Paola Sesia

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BACKGROUND Health system strengthening is critical to ensure the integration and scaling-up of priority health promotion, disease prevention and control programs. Normative guidelines are available to address health system function imbalances while strategic and analytical frameworks address critical functions in complex systems. Tacit knowledge-based(More)
OBJECTIVE To analyze the characteristics of problems in the health system that present barriers to maternal care, according to their representation and rating by officials in different positions and social contexts. MATERIAL AND METHODS Workshops were held with state health system officials from Mexican states with high maternal mortality (Mexico,(More)
OBJECTIVE To identify and prioritize problems in states' health systems which limit the efficacy of interventions to prevent maternal mortality. MATERIALS AND METHODS We made a conceptual mapping of priority problems perceived as such by communities of practice (COP) in four states with high ratios of maternal mortality in Mexico. Then, the four COP(More)
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