{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T08:40:36Z","timestamp":1777365636932,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,3,25]],"date-time":"2020-03-25T00:00:00Z","timestamp":1585094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare a multidimensional care package for pre\u2010eclampsia\/eclampsia in Central American health facilities, before and after implementation of the Salud Mesoam\u00e9rica Initiative.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An evaluation study was conducted at 67 basic\u2010 and comprehensive\u2010level health facilities serving the poorest areas in Honduras, Nicaragua, and Belize. Cases of severe pre\u2010eclampsia or eclampsia were randomly sampled and relevant quality of care data extracted from medical records at baseline (n=111) from January 1, 2011, to March 31, 2013, and at second\u2010phase follow\u2010up (n=249) from June 1, 2015, to September 30, 2017. The primary outcome was evidence of the delivery of multidimensional care for the management of pre\u2010eclampsia\/eclampsia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The care of 360 women with severe pre\u2010eclampsia or eclampsia was analyzed. Odds of multidimensional care for pre\u2010eclampsia management (<jats:italic>P<\/jats:italic>=0.271) increased (although not significantly) in the second\u2010phase follow\u2010up compared to baseline. Multidimensional care was significantly associated with training (<jats:italic>P<\/jats:italic>&lt;0.001), basic\u2010level facilities (<jats:italic>P<\/jats:italic>&lt;0.001), and higher in Honduras (<jats:italic>P<\/jats:italic>=0.001) and Belize (<jats:italic>P<\/jats:italic>=0.024) than the reference country of Nicaragua.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multidimensional care for pre\u2010eclampsia management increased across all facility types, countries, and severity of disease. The Salud Mesoam\u00e9rica Initiative is a promising model for achieving such quality of care interventions in the era of universal health coverage.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13131","type":"journal-article","created":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T17:40:03Z","timestamp":1582998003000},"page":"318-325","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessing multidimensional care coverage for pre\u2010eclampsia in the era of universal health coverage: A pre\u2013post evaluation of the Salud Mesoam\u00e9rica Initiative"],"prefix":"10.1002","volume":"149","author":[{"given":"Aruna M.","family":"Kamath","sequence":"first","affiliation":[{"name":"Institute for Health Metrics and Evaluation University of Washington  Seattle WA USA"},{"name":"Department of Anesthesiology University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey K.","family":"Johanns","sequence":"additional","affiliation":[{"name":"Institute for Health Metrics and Evaluation University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximillian G.","family":"Thom","sequence":"additional","affiliation":[{"name":"Institute for Health Metrics and Evaluation University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca M.","family":"Cogen","sequence":"additional","affiliation":[{"name":"Institute for Health Metrics and Evaluation University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Rios\u2010Zertuche","sequence":"additional","affiliation":[{"name":"Inter\u2010American Development Bank  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali H.","family":"Mokdad","sequence":"additional","affiliation":[{"name":"Institute for Health Metrics and Evaluation University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardo","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Institute for Health Metrics and Evaluation University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,25]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Hypertension in Pregnancy","author":"ACOG","year":"2013"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31470-2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12533"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12606"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.13.127464"},{"key":"e_1_2_8_7_1","unstructured":"GBD Compare|IHME Viz Hub[Internet]. Available from:http:\/\/vizhub.healt\u200bhdata.org\/gbd-compare. Accessed November 21 2019."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60686-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.08.010"},{"key":"e_1_2_8_10_1","unstructured":"WHO.WHO recommendations for prevention and treatment of pre\u2010eclampsia and eclampsia[Internet]. WHO. Available from:http:\/\/www.who.int\/repro\u200bducti\u200bvehea\u200blth\/publi\u200bcatio\u200bns\/mater\u200bnal_perin\u200batal_healt\u200bh\/97892\u200b41548\u200b335\/en\/. Accessed September 12 2018."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0187107"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12963-015-0034-4"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-018-0418-x"},{"key":"e_1_2_8_14_1","unstructured":"WHO.Monitoring emergency obstetric care: a handbook[Internet].https:\/\/www.who.int\/repro\u200bducti\u200bvehea\u200blth\/publi\u200bcatio\u200bns\/monit\u200boring\/\u200b97892\u200b41547\u200b734\/en\/. Accessed November 10 2019."},{"key":"e_1_2_8_15_1","unstructured":"Resolution WHA58.33. Sustainable health financing universal coverage and social health insurance. In: Resolutions and decisions.Geneva:World Health Organization;2005. [Internet].http:\/\/apps.who.int\/medic\u200binedo\u200bcs\/docum\u200bents\/s2147\u200b5en\/s2147\u200b5en.pdf. Accessed June 8 2019."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0195292"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2017-000650"},{"key":"e_1_2_8_18_1","unstructured":"EichlerR NelsonJ IriarteE GigliS Z\u00fa\u00f1igaBP R\u00edos\u2010ZertucheD.The Initial Prize in the Salud Mesoamerica Initiative Results\u2010Based Aid Initiative[Internet]. Inter\u2010American Development Bank;2017.http:\/\/publi\u200bcatio\u200bns.iadb.org\/handl\u200be\/11319\/\u200b8566. Accessed June 5 2019."},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(02)00269-5"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14400"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S131934"},{"key":"e_1_2_8_22_1","unstructured":"PAHO.Health in the Americas: Nicaragua.https:\/\/www.paho.org\/salud-en-las-ameri\u200bcas-2017\/?p=4286. Accessed July 10 2019."}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.13131","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13131","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13131","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T21:11:34Z","timestamp":1704229894000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,25]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1002\/ijgo.13131"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13131","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,25]]},"assertion":[{"value":"2019-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}