title: Antenatal Care Among Poor Women in Mexico in the Context of Universal Health Coverage.
abstract: OBJECTIVE
  To study the influence of enrollment in the subsidized insurance program, Seguro Popular (SP), on timely (within three gestational months) and complete (at least four visits) antenatal care, in the context of expanding health coverage in Mexico.
  
  
  METHODS
  A cross-sectional study using data from the National Health and Nutrition Survey 2012 was conducted. Using quasi-experimental matching methods, we analyzed the influence of SP on timely antenatal care and a minimum of four visits for 6175 women (aged 14-49), and explored heterogeneous influences by socioeconomic status (SES) and educational level.
  
  
  RESULTS
  Approximately 80 % of women reported timely antenatal care, with no significant difference between SP and non-SP-except among SP women from low SES households, who had an increased probability of timely antenatal care by 1.88 (p < 0.05). Enrollment in SP increased the probability of receiving at least four visits (1.65, p < 0.01) but this was not independently associated with SP enrollment when modeled together with timely antenatal care. Overall, higher SES increased the probability of antenatal care, while higher educational level increased the probability of four visits.
  
  
  CONCLUSIONS
  To increase the impact of SP on antenatal care requires focusing on efforts to promote timely attendance as an important factor towards achieving the goal of universal health coverage of maternal and child health services in Mexico.
authors.affiliation: National Institute of Public Health, Avenida Universidad # 655, Colonia: Santa María de Ahuacatitlán, CP 62100, Cuernavaca, Morelos, Mexico. eservan@insp.mx.
authors.forename: Edson
authors.initials: E
authors.lastname: Servan-Mori
authors.affiliation: Department of Global Health, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Veronika
authors.initials: V
authors.lastname: Wirtz
authors.affiliation: National Institute of Public Health, Avenida Universidad # 655, Colonia: Santa María de Ahuacatitlán, CP 62100, Cuernavaca, Morelos, Mexico.
authors.forename: Leticia
authors.initials: L
authors.lastname: Avila-Burgos
authors.affiliation: National Institute of Public Health, Avenida Universidad # 655, Colonia: Santa María de Ahuacatitlán, CP 62100, Cuernavaca, Morelos, Mexico.
authors.forename: Ileana
authors.initials: I
authors.lastname: Heredia-Pi
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D011203:Poverty / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000191:economics* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D019472:Universal Health Insurance
keywords: Antenatal care; Mexico; Seguro Popular; Universal health