Health Affairs

Health Affairs, 26, no. 3 (2007): w310-w323 (Published online 27 March 2007) doi: 10.1377/hlthaff.26.3.w310 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Variations In Prenatal Care Quality For The Rural Poor In Mexico

Sarah L. Barber, Stefano M. Bertozzi and Paul J. Gertler

Quality is high on the Mexican health policy agenda. In this paper we evaluate the quality of prenatal care for rural low-income women. Women who obtained care from private practitioners and non-MDs received fewer procedures on average. Poverty predicts poor quality; however, indigenous women in private settings received fewer procedures, after household wealth was controlled for. We recommend strengthening clinical skills and providing incentives to adhere to quality standards. Quality reporting could promote informed employer care-purchasing and individual care-seeking choices. The national health reforms should be monitored to determine their success in not only increasing access among the poor and indigenous but also ensuring that such care meets quality norms.

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