Presenter: Ricardo Juan García Cavazos, Secretariat of Health of Mexico
In 2013, for the first time in Mexico, maternal mortality’s leading cause was indirect causes. This is an important epidemiological change that reveals a pressing need to put more effort into prevention and early detection of pregnancy. We are about 8 years behind to reach the Millennium Development Goals regarding maternal health. In response to this unresolved public health issue, the government of Mexico has implemented various strategies, one among them, is AMANECE. AMANECE´s implementation is currently being carried out in 10 states, 109 primary care clinics and 41 hospitals. At the ministry of health, we have strengthen our maternal health program through the implementation of Amanece’s systematic risk assessment in the first level of care. SI-VA Amanece is a risk-assessment system for health care personnel at the primary care operation level. It allows providers to monitor pregnancies, systematize health care services and detect complications during a pregnancy. When a doctor or nurse meets a pregnant woman for the first time, he/she inputs into the system all her family and personal background, as well as her pregnancy history and her week of gestation. The system then creates a personalized service plan based on her background, week of gestation and health conditions. More than 7,000 women have been assessed through SI-VA. One of the main barriers to implementation, has been the lack of internet connectivity and health care providers´ low-level technology skills. We have focused on increasing local capacity to implement technology tools and improve personnel’s technology literacy.