Lourdes Evelia Ucañay Dávila, Rossana Teresa Veramendi Vernazza

DOI: 10.59427/rcli/2023/v23cs.2603-2612

To the extent that health sector authorities and officials develop public management based on the identification of effective interventions, to establish goals and strategies to improve coverage and evaluate those that prevent interventions and services from reaching the most vulnerable groups, such as are elderly pregnant women, it will be more viable to strengthen an effective, equitable and efficient health system with a view to improving the processes of health institutions such as maternity centers. Due to this concern, this research was carried out with the purpose of revealing whether public management affects the quality of service and accessibility in elderly pregnant women; it is intended that the results are useful for decision-making and future actions. Thus, this study is carried out in Chiclayo in 2023, with a quantitative, transversal and correlational-causal approach, with a sample of 250 pregnant women aged 36 to 40 years, with non-probabilistic and convenience sampling. The data collection was carried out with 3 questionnaires: Public management, quality of service and accessibility, which were validated by expert judgment and their reliability was found with a pilot test on 30 elderly pregnant women. The inferential analysis was with multivariate analysis of nonlinear canonical correlation and ordinal logistic regression. Given the results, it was evident that with a maximum adjustment of 56.4%, it is stated that there is a significant impact of public management on the quality of service and accessibility to elderly pregnant women of a maternity center in Chiclayo. This indicates that there is a dependence on the quality of service and accessibility on public management.

Pág 2603-2612, 30 Oct