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The Limits of Trust
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The Limits of Trust

The Millennium Development Goals, Maternal Health, and Health Policy in Mexico
By Lisa Nicole Mills
Development Studies, Health & Medical Studies, Latin American Studies, Political Science & International Studies: Public Policy, Political Science & International Studies: Public Administration, Political Science & International Studies: International Affairs/Foreign Policy, Women's And Gender Studies
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9780773552517

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Why Mexico didn’t meet the maternal health Millennium Development Goal, in spite of health care reform and NGO initiatives.


When the United Nations announced the Millennium Development Goals (MDGs) in 2000, approximately half a million women worldwide died each year from complications associated with pregnancy and childbirth. The fifth MDG aimed to reduce the maternal mortality rate by 75 per cent between 1990 and 2015, but by the target date, the goal had not been reached.

In The Limits of Trust Lisa Nicole Mills investigates the reasons why Mexico in particular did not meet its objective. Focusing on the states of Guerrero, Chiapas, and Oaxaca, where maternal mortality rates are the highest in the country, Mills looks into how MDG 5 has been implemented in Mexico, how it has been experienced by individuals and groups, what obstacles have been encountered, and what factors have facilitated improvements in maternal health. Using data gathered from interviews with NGOs, government officials, and health care workers, the book argues that government and feminist NGO efforts to build trust in the health care system have fallen short because of systemic failures to protect women’s rights and enhance the quality of health care.

In Mexico a woman’s risk of dying from a pregnancy-related complication is five times higher than in developed countries. The Limits of Trust explores the realities of implementing maternal health initiatives on the ground in rural, remote, and impoverished areas, and the steps that can be taken to successfully combat maternal mortality.
Details

Part of the McGill-Queen’s Studies in Gender, Sexuality, and Social Justice in the Global South (number 3 in series)

256 Pages, 6 x 9

8 tables, 2 figures, 1 map

ISBN 9780773551091

December 2017

Formats: Cloth, Paperback, eBook

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“Mills’s major contribution is to bring trust to the fore as an essential element for effective health care systems, while also providing a rich account of maternal health policy in Mexico and its evolution.” Christina Ewig, Humphrey School of Public Affairs at the University of Minnesota
Lisa Nicole Mills is associate professor in the School of Public Policy and Administration at Carleton University.
Contents
Tables and Figures / ix
Acknowledgments / xi
Abbreviations / xv

Introduction / 3
1. Mexico and the Implementation of the Maternal Health Millennium Development Goal / 33
2. Maternal Health and Health Sector Reform in Mexico / 54
3. Guerrero: The Limits of the Local / 90
4. Chiapas: The Challenges of NGO Collaboration / 118
5. Oaxaca: The Impact of Doctors’ Mobilization / 143
Conclusion / 160

Notes / 171
References / 189
Index / 219
Limits of Trust, The
The Limits of Trust
By Lisa Nicole Mills
9780773551084
$110.00 CAD
Cloth
Resilience and Contagion
Resilience and Contagion
By Kristi Heather Kenyon
9780773550988
$110.00 CAD
Cloth
Obligations and Omissions
Obligations and Omissions
Edited by Rebecca Tiessen and Stephen Baranyi
9780773550230
$110.00 CAD
Cloth
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