Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003–2015
Abstract
:1. Introduction
2. Material and Methods
2.1. MHFP Expenditure for Adolescents
2.2. Demand Indicators
2.3. Analytical Strategy
2.4. Ethical Considerations
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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2003–2009 AAPC a [CI 95%] | 2009–2011 AAPC a [CI 95%] | 2011–2015 AAPC a [CI 95%] | |
---|---|---|---|
Government MHFP expenditure for adolescents | 15.4 b [14.3–16.5] | 15.4 b [14.3–16.5] | 3.9 [−3.1−11.4] |
Government MH expenditure for adolescent women | 16.1 b [14.4–17.7] | 11.6 b [7.7–15.8] | 3.2 [−2.2−8.8] |
Ambulatory-care centers | |||
Antenatal care | 29.3 b [23.5–35.3] | 29.3 b [23.5–35.3] | 6.1 [−17.4−36.4] |
Postpartum care | 9.7 b [3.5–16.3] | 5.5 b [4.2–6.8] | 5.5 b [4.2–6.8] |
Hospitals | |||
Complications during pregnancy, childbirth and puerperium | 14.3 b [13.2–15.5] | 8.3 b [5.6–11.0] | 1.3 −3.0−5.8] |
Childbirth care | 14.3 b [11.9–16.8] | 2.7 b [0.3–5.2] | 2.7 b [0.3–5.2] |
Antenatal and postpartum consultations | 8.1 b [4.0–12.5] | 3.0 b [1.6–4.5] | 3.0 b [1.6–4.5] |
Government FP expenditure for the entire adolescent population | 9.3 b [2.2–16.9] | 92.3 [-8.4-303.9] | 16.5 [−7.3−46.5] |
Ambulatory-care centers | |||
FP consultations and counseling | 4.6 [-0.4-9.8] | 130.6 b [25.5–323.7] | 19.1 [−0.5−42.5] |
Hospitals | |||
Definitive FP methods | 6.6 b [3.8–9.5] | 6.6 b [3.8–9.5] | 6.6 b [3.8–9.5] |
2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | AAPC a [CI95%] | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
National spending | 17.0 | 19.3 | 21.7 | 26.4 | 31.1 | 37.5 | 41.0 | 42.8 | 57.1 | 64.3 | 68.9 | 68.5 | 64.4 | 11.8 [9.2–14.5] |
Min (state) | 7.0 | 6.5 | 8.9 | 11.6 | 19.8 | 22.9 | 26.0 | 26.3 | 37.1 | 38.2 | 44.8 | 44.2 | 38.0 | 17.2 [10.8–23.9] |
Max (state) | 42.0 | 48.9 | 61.7 | 84.3 | 96.6 | 112.2 | 106.1 | 88.9 | 114.8 | 158.4 | 113.8 | 125.4 | 119.7 | 10.1 [4.8–15.7] |
Ratio Max/Min | 5.96 | 7.55 | 6.91 | 7.25 | 4.89 | 4.91 | 4.08 | 3.38 | 3.09 | 4.15 | 2.54 | 2.84 | 3.15 | |
Marginalization b | ||||||||||||||
Very low | 98 | 116 | 123 | 151 | 169 | 229 | 244 | 233 | 274 | 362 | 327 | 306 | 326 | 10.0 [6.5–13.6] |
Low | 198 | 236 | 226 | 289 | 338 | 393 | 460 | 451 | 520 | 569 | 592 | 595 | 572 | 9.6 [7.2–12.1] |
Moderate | 193 | 227 | 224 | 274 | 315 | 350 | 395 | 418 | 567 | 657 | 680 | 736 | 693 | 12.8 [11.3–14.4] |
High | 160 | 197 | 242 | 308 | 334 | 379 | 386 | 368 | 549 | 582 | 637 | 649 | 616 | 12.1 [9.8–14.4] |
Very high | 51 | 55 | 62 | 73 | 87 | 104 | 109 | 119 | 159 | 186 | 213 | 212 | 194 | 12.6 [9.5–15.8] |
Ratio: very high/very low | 1.92 | 2.09 | 1.98 | 2.07 | 1.95 | 2.19 | 2.24 | 1.96 | 1.72 | 1.95 | 1.54 | 1.44 | 1.68 |
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Share and Cite
Avila-Burgos, L.; Montañez-Hernández, J.C.; Cahuana-Hurtado, L.; Villalobos, A.; Hernández-Peña, P.; Heredia-Pi, I. Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003–2015. Int. J. Environ. Res. Public Health 2020, 17, 3097. https://doi.org/10.3390/ijerph17093097
Avila-Burgos L, Montañez-Hernández JC, Cahuana-Hurtado L, Villalobos A, Hernández-Peña P, Heredia-Pi I. Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003–2015. International Journal of Environmental Research and Public Health. 2020; 17(9):3097. https://doi.org/10.3390/ijerph17093097
Chicago/Turabian StyleAvila-Burgos, Leticia, Julio César Montañez-Hernández, Lucero Cahuana-Hurtado, Aremis Villalobos, Patricia Hernández-Peña, and Ileana Heredia-Pi. 2020. "Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003–2015" International Journal of Environmental Research and Public Health 17, no. 9: 3097. https://doi.org/10.3390/ijerph17093097