Group Prenatal Care in Mexico: perspectives and experiences of health personnel
ABSTRACT OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2020-12-01
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| Series: | Revista de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100313&tlng=en |
| _version_ | 1818978682044153856 |
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| author | Midiam Ibañez-Cuevas Ileana Beatriz Heredia-Pi Evelyn Fuentes-Rivera Zafiro Andrade-Romo Jacqueline Alcalde-Rabanal Lourdes Bravo-Bolaños Cacho Xochitl Guzmán-Delgado Laurie Jurkiewicz Blair G Darney |
| author_facet | Midiam Ibañez-Cuevas Ileana Beatriz Heredia-Pi Evelyn Fuentes-Rivera Zafiro Andrade-Romo Jacqueline Alcalde-Rabanal Lourdes Bravo-Bolaños Cacho Xochitl Guzmán-Delgado Laurie Jurkiewicz Blair G Darney |
| author_sort | Midiam Ibañez-Cuevas |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalgo) from June 2016 to August 2018. We conducted 11 semi-structured interviews with health care service providers, and we examined their perceptions and experiences during the implementation of the GPC model. We identified the barriers and facilitators for its adoption in two dimensions: a) structural (space, resources, health personnel, patient volume, community) and b) attitudinal (motivation, leadership, acceptability, address problems, work atmosphere and communication). RESULTS: The most relevant barriers reported at the structural level were the availability of physical space in health units and the work overload of health personnel. We identified the difficulty in adopting a less hierarchical relationship during the pregnant women's care at the attitudinal level. The main facilitator at the attitudinal level was the acceptability that providers had of the model. One specific finding for Mexico's implementation context was the resistance to change the doctor-patient relationship; it is difficult to abandon the prevailing hierarchical model and change to a more horizontal relationship with pregnant women. CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training. |
| first_indexed | 2024-12-20T16:47:31Z |
| format | Article |
| id | doaj.art-b9043e339c4a4b4d9d763dd1d6e4bb03 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-12-20T16:47:31Z |
| publishDate | 2020-12-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-b9043e339c4a4b4d9d763dd1d6e4bb032022-12-21T19:32:54ZengUniversidade de São PauloRevista de Saúde Pública1518-87872020-12-015410.11606/s1518-8787.2020054002175Group Prenatal Care in Mexico: perspectives and experiences of health personnelMidiam Ibañez-Cuevashttps://orcid.org/0000-0003-0245-1799Ileana Beatriz Heredia-Pihttps://orcid.org/0000-0002-9998-9239Evelyn Fuentes-Riverahttps://orcid.org/0000-0001-5551-6133Zafiro Andrade-Romohttps://orcid.org/0000-0003-2797-9469Jacqueline Alcalde-Rabanalhttps://orcid.org/0000-0002-9172-2302Lourdes Bravo-Bolaños Cachohttps://orcid.org/0000-0002-2816-2373Xochitl Guzmán-Delgadohttps://orcid.org/0000-0003-0398-9267Laurie Jurkiewiczhttps://orcid.org/0000-0002-2444-7689Blair G Darneyhttps://orcid.org/0000-0001-8120-028XABSTRACT OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalgo) from June 2016 to August 2018. We conducted 11 semi-structured interviews with health care service providers, and we examined their perceptions and experiences during the implementation of the GPC model. We identified the barriers and facilitators for its adoption in two dimensions: a) structural (space, resources, health personnel, patient volume, community) and b) attitudinal (motivation, leadership, acceptability, address problems, work atmosphere and communication). RESULTS: The most relevant barriers reported at the structural level were the availability of physical space in health units and the work overload of health personnel. We identified the difficulty in adopting a less hierarchical relationship during the pregnant women's care at the attitudinal level. The main facilitator at the attitudinal level was the acceptability that providers had of the model. One specific finding for Mexico's implementation context was the resistance to change the doctor-patient relationship; it is difficult to abandon the prevailing hierarchical model and change to a more horizontal relationship with pregnant women. CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100313&tlng=enPrenatal CareMaternal-Child Health Services, organization & administrationPrimary Health CareQualitative Research |
| spellingShingle | Midiam Ibañez-Cuevas Ileana Beatriz Heredia-Pi Evelyn Fuentes-Rivera Zafiro Andrade-Romo Jacqueline Alcalde-Rabanal Lourdes Bravo-Bolaños Cacho Xochitl Guzmán-Delgado Laurie Jurkiewicz Blair G Darney Group Prenatal Care in Mexico: perspectives and experiences of health personnel Revista de Saúde Pública Prenatal Care Maternal-Child Health Services, organization & administration Primary Health Care Qualitative Research |
| title | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
| title_full | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
| title_fullStr | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
| title_full_unstemmed | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
| title_short | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
| title_sort | group prenatal care in mexico perspectives and experiences of health personnel |
| topic | Prenatal Care Maternal-Child Health Services, organization & administration Primary Health Care Qualitative Research |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100313&tlng=en |
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