Evidence map›Paper›PMID 38605301›Full record

ArticleHealth research policy and systems2024

Gender and non-communicable diseases in Mexico: a political mapping and stakeholder analysis.

Emanuel Orozco-Núñez, Enai Ojeda-Arroyo, Nadia Cerecer-Ortiz, Carlos M Guerrero-López, Beatriz M Ramírez-Pérez, Ileana Heredia-Pi, Betania Allen-Leigh, Emma Feeny, Edson Serván-Mori

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Emanuel Orozco-NúñezCenter for Health Systems Research, The National Institute of Public Health, 62100, Cuernavaca, Morelos, Mexico.ORCID http://orcid.org/0000-0002-6550-7385
Enai Ojeda-ArroyoCenter for Health Systems Research, The National Institute of Public Health, 62100, Cuernavaca, Morelos, Mexico.ORCID http://orcid.org/0000-0002-7188-593X
Nadia Cerecer-OrtizCenter for Health Systems Research, The National Institute of Public Health, 62100, Cuernavaca, Morelos, Mexico.ORCID http://orcid.org/0000-0001-5200-7894
Carlos M Guerrero-LópezCenter for Health Systems Research, The National Institute of Public Health, 62100, Cuernavaca, Morelos, Mexico.ORCID http://orcid.org/0000-0002-6405-5217
Beatriz M Ramírez-PérezCLACSO's Regional Working Group On International Health, Guanajuato, Leon, Mexico.ORCID http://orcid.org/0000-0003-0080-4140
Ileana Heredia-PiCenter for Health Systems Research, The National Institute of Public Health, 62100, Cuernavaca, Morelos, Mexico.ORCID http://orcid.org/0000-0002-9998-9239
Betania Allen-LeighCenter for Population Health Research, The National Institute of Public Health, Cuernavaca, Morelos, Mexico.ORCID http://orcid.org/0000-0003-3200-5917
Emma FeenyThe George Institute for Global Health, Sidney, Australia.ORCID http://orcid.org/0000-0002-9514-2305
Edson Serván-MoriCenter for Health Systems Research, The National Institute of Public Health, 62100, Cuernavaca, Morelos, Mexico. eservan@insp.mx.ORCID http://orcid.org/0000-0001-9820-8325
Instituto Nacional de Salud Pública · MXNational Institute of Public Health · KHThe George Institute for Global Health · AU

Funding

The Mexican Association of Pharmaceutical Research Industries, A. C. (AMIIF) 2268/1772/S6-21
6 · The paper itself

Abstract

backgroundMexico and other low- and middle-income countries (LMICs) present a growing burden of non-communicable diseases (NCDs), with gender-differentiated risk factors and access to prevention, diagnosis and care. However, the political agenda in LMICs as it relates to health and gender is primarily focused on sexual and reproductive health rights and preventing violence against women. This research article analyses public policies related to gender and NCDs, identifying political challenges in the current response to women's health needs, and opportunities to promote interventions that recognize the role of gender in NCDs and NCD care in Mexico.

methodsWe carried out a political mapping and stakeholder analysis during July-October of 2022, based on structured desk research and interviews with eighteen key stakeholders related to healthcare, gender and NCDs in Mexico. We used the PolicyMaker V5 software to identify obstacles and opportunities to promote interventions that recognize the role of gender in NCDs and NCD care, from the perspective of the political stakeholders interviewed.

resultsWe found as a political obstacle that policies and stakeholders addressing NCDs do not take a gender perspective, while policies and stakeholders addressing gender equality do not adequately consider NCDs. The gendered social and economic aspects of the NCD burden are not widely understood, and the multi-sectoral approach needed to address these aspects is lacking. Economic obstacles show that budget cuts exacerbated by the pandemic are a significant obstacle to social protection mechanisms to support those caring for people living with NCDs.

conclusionsMoving towards an effective, equity-promoting health and social protection system requires the government to adopt an intersectoral, gender-based approach to the prevention and control of NCDs and the burden of NCD care. Despite significant resource constraints, policy innovation may be possible given the willingness among some stakeholders to collaborate, particularly in the labour and legal sectors. However, care will be needed to ensure the implementation of new policies has a positive impact on both gender equity and health outcomes. Research on successful approaches in other contexts can help to identify relevant learnings for Mexico.

Indexed as

Health PolicyNoncommunicable DiseasesFemaleHealth Services AccessibilityHuman RightsHumansMexicoGenderHealth policyNon-communicable diseasesPolitical mappingSocial protectionStakeholder analysis

Identifiers

PMID38605301
PMCPMC11007965
OpenAlexW4394721361

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.