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Government expenditure on maternal health and family planning services for adolescents in Mexico, 2003–2015

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dc.contributor.author Avila-Burgos, Leticia
dc.contributor.author Montañez-Hernández, Julio César
dc.contributor.author Cahuana Hurtado, Lucero
dc.contributor.author Villalobos, Aremis
dc.contributor.author Hernández-Peña, Patricia
dc.contributor.author Heredia-Pi, Ileana
dc.date.accessioned 2020-07-14T00:00:54Z
dc.date.available 2020-07-14T00:00:54Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8226
dc.description.abstract The purpose of this study was to assess whether government policies to expand the coverage of maternal health and family planning (MHFP) services were benefiting the adolescents in need. To this end, we estimated government MHFP expenditure for 10- to 19-year-old adolescents without social security (SS) coverage between 2003 and 2015. We evaluated its evolution and distribution nationally and sub-nationally by level of marginalization, as well as its relationship with demand indicators. Using Jointpoint regressions, we estimated the average annual percent change (AAPC) nationally and among states. Expenditure for adolescents without SS coverage registered 15% for AAPC for the period 2003–2011 and was stable for the remaining years, with 88% of spending allocated to maternal health. Growth in MHFP expenditure reduced the ratio of spending by 13% among groups of states with greater/lesser marginalization; nonetheless, the poorest states continued to show the lowest levels of expenditure. Although adolescents without SS coverage benefited from greater MHFP expenditure as a consequence of health policies directed at achieving universal health coverage, gaps persisted in its distribution among states, since those with similar demand indicators exhibited different levels of expenditure. Further actions are required to improve resource allocation to disadvantaged states and to reinforce the use of FP services by adolescents. en_US
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartofseries International Journal of Environmental Research and Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject maternal health en_US
dc.subject adolescents en_US
dc.subject family planning en_US
dc.subject government health expenditure en_US
dc.title Government expenditure on maternal health and family planning services for adolescents in Mexico, 2003–2015 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.3390/ijerph17093097
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.05.08
dc.relation.issn 1660-4601


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