Accelerate the reduction of preventable mortality and severe maternal morbidity in rural and dispersed areas.
Commitment description:Women and girls are more exposed to inequalities in unequal power relationships. This affects their pursuit of education, employment opportunities and access to health care services, while exposing them to physical, sexual and emotional violence. In the pact for women’s equality (National Development Plan 2019–2022), the country commits to accelerate the reduction of preventable mortality and severe maternal morbidity in rural and dispersed areas in response to the public policy on sexuality and sexual and reproductive rights. This commitment includes: the provision of high-quality, humanized health services, inclusive education strategies reducing the risks of living remotely; territorial management through actions with a unique approach that seek to transform attitudes and stereotypes about groups that suffer discrimination, such as women, girls, ethnic groups and people with disabilities. For the past two years, the Ministry of Health and Social Protection, the Pan American Health Organization (PAHO/WHO), the United Nations Population Fund (UNFPA) and the International Organization for Migration (IOM) have been implementing the project "Health for Peace: Strengthening Communities", which aims to develop local capacities in 26 municipalities in rural and dispersed areas to strengthen primary health care, with an emphasis on sexual and reproductive health, mental health, the prevention of psychoactive substance use, and child and nutritional health. Our goals: 1) Reduce the maternal mortality ratio to 45 (per 100,000 live births) by 2021. Baseline: 51.2 (2017). 2) Reduce the maternal mortality ratio in the dispersed rural population to 76.18 (per 100,000 live births) by 2021. Baseline: 81.11 (2016).
Mode of engagement:
- Programmatic actionPrestación de servicios en salud con calidad y humanización, estrategias de educación inclusiva reduciendo los riesgos de deserción; y gestión territorial a través de acciones con enfoque diferencial.
Achieve universal access to sexual and reproductive health as a part of universal health coverage (UHC)(3) Zero preventable maternal deaths and maternal morbidities, such as obstetric fistulas, by, inter alia, integrating a comprehensive package of sexual and reproductive health interventions, including access to safe abortion to the full extent of the law, measures for preventing and avoiding unsafe abortions, and for the provision of post-abortion care, into national UHC strategies, policies and programmes, and to protect and ensure all individuals’ right to bodily integrity, autonomy and reproductive rights, and to provide access to essential services in support of these rights.
