical assistance is provided by Management Science for Health.
The Mesoamerican Health 2015 Initiative considers the implementation of the strategy Essential Obstetric and Neonatal Care. This consists in four components: First,
To meet the goals outlined in the four components that form the Mesoamerican Health Initiative 2015, is considered the implementation of the strategy Essential Obstetric and Neonatal Care. This consists in the purchase of medical equipment, drugs and supplies; improving care during pregnancy, childbirth, postpartum and obstetric emergencies. It includes the promotion of a comprehensive strategy in family planning. Also, it contemplates the supervision and training to improve the quality of health care processes; recruitment of professional birth attendants and providing incentives to traditional midwifes. In addition, strengthening the supply chain of vaccines; creation of the Electronic Health Card (TES); implementing a de-worming strategy; adapting messages for behavioral change in infant feeding; and reactivation of the oral rehydration strategy, among others.
The meeting was also attended by: Miguel Coronado, IDB Chief of Operations in Mexico; Roberto Tapia, Carlos Slim Foundation General Director; Miguel Betancourt, CSHI Global Solutions Director; Erika Contreras Licea, Mesoamerica Integration and Development Project General Director; and Huitzilihuitl Herrada, Mesoamerica Integration and Development Project Deputy General Manager.