Global Health Seminar - The impact of discontinuing Seguro Popular on diabetes management and neonatal mortality in Mexico

Event details

Abstract:

Seguro Popular (SP) was created in 2003 to provide health insurance to the population not covered by employment insurance in Mexico. In 2020, the Mexican Federal government initiated a major reform to the health system with a primary focus on re-centralising financing and delivery of healthcare services. As a result, SP was eliminated and replaced by Instituto de Salud para el Bienestar (INSABI). After two years of operation, INSABI was dismantled and replaced by a new program, IMSS-Bienestar.

There is a lack of evidence on how these reforms affected the performance of the Mexican health system. This study analysed a panel of states from 2018-2024. We explored trends in diabetes management and hospitalisations, and child mortality as they have been recognised as sensitive indicators of the health system’s responsiveness and performance.

We used difference-in-difference models to estimate the impact of the SP dismantling and compared results across states that adopted the new financing and delivery models with those that chose to keep the administration and management of their health system.

This study is part of a broader PhD project studying the implications of the reforms on different health system functions and outcomes in Mexico.

If you are not a member of University of York staff and are interested in attending a seminar, please contact akseer.hussain@york.ac.uk so that you can be added to the mailing list.

Diego Cerecero Garcia, Imperial College London