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Centros integrados de salud y asistencia social para mujeres y niños migrantes
Katarina Ostojic1,2, Nan Hu2, Michael Hodgins2
1The University of Sydney, Sydney, New South Wales, Australia.
Pediatrics
|August 31, 2025
Resumen
Los centros integrados de salud y atención social aumentaron significativamente la asistencia a las visitas de enfermería de salud infantil y familiar para madres y bebés migrantes. La finalización de la vigilancia materna también mejoró, destacando los centros como modelos clave para el acceso equitativo a la atención.
Área de la Ciencia:
- Salud pública
- Salud materna y infantil
- Investigación en servicios de salud
Sus antecedentes:
- Las familias migrantes se enfrentan a obstáculos para acceder a los servicios esenciales de salud infantil y familiar (SFC).
- Las visitas de enfermería de CFH son cruciales para monitorear el bienestar de la madre y el bebé.
- Los centros integrados de salud y asistencia social son prometedores para mejorar el acceso a los servicios.
Objetivo del estudio:
- Evaluar el impacto de los centros integrados de atención sanitaria y social (Hubs) en la asistencia a las visitas de enfermería de las mujeres migrantes y sus bebés.
- Evaluar el efecto de Hubs en la finalización de la vigilancia materna y infantil hasta los 12 meses posteriores al parto.
Principales métodos:
- Un ensayo no aleatorizado que compara los centros (intervención) con los servicios de enfermería CFH de rutina (control).
- Las mujeres migrantes fueron asignadas a centros (n=119) o a cuidados de rutina (n=120) en función de su proximidad.
- Seguimiento de madres y bebés hasta que el niño alcanza los 12 meses de edad.
Principales resultados:
- El grupo Hub tuvo tasas de asistencia a las visitas de enfermería de CFH más de 4 veces más altas en comparación con la atención de rutina.
- La terminación de la depresión posparto materna y la vigilancia psicosocial se duplicaron en el grupo Hub.
- No se observaron diferencias significativas en la finalización de la vigilancia infantil entre los grupos.
Conclusiones:
- Los centros integrados de salud y atención social mejoraron significativamente la asistencia a las visitas de enfermería de la CFH para las poblaciones migrantes.
- Los centros mejoran la vigilancia materna, contribuyendo a una mejor identificación de los problemas de salud.
- Los centros representan un modelo vital para reducir las disparidades en los servicios de salud para las comunidades de migrantes.
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