Table 1.
Health service delivery from January 2019 to November 2021, Mexican Institute of Social Security*
| Pre-COVID-19 period, January 2019 – March 2020, N = 35 delegations | COVID-19 period before Recovery policy, April 2020 – March 2021, N = 35 delegations |
COVID-19 Recovery policy period, April 2021 – November 2021, N = 35 delegations |
|||
|---|---|---|---|---|---|
| Indicator |
Median delegation (Q1, Q3)
|
Median delegation (Q1, Q3)
|
% of pre-pandemic level
|
Median delegation (Q1, Q3)
|
% of pre-pandemic level
|
|
Child health care:
| |||||
| Consultations for sick children† |
312 (196, 416) |
74 (51, 100) |
24% |
152 (91, 207) |
49% |
| Childhood vaccinations administered‡ |
2421 (1249, 3191) |
1121 (592, 1750) |
46% |
1856 (896, 2557) |
77% |
|
Reproductive and maternal health care:
| |||||
| Contraceptive use visits |
984 (581, 1613) |
391 (225, 862) |
40% |
631 (462, 1458) |
64% |
| Antenatal care visits |
6634 (3864, 10 279) |
4 304 (2730, 6 877) |
65% |
5 040 (3021, 7 967) |
76% |
| Facility deliveries (incl. caesarean sections) |
708 (428, 1420) |
552 (304, 1005) |
78% |
626 (388, 1123) |
88% |
| Caesarean section rate (%) |
48 (41, 51) |
49 (45, 54) |
102% |
52 (46, 56) |
108% |
|
Cancer screenings:
| |||||
| Women screened for cervical cancer§ |
4112 (2269, 8620) |
1728 (833, 3523) |
42% |
3990 (2083, 8581) |
97% |
| Women screened for breast cancer |
1357 (878, 3077) |
579 (402, 940) |
43% |
1432 (975, 3120) |
106% |
|
Noncommunicable disease care:
| |||||
| Consultations for diabetes care |
34 529 (16 504, 50 009) |
24 756 (12 205, 33 200) |
72% |
30 790 (15 476, 43 205) |
89% |
| Patients with controlled diabetes (%) |
33 (29, 40) |
23 (19, 30) |
70% |
29 (25, 35) |
88% |
| Consultations for hypertension care |
33 597 (17 718, 60 906) |
24 810 (13 285, 45 565) |
74% |
30 324 (16 901, 57 078) |
90% |
| Patients with controlled hypertension (%) | 69 (65, 75) | 57 (50, 62) | 83% | 64 (59, 69) | 93% |
*Detailed indicator definitions are in Table S1 in the Online Supplementary Document.
†Includes consultations for diarrhoea, pneumonia, and malnutrition in children under 5.
‡Number of children who received a unique dose of BCG vaccine, a third dose of pentavalent vaccine, a second dose of measles, mumps and rubella vaccine, a second dose of rotavirus vaccine and a third dose of the pneumococcal conjugate vaccine.
§Number of women aged 25-64 affiliated with IMSS screened with VIA for cervical cancer for the first time.
¶Number of women aged 50-69 affiliated with IMSS screened for breast cancer with a mammography for the first time.