[The experience of the Mexican maternal health care program Arranque Parejo en la Vida].
OBJECTIVE
To evaluate the implementation of its participative strategies and the creation of support networks for poor pregnant women.


METHODS
A qualitative and comparative evaluation was carried on in four states.


RESULTS
Coordination and community participation were relevant in relation with major resources allocation and availability, particularly housing and transportation. Governmental actors involvement and leadership favoured linking and coordination. Pregnant women used to valuate as the major support source the one provided by their kinship networks.


CONCLUSIONS
To strengthen and to stimulate participative strategies is fundamental in zones with high maternal mortality rates. The wide appreciation of kinship networks, midwives and voluntaries' support to pregnant women in housing and transportation, suggests that these actors are a functional component of the support network; it is insufficient focusing the support network on health services and municipal authorities.
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, México. eorozco@insp.mx
Emanuel
E
Orozco-Núñez
Miguel Angel
MA
González-Block
Luz María
LM
Kageyama-Escobar
Bernardo
B
Hernández-Prado
D000328:Adult; D019058:Community Networks / Q000458:organization & administration*; D003256:Community Participation; D003430:Cross-Sectional Studies; D005260:Female; D006291:Health Policy; D006295:Health Resources; D006301:Health Services Needs and Demand; D006798:Housing; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D008800:Mexico; D008880:Midwifery; D011203:Poverty; D011247:Pregnancy; D015397:Program Evaluation; D012944:Social Support; D014186:Transportation; D014838:Volunteers