Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003–2015

Leticia Avila-Burgos, Julio César Montañez-Hernández, Lucero Cahuana-Hurtado, Aremis Villalobos, Patricia Hernández-Peña and Ileana Heredia-Pi
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Leticia Avila-Burgos: Center for Health Systems Research, The National Institute of Public Health, Cuernavaca 62100, Morelos, Mexico
Julio César Montañez-Hernández: Center for Health Systems Research, The National Institute of Public Health, Cuernavaca 62100, Morelos, Mexico
Aremis Villalobos: Center for Population Health Research, The National Institute of Public Health, Cuernavaca 62100, Morelos, Mexico
Patricia Hernández-Peña: Netherlands Interdisciplinary Demographic Institute-KNAW, University of Groningen, 2511 CV The Hague, The Netherlands
Ileana Heredia-Pi: Center for Health Systems Research, The National Institute of Public Health, Cuernavaca 62100, Morelos, Mexico

IJERPH, 2020, vol. 17, issue 9, 1-17

Abstract: The purpose of this study was to assess whether government policies to expand the coverage of maternal health and family planning (MHFP) services were benefiting the adolescents in need. To this end, we estimated government MHFP expenditure for 10- to 19-year-old adolescents without social security (SS) coverage between 2003 and 2015. We evaluated its evolution and distribution nationally and sub-nationally by level of marginalization, as well as its relationship with demand indicators. Using Jointpoint regressions, we estimated the average annual percent change (AAPC) nationally and among states. Expenditure for adolescents without SS coverage registered 15% for AAPC for the period 2003–2011 and was stable for the remaining years, with 88% of spending allocated to maternal health. Growth in MHFP expenditure reduced the ratio of spending by 13% among groups of states with greater/lesser marginalization; nonetheless, the poorest states continued to show the lowest levels of expenditure. Although adolescents without SS coverage benefited from greater MHFP expenditure as a consequence of health policies directed at achieving universal health coverage, gaps persisted in its distribution among states, since those with similar demand indicators exhibited different levels of expenditure. Further actions are required to improve resource allocation to disadvantaged states and to reinforce the use of FP services by adolescents.

Keywords: government health expenditure; adolescents; maternal health; family planning (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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