DIFERENCIA AJUSTADA DEL PARTO INSTITUCIONAL Y EVALUACIÓN POSTPARTO TEMPRANO SEGÚN LA AFILIACIÓN AL PROGRAMA JUNTOS EN PERÚ, ENDES 2014-2023

• Autores: Campaña Acuña, Andrés Antonio, Molfino Jaramillo, Chiara del Carmen, Araujo Durand, Maria Clorinda
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Instituto Nacional Materno Perinatal
• Repositorio: Revista Peruana de Investigación Materno Perinatal
• Lenguaje: español
• OAI Identifier: oai:investigacionmaternoperinatal.inmp.gob.pe:article/481
• Enlace del recurso: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/481
• Nivel de acceso: acceso abierto
• Materia: Atención posnatal; Centros de asistencia al embarazo y parto; educación prenatal; bienestar materno; programas de gobierno; Postnatal care; birthing centers; prenatal education; maternal welfare; government programs

Introduction. Uncertainty persists regarding the impact of the Programa Juntos on maternal–neonatal care in Peru. Objective. To estimate the association of the Programa Juntos with institutional delivery and postnatal care in Peru, 2014–2023. Methods. Observational, retrospective, and cross-sectional study using data from the Demographic and Family Health Survey (ENDES) 2014–2023. A total of 37,690 women with live births were included. The exposure variable was enrollment in the Programa Juntos. Annual one-to-one propensity score matching (PSM) without replacement and with a caliper of 0.05 was applied, adjusting for sociodemographic and geographic covariates. Balance was assessed using absolute standardized bias (<10%) and overlap. The average treatment effect on the treated (ATET) was estimated for institutional delivery and postnatal care within seven days, with 95% confidence intervals (95% CI) and a significance threshold of p<0.05. Results. Of the 37,690 women, 6,375 (16.9%) were beneficiaries, predominantly living in rural areas (67.1%). Before matching, beneficiaries showed higher early postnatal care (96.6%) and lower institutional delivery (89.7%) (p<0.001). After PSM, the ATET for institutional delivery was null or negative between 2014–2019. From 2020 to 2023, it was positive and significant at 3.50% (95% CI: 1.10–5.80), 3.00% (95% CI: 2.25–3.60), 1.50% (95% CI: 0.30– 2.80), and 4.60% (95% CI: 0.30–9.00), respectively, for each year. For postnatal care within seven days, no significant differences were observed. Conclusions. Since 2020, the Programa Juntos has been associated with an increase in institutional deliveries; for early postnatal care, there was no consistent association during 2014–2023.