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Related Experiment Videos

Paula Ramírez-Palacios1, Greivin Alexander Brenes-Monge2, Ofelia Poblano-Verástegui3

  • 1Dirección de Calidad de los Sistemas de Salud, Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.. ramirezp.paula@gmail.com.

Salud Publica De Mexico
|February 16, 2026
PubMed
Summary

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This summary is machine-generated.

The Integrated Care Pathway (Vía de Atención Integrada - VAI) improved essential maternal and infant health services. Key improvements included timely prenatal care, newborn screenings, and postpartum support in Chiapas and Puebla.

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Healthcare Management

Background:

  • The Integrated Care Pathway (Vía de Atención Integrada - VAI) aims to optimize care throughout the continuum of pregnancy, childbirth, postpartum, and infant health.
  • Evaluating the VAI's effectiveness is crucial for identifying areas of success and improvement in essential healthcare activities.

Purpose of the Study:

  • To assess the implementation and impact of the Integrated Care Pathway (VAI) using a set of indicators.
  • To measure the compliance with essential activities within the maternal and child health continuum.

Main Methods:

  • Development of 44 indicators for pre- and post-intervention evaluation.
  • Calculation of compliance percentages and absolute differences between pre- and post-intervention periods.

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  • Statistical evaluation of the significance of observed differences.

    • Main Results:

    • Chiapas saw significant increases in timely prenatal care initiation (+31.4 pp), newborn hearing screening (+41.9 pp), and immediate postpartum counseling (+38.4 pp).
    • Puebla demonstrated improvements in obstetric risk detection (+35.5 pp), postpartum follow-up consultations (+29.5 pp at 5 days), and immediate skin-to-skin contact (+38.2 pp).
    • Both states showed enhanced rates of immediate breastfeeding (Lactancia Materna Inmediata - LMI).

    Conclusions:

    • The Integrated Care Pathway (VAI) shows positive impacts on key maternal and child health indicators.
    • There is a need for context-specific strategies and evidence-based practices.
    • Continuous evaluation of proposed innovations is essential for sustained improvement in healthcare delivery.