• Bernardo Hernández-Prado, Edgar Kestler, Juan Díaz, Dilys Walker, Ana Langer, Sarah Lewis, Elvia De la Vara-Salazar, María del Carmen Melo-Zurita, Emma Iriarte, Isabella Danel, France Donnay, Denis Alemán, Roselyn Serrano, Evelyn Morales, Natalia Largaespada, José Douglas Jarquín González, Ma Del Carmen Hernández, Claudia E Quiroz Mejía, Geneva González, Yadira Carrera, Clelia Valverde, Rufino Luna, Atanacio Valencia-Mendoza, Sandra G Sosa-Rubí, María Del Carmen Melo-Zurita, and Grupo de Trabajo de Salud Materna, Reproductiva y Neonatal del Sistema Mesoamericano de Salud Pública.
• Instituto Nacional de Salud Pública, Institute of Health Metrics and Evaluation, Universidad of Washington, Washington, Seattle, Washington, USA. bhernand@insp.mx
• Salud Publica Mex. 2011 Jan 1; 53 Suppl 3: S312-22.

AbstractTo present the main results of the regional situation diagnosis and intervention plan developed in 2010 as part of the planning activities of the Mesoamerican Health System by the Working Group on Maternal, Reproductive and Neonatal Health. A group of experts and representatives from countries in the region (Central America and nine southern Mexican states) conducted an exhaustive review of available data to construct a situational analysis and a review of effective practices for improving maternal, reproductive and neonatal health. Finally, the group proposed a regional action plan, defining regional goals and specific interventions. The situational diagnosis suggests that, although there has been progress in the last 10 years, maternal and neonatal mortality rates are still unnaceptably high in the region, with a substantial variability across countries. The group proposed as a regional goal the reduction of maternal and neonatal mortality in accordance with the Millenium Development Goals. The regional plan recommends specific maternal and neonatal health interventions emphasizing obstetric and neonatal emergency care, skilled birth attendance and family planning. The plan also includes a five year implementation strategy, along with training and evaluation strategies. The regional plan for maternal, neonatal and reproductive health has the potential to be successful, provided it is effectively implemented.

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