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Social Politics: International Studies in Gender, State & Society Advance Access published online on October 31, 2006

Social Politics: International Studies in Gender, State & Society, doi:10.1093/sp/jxl008
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Article

Maternal Health Policy and the Politics of Scale in Mexico

Lisa Mills 1 *

1 Assistant professor in the School of Public Policy and Administration at Carleton University in Ottawa, Canada

* To whom correspondence should be addressed.
Lisa Mills, E-mail: lisa_mills{at}carleton.ca


   Abstract

Since 1987, international organizations have accorded greater attention to the problem of maternal mortality, particularly with the inclusion of its reduction in the Millennium Development Goals. This article examines maternal health policies in Mexico, focusing on interactions between the international, national, and local scales and considering the case of local projects in two states, Chiapas and Guerrero. Although the discourse of maternal health expressed at the international level has facilitated the creation of networks dedicated to maternal health, the restructuring of health services in Mexico and the rescaling of their provision have often conflicted with the realization of this goal. The impact of decentralizing health services has differed according to (a) the timing and nature of decentralization; (b) the number and expertise of nongovernmental organizations (NGOs) working on maternal health issues, and the connections between these NGOs and international networks; and (c) the responsiveness of the state governments to maternal health issues.


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