Improvement of child survival in Mexico: the diagonal approach

Sepúlveda, Jaime; Bustreo, Flavia; Tapia, Roberto; Rivera, Juan Á.; Lozano, Rafael; Oláiz, Gustavo; Partida, Virgilio; García-García, Lourdes; Valdespino, Jósé Luis

doi:10.1016/s0140-6736(06)69569-x

Cited by 172 publications

(125 citation statements)

References 29 publications

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“…Some countries have attempted to use the resources provided for a vertical program to enhance their platforms for delivering comprehensive preventive and therapeutic care. The term 'diagonal approach' has been used to describe this approach by Sepulveda, Frenk, and others [3][4][5][6]. In Mexico, multiple 'vertical' interventions were integrated into the health system over a period of 25 years and had a clear impact on reducing mortality in children [3,4].…”

Section: Going Beyond Vertical and Horizontal -Diagonal Programsmentioning

confidence: 99%

“…The term 'diagonal approach' has been used to describe this approach by Sepulveda, Frenk, and others [3][4][5][6]. In Mexico, multiple 'vertical' interventions were integrated into the health system over a period of 25 years and had a clear impact on reducing mortality in children [3,4]. Examples of leveraging the platform provided by vertical programs to deliver other services include targeting HIV control programs in sub-Saharan Africa to integrate breast and cervical cancer prevention services and building up a comprehensive HIV treatment program in Haiti, resulting in a revitalized health-care structure in 2003 [5][6][7][8].…”

Section: Going Beyond Vertical and Horizontal -Diagonal Programsmentioning

confidence: 99%

See 1 more Smart Citation

Beyond vertical and horizontal programs: a diagonal approach to building national immunization programs through measles elimination

Orenstein

Seib

2016

Expert Review of Vaccines

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Section: Going Beyond Vertical and Horizontal -Diagonal Programsmentioning

confidence: 99%

Section: Going Beyond Vertical and Horizontal -Diagonal Programsmentioning

confidence: 99%

Beyond vertical and horizontal programs: a diagonal approach to building national immunization programs through measles elimination

Orenstein

Seib

2016

Expert Review of Vaccines

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“…Major causes of death and disability, such as cardiovascular diseases, cancers, diabetes, chronic respiratory diseases (grouped under NCDs), mental illness, traffic injuries, substance abuse and pollution, have been included, and the unfinished agenda of the MDGs -improvement of maternal and child health and control of infectious diseases continues with renewed commitment, in the health SDG. 21 It is quite clear that we have set ourselves a daunting task and need strong and equipped health systems to complete the same.…”

Section: Way Forwardmentioning

confidence: 99%

Health systems in the SDG era: consolidating and building on the gains

Taneja¹,

Gera²,

Agarwal³

et al. 2017

Int J Community Med Public Health

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Global health today stands at cross-roads, with unanticipated problems challenging the unprecedented progress achieved over the last two decades. To achieve the targets established for the sustainable development goal 3 of “ensuring healthy lives and promote well-being for all at all ages”, significant resources and comprehensive health systems must play a critical and integral role. World Health Organization’s (WHO) framework for action on “Strengthening Health Systems to Improve Health Outcomes” has well identified the challenges of global health. The Global Strategy for Women's, Children's and Adolescents' Health 2015-2030 states that for women’s and children’s health investments in high-impact health interventions for RMNCH at a cost of US$5 per person per year up to 2035 in 74 high-burden countries, could yield up to nine times that value in economic and social benefits. As global health marches towards achieving universal health coverage (UHC), innovative health financing schemes and health system design will be the major determinants of equity and efficiency in resource allocation and health care delivery. Because we are now in a critical phase, it is imperative that the initial years of the SDGs receive utmost thrust from all relevant stakeholders across countries to initiate and maintain a sustained momentum for achieving the targets. The primary priority for the health-related targets’ therefore’ necessitates the need for formulation of robust, responsive and resilient health systems strategies by all the major policy makers and concerned stakeholders.

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“…[1][2][3][4][5] La mejor evidencia de los resultados obtenidos en ellas es la tendencia al descenso de la mortalidad en la primera infancia. 6 Durante la última década, la mortalidad en niños menores de 5 años a nivel global se redujo en 2.6% anualmente, pasando de 9.6 a 7.6 millones de muertes; 17.9% de este descenso se atribuye a la reducción de las muertes por enfermedad diarreica aguda (EDA). No obstante, esta entidad ocasiona 10.5% de las muertes (801 000) en niños menores de 5 años, por lo que conserva el segundo lugar entre las causas de muerte prevenible.…”

Section: Diarreas Agudas Y Prácticas De Alimentación En Niños Menoresunclassified

Diarreas agudas y prácticas de alimentación en niños menores de cinco años en México

et al. 2013

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Objetivo. Estimar la prevalencia de las enfermedades diarreicas agudas (EDA) en las dos semanas previas a la entrevista en niños menores de 5 años y describir signos de alarma y prácticas de alimentación durante las mismas. Material y métodos. Análisis de datos de las Encuestas Nacionales de Salud y Nutrición 2006 y 2012 de la Encuesta Nacional de Salud 2000. Resultados. La prevalencia de EDA disminuyó significativamente de 2006 (13.1%) a 2012 (11.0%), particularmente en el nivel socioeconómico más bajo. Las “evacuaciones frecuentes” fueron el principal signo de alarma (66.0%), en contraste con “llanto sin lágrimas” (4.3%) y “sangre en las heces” (0.5%); solamente 42% de los padres o cuidadores refirió administrar sales de rehidratación oral. Los factores asociados con EDA fueron edad menor a un año y edad de la madre menor de 20 años. Conclusiones. Es necesario reforzar prácticas adecuadas de diagnóstico y tratamiento de las EDA en los padres o cuidadores.

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Improvement of child survival in Mexico: the diagonal approach

Cited by 172 publications

References 29 publications

Beyond vertical and horizontal programs: a diagonal approach to building national immunization programs through measles elimination

Beyond vertical and horizontal programs: a diagonal approach to building national immunization programs through measles elimination

Health systems in the SDG era: consolidating and building on the gains

Diarreas agudas y prácticas de alimentación en niños menores de cinco años en México

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