title: [Situational profile and intervention strategy in the Mesoamerican region in maternal, neonatal and reproductive health area].
abstract: To present the main results of the regional situation diagnosis and intervention plan developed in 2010 as part of the planning activities of the Mesoamerican Health System by the Working Group on Maternal, Reproductive and Neonatal Health. A group of experts and representatives from countries in the region (Central America and nine southern Mexican states) conducted an exhaustive review of available data to construct a situational analysis and a review of effective practices for improving maternal, reproductive and neonatal health. Finally, the group proposed a regional action plan, defining regional goals and specific interventions. The situational diagnosis suggests that, although there has been progress in the last 10 years, maternal and neonatal mortality rates are still unnaceptably high in the region, with a substantial variability across countries. The group proposed as a regional goal the reduction of maternal and neonatal mortality in accordance with the Millenium Development Goals. The regional plan recommends specific maternal and neonatal health interventions emphasizing obstetric and neonatal emergency care, skilled birth attendance and family planning. The plan also includes a five year implementation strategy, along with training and evaluation strategies. The regional plan for maternal, neonatal and reproductive health has the potential to be successful, provided it is effectively implemented.
authors.affiliation: Instituto Nacional de Salud Pública, Institute of Health Metrics and Evaluation, Universidad of Washington, Washington, Seattle, Washington, USA. bhernand@insp.mx
authors.forename: Bernardo
authors.initials: B
authors.lastname: Hernández-Prado
authors.forename: Edgar
authors.initials: E
authors.lastname: Kestler
authors.forename: Juan
authors.initials: J
authors.lastname: Díaz
authors.forename: Dilys
authors.initials: D
authors.lastname: Walker
authors.forename: Ana
authors.initials: A
authors.lastname: Langer
authors.forename: Sarah
authors.initials: S
authors.lastname: Lewis
authors.forename: Elvia
authors.initials: E
authors.lastname: De la Vara-Salazar
authors.forename: María del Carmen
authors.initials: Mdel C
authors.lastname: Melo-Zurita
authors.forename: Emma
authors.initials: E
authors.lastname: Iriarte
authors.forename: Isabella
authors.initials: I
authors.lastname: Danel
authors.forename: France
authors.initials: F
authors.lastname: Donnay
authors.forename: Denis
authors.initials: D
authors.lastname: Alemán
authors.forename: Roselyn
authors.initials: R
authors.lastname: Serrano
authors.forename: Evelyn
authors.initials: E
authors.lastname: Morales
authors.forename: Natalia
authors.initials: N
authors.lastname: Largaespada
authors.forename: José Douglas Jarquín
authors.initials: JD
authors.lastname: González
authors.forename: Ma Del Carmen
authors.initials: Mdel C
authors.lastname: Hernández
authors.forename: Claudia E Quiroz
authors.initials: CE
authors.lastname: Mejía
authors.forename: Geneva
authors.initials: G
authors.lastname: González
authors.forename: Yadira
authors.initials: Y
authors.lastname: Carrera
authors.forename: Clelia
authors.initials: C
authors.lastname: Valverde
authors.forename: Rufino
authors.initials: R
authors.lastname: Luna
authors.forename: Atanacio
authors.initials: A
authors.lastname: Valencia-Mendoza
authors.forename: Sandra G
authors.initials: SG
authors.lastname: Sosa-Rubí
authors.forename: Bernardo
authors.initials: B
authors.lastname: Hernández-Prado
authors.forename: Edgar
authors.initials: E
authors.lastname: Kestler
authors.forename: Juan
authors.initials: J
authors.lastname: Díaz
authors.forename: Dilys
authors.initials: D
authors.lastname: Walker
authors.forename: Ana
authors.initials: A
authors.lastname: Langer
authors.forename: Sarah
authors.initials: S
authors.lastname: Lewis
authors.forename: Elvia
authors.initials: E
authors.lastname: De la Vara-Salazar
authors.forename: María Del Carmen
authors.initials: Mdel C
authors.lastname: Melo-Zurita
mesh_terms: D000293:Adolescent; D000328:Adult; D002489:Central America; D002648:Child; D002662:Child Health Services / Q000458:organization & administration / Q000600:supply & distribution; D003906:Developing Countries; D005193:Family Planning Services; D005260:Female; D006040:Goals; D006284:Health Plan Implementation; D006293:Health Promotion / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D007226:Infant Mortality / Q000639:trends; D007229:Infant Welfare; D007231:Infant, Newborn; D007391:International Cooperation; D008427:Maternal Health Services / Q000458:organization & administration / Q000600:supply & distribution; D008428:Maternal Mortality / Q000639:trends; D008429:Maternal Welfare; D008800:Mexico; D008875:Middle Aged; D011247:Pregnancy; D012040:Regional Health Planning; D060728:Reproductive Health; D055815:Young Adult