Review and reorientation of the “Programme for active health protection of mothers and children” for greater health equity in the former Yugoslav Republic of Macedonia
AbstractThis publication presents the process of and lessons learned from the review and reorientationof a programme for active health protection of mothers and children for greater health equity,with an explicit but not exclusive focus on the Roma population, carried out in the formerYugoslav Republic of Macedonia. Using the methodological guide on integrating equity intohealth strategies, programmes and activities developed by the Ministry of Health, SocialServices and Equality of Spain, the analysis of selected services within the programmeshows that Roma and rural women benefit less than women from urban areas and with moreeducation. Barriers and facilitating factors for using the services were related to their availability,accessibility and acceptability, contact with services and effectiveness of coverage.The review showed that barriers and facilitating factors were strongly related to the socialdeterminants of health, both intermediary and structural. The analysis of the programme’scontext shows that most of the existing policy documents support its implementation and anumber of mechanisms for social participation of target populations. Several facilitating factorswere created and incorporated into the new proposed programme to improve the response tothe health needs of all women in general and particularly the most vulnerable, such as Roma.The study concluded that the reorientation process is a systematic evaluation process, usefulas a continuous cycle of improvement that could enhance the equity, effectiveness and qualityof health programmes.
Unknown author (2015). Review and reorientation of the “Programme for active health protection of mothers and children” for greater health equity in the former Yugoslav Republic of Macedonia. WHO Regional Office for Europe. https://apps.who.int/iris/handle/10665/164586
ROMA HEALTH — CASE STUDY SERIES;2
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