Sergio Meneses Navarro

• Researcher at Instituto Nacional de Salud Pública

Background Ethnic and racial discrimination in maternal health care has been overlooked in academic literature and yet it is critical for achieving universal health coverage (UHC). There is a lack of empirical evidence on its impact on the effective coverage of maternal health interventions (ECMH) for Indigenous women in Mexico. Documenting progres...

Las poblaciones indígenas en México han sido invisibilizadas en las estadísticas de salud. Aunque en 1992 se reconoció la pluriculturalidad del país, sólo desde 2010 es obligatorio registrar la pertenencia étnica en el Sistema de Información en Salud. A pesar de los intentos para registrar, monitorear y evaluar la salud indígena, hace falta redobla...

Background Mexico reports low follow-up completion rates among women with abnormal cervical cancer screenings. This study aimed to identify barriers and facilitators to follow-up adherence among women with human papillomavirus (HPV) infection and premalignant cervical lesions in Mexico. Methods A mixed-methods study was conducted from February to...

El libro recoge investigaciones realizadas en el campo de la salud, en distintos contextos de América Latina. Sus aportes buscan visibilizar diversos elementos de la esfera de la vida como las políticas de salud para personas transgénero, perspectivas pedagógicas para el abordaje y prevención de infecciones asociadas a la atención de salud, la búsq...

Health systems are complex entities. The Mexican health system includes the private and public sectors, and subsystems that target different populations based on corporatist criteria. Lack of unity and its consequences can be better understood using two concepts, segmentation and fragmentation. These reveal mechanisms and strategies that impede pro...

Background Literature on barriers and facilitators for early detection of Breast Cancer (BC) among indigenous women is very scarce. This study aimed to identify barriers and facilitators for BC early diagnosis as perceived by women of the otomí ethnic group in Mexico. Methods We performed an exploratory qualitative study. Data was collected in 202...

This study evaluates the political, legal, organizational, and availability of resources for the onboarding of health professionals trained in interculturality for sexual and reproductive health care of the indigenous population in public health services. A case study was carried out using a qualitative methodology that implemented intercultural ca...

Background There is an important gap in the literature concerning the level, inequality, and evolution of financial protection for indigenous (IH) and non-indigenous (NIH) households in low- and middle-income countries. This paper offers an assessment of the level, socioeconomic inequality and middle-term trends of catastrophic (CHE), impoverishing...

The aim of this study was to estimate the prevalence of health needs and use of outpatient services for indigenous (IP) and non-indigenous (NIP) populations aged ≥15 years, and to explore the associated factors and types of need. A cross-sectional study was conducted based on the 2018-19 National Health and Nutrition Survey. The population aged ≥15...

Health is a human right that everyone should be able to exercise. Yet health systems segmentation and fragmentation are a major challenge to advancing universal health coverage (UHC) and achieving health equity. Between 2019 and 2020, Mexico launched a profound restructuration of its health system claiming its aim was to attain UHC, free healthcare...

Introduction This paper analyzes the current sexual and reproductive health (SRH) situation of Mexican women according to their ethnic status and evaluates the effects, achievements, and challenges of relevant policies, programs, and interventions implemented over the last 25 years. Methods A repeated, retrospective cross-sectional study based on...

Introduction This paper examines ethnic disparities in the effective coverage (EC) of maternal healthcare for interventions carried out among Mexican women in the last decade. It also explores the proportion of this gap that can be explained by observable characteristics in indigenous and nonindigenous women, as well as by structural discrimination...

This article examines the coverage in the continuum of antenatal-postnatal care for vulnerable women in Mexico according to indigenous status, and assesses the influence of public health insurance strategies on the evolution of coverage over the last 25 years. We studied a total of 19,613,567 Mexican women, aged 12-54 years at last birth, based on...

We describe the perception towards COVID-19 in marginalized communities of youth, in Southern Mexico. These perceptions include trustable information but also some major problems (e.g. a conspiratory origin for the disease). These problems may represent an obstacle for COVID-19 prevention and treatment.

Objetivo: Presentar los resultados de una intervención pedagógica para mejorar la calidad en el trato que brindan los prestadores de servicios de salud en regiones indígenas. Material y métodos: Se diseñó una metodología didáctica con enfoque crítico-constructivista dirigida a personal de salud que atiende a población indígena en cinco entidades d...

Resumen La pandemia de coronavirus 2019 (COVID-19) golpeó a América Latina a fines de febrero y ahora está comenzando a extenderse por las comunidades indígenas y rurales de la región, hogar de 42 millones de personas. El 80% de esta población altamente marginada se concentra en Bolivia, Guatemala, México y Perú. Los servicios de atención médica pa...

Objetivo. Identificar diferencias en indicadores socioeconómicos, de condiciones de salud y uso de servicios entre la población indígena (PI) y no indígena (PNI) del país. Material y métodos. Estudio trasversal descriptivo con información de la Encuesta Nacional de Salud y Nutrición 2018-19. Resultados. La mayoría de la PI se encuentra en el quinti...

El Programa Salud de los Pueblos Indígenas es un eje trans­versal de la política institucional. Su objetivo es contribuir al bienestar de los pueblos indígenas mediante la investigación de sus necesidades de salud, la formación de personal para su atención y la innovación para el desarrollo de políticas. En este documento se presenta el marco teóri...

El presente apartado tiene el propósito de esclarecer cuáles son las estructuras sociales productoras de desigualdad, discriminación y maltrato, cómo operan y cómo se expresan en la atención médica en detrimento de la calidad en el trato. Al mismo tiempo, el capítulo presenta el marco normativo nacional que obliga a los funcionarios públicos y pres...

The aim of this job is to reconstruct the moral career, that is, the sequence of events that constitute the social trajectory expecienced by a group of subjects belonging to a common social category as dependant adults. For the reconstruction of this career, we used a qualitative approach based on life stories, obtained through interviews with rela...

According to pertinent health indicators such as life expectancy at birth (LEB), maternal mortality (MM), and infant mortality (IM), the three poorest regions in Mexico include the Guerrero Mountains, the Tarahumara Sierra, and the Nayar. Access to health for all people in Mexico is important—it is a human right and helps to prevent inequity betwee...

This chapter analyzes the perceptions and practices of contraceptive counseling among health service providers to the indigenous population of the Chiapas Highlands, Mexico. The objective is to describe and analyze how contraceptive counseling aimed at the indigenous population is provided, and the perceptions about delivery among health workers in...

En México, la población indígena supera los siete millones de habitantes, en Puebla el grupo más representativo es el Náhuatl. Sin embargo, las condiciones de vida, salud, educación y transporte son precarias para esta población. En los adolescentes, las responsabilidades como el matrimonio, la familia y los compromisos ante la comunidad, favorecen...

En este capítulo se analizan las percepciones y las prácticas de con- sejería anticonceptiva de los prestadores de servicios públicos de salud que atienden a la población indígena de la región de los Altos de Chiapas, México. El propósito es describir y analizar cómo se llevan a cabo estos servicios dirigidos a la población indígena, y qué percepci...

From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design...

Background: Mexico has undertaken important efforts to decrease maternal mortality. Health authorities have introduced intercultural innovations to address barriersfaced by indigenous women accessing professional maternal and delivery services. This study examines, from the perspective of indigenous women, the barriers andfacilitators of labor and...

The inclusion of the framework of human rights in maternal health is mentioned more and more frequently as a feasible proposal to improve the care that women receive in obstetric health care services. Despite the fact Mexico has a solid regulatory framework for obstetric care, mechanisms of enforceability are essential to ensure that health-related...

Forma de citar: Meza A, Mancinas S, Meneses S, Meléndez D. Exigibilidad del derecho a la protección de la salud en los servicios de obstetricia en México. Rev Panam Salud Publica. 2015;37(4/5):360-64. Informes recientes (1) estiman que en el año 2013 ocurrieron en el mundo 289 000 muertes maternas. Se considera que, en todo el mundo, hasta 99% de e...

The aim of this study was to analyze the institutional capacity for provision of women's health care services in Mexico in accordance with prevailing regulations. A probabilistic national sample of health care institutions was used to compare performance rates according to services packages based on analysis of variance. No package showed outstandi...

O objetivo foi analisar a capacidade institucional de produção de serviços dirigidos às mulheres, segundo os regulamentos. Numa amostra de probabilidades das instituições de saúde, em nível nacional, compararam-se os índices de desempenho por conjuntos de intervenção usando-se a análise de variantes. Nenhum conjunto teve um desempenho notório. Com...

Indigenous women in Mexico represent a vulnerable population in which three kinds of discrimination converge (ethnicity, gender and class), having direct repercussions on health status. The discrimination and inequity in health care settings brought this population to the fore as a priority group for institutional action. The objective of this stud...

En este libro se reúne una selección de los trabajos presentados en el XII Encuentro Pueblos y Fronteras, realizado en San Cristóbal de Las Casas, Chiapas, en mayo de 2012. Se presentan investigaciones sobre las enfermedades del rezago y emergentes, desde la perspectiva de las ciencias sociales y la salud pública.

Este artículo presenta testimonios de la experiencia de indígenas chamulas en relación con el proceso migratorio hacia los Estados Unidos. El propósito es identificar las condiciones y las prácticas que colocan a los migrantes y a sus familias ante el peligro de contraer infecciones de transmisión sexual, particularmente el VIH-SIDA. El marco de re...

To assess the use and understanding of the Nutritional information Panel (NIP) of pre-packaged foods by Mexican consumers. A questionnaire and an understanding test for NIP were applied to adult consumers in supermarkets of six cities in the Northern, Central, and Southern regions of Mexico. Data were analyzed by frequencies and Poisson regression...

OBJECTIVE: To assess the use and understanding of the Nutritional information Panel (NIP) of pre-packaged foods by Mexican consumers. MATERIALS AND METHODS: A questionnaire and an understanding test for NIP were applied to adult consumers in supermarkets of six cities in the Northern, Central, and Southern regions of Mexico. Data were analyzed by f...

In certain indigenous regions of Mexico -with rugged mountains and scattered populations, such as Los Altos de Chiapas- maternal mortality continues to be under-registered (mm). Through the complementary use of quantitative and qualitative information, the research project sought to construct indicators that would permit the alternative identificat...

Marriage presents the single greatest risk for HIV infection among women in rural Mexico. We drew on 6 months of participant observation, 20 marital case studies, 37 key informant interviews, and archival research to explore the factors that shape HIV risk among married women in one of the country's rural communities. We found that culturally const...