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Due to the strong impact of soil salination on the productivity of crops, the implementation of sustainable agricultural practices (SAPs) such as phytodesalination is intended to reverse its effects. While this practice is used in most Middle Eastern countries, Mexico has just begun envisaging its benefits and potential. This study evaluated factors promoting the adoption of phytodesalination among agricultural producers based on the municipality of Villamar, Mexico. Two hundred forty-five semistructured surveys were designed and applied to farmers who participated in various events to disseminate the practice of phytodesalination. Information was gathered on the socioeconomic/demographic characteristics and affectation levels of their parcels due to the effects of salinity. Through a logistic regression using Lasso restriction, the factors influencing the farmers' decisions to adopt phytodesalination in their specific productive models were evaluated. The results show that more than 87% of the surveyed farmers are male, that their average age is 52 years, that more than 82% have at most an elementary or high school education, that the average plot size in the study area is roughly 4 ha, that more than 76% of the farmers are native to the area and that approximately of 84% use their production exclusively for sales. According to the model employed [prediction of 90% and AUC (area under the curve) of 0.97], the surveyed farmers are mostly influenced by institutional (advice on implementing desalination), organizational (skills and competencies to spread halophyte species in accordance with parcel length and access to halophyte plants) and economic (time to implement phytodesalination) factors. The promotion of this approach and commitment of the region's various institutions are recommended so that farmers can extend their knowledge of SAPs through a comprehensive strategic approach that allows them to address their specific challenges. [ABSTRACT FROM AUTHOR]

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Introduction: Many Mexicans face barriers to receive delivery care from qualified professionals, especially indigenous and poor sectors of the population, which represent most of the population in the state of Chiapas. When access to institutional delivery care is an option, experiences with childbirth care are often poor. This underscores the need for evidence to improve the quality of services from the user's perspective. The present study was conceived with the objective of understanding how non-clinical aspects of care shape women's birthing experiences in public health institutions in Chiapas., Methods: We conducted an exploratory qualitative study. Data collection consisted in 20 semi-structured interviews to women who had delivered in a public health facility in Chiapas during the last six months prior to the interview. For the design of the interview guide we used the WHO health system responsiveness framework, which focus on the performance of the health system in terms of the extent to which it delivers services according to the "universally legitimate expectations of individuals" and focuses on the non-financial and non-clinical qualities of care. The resulting data were analyzed using thematic analysis methodology., Results: We identified a total of 16 themes from the data, framed in eight categories which followed the eight domains of the WHO health systems responsiveness framework: Choice of the provider and the facility, prompt attention, quality of basic amenities, access to social support, respectful treatment, privacy, involvement in decisions, and communication. We shed light on the barriers women face in receiving prompt care, aspects of health facilities that impact women's comfort, the relevance of being provided with adequate food and drink during institutional delivery, how accompaniment contributes positively to the birthing experience, the aspects of childbirth that women find important to decide on, and how providers' interpersonal behaviors affect the birthing experience., Conclusions: We have identified non-clinical aspects of childbirth care that are important to the user experience and that are not being satisfactorily addressed by public health institutions in Chiapas. This evidence constitutes a necessary first step towards the design of strategies to improve the responsiveness of the Chiapas health system in childbirth care., (© 2024. The Author(s).)

Background: Mexico is one of the countries with the greatest excess death due to COVID-19. Chiapas, the poorest state in the country, has been particularly affected. Faced with an exacerbated shortage of health professionals, medical supplies, and infrastructure to respond to the pandemic, the non-governmental organization Compañeros En Salud (CES) implemented a COVID-19 infection prevention and control program to limit the impact of the pandemic in the region. We evaluated CES's implementation of a community health worker (CHW)-led contact tracing intervention in eight rural communities in Chiapas., Methods: Our retrospective observational study used operational data collected during the contract tracing intervention from March 2020 to December 2021. We evaluated three outcomes: contact tracing coverage, defined as the proportion of named contacts that were located by CHWs, successful completion of contact tracing, and incidence of suspected COVID-19 among contacts. We described how these outcomes changed over time as the intervention evolved. In addition, we assessed associations between these three main outcomes and demographic characteristics of contacts and intervention period (pre vs. post March 2021) using univariate and multivariate logistic regression., Results: From a roster of 2,177 named contacts, 1,187 (54.5%) received at least one home visit by a CHW and 560 (25.7%) had successful completion of contact tracing according to intervention guidelines. Of 560 contacts with complete contact tracing, 93 (16.6%) became suspected COVID-19 cases. We observed significant associations between sex and coverage (p = 0.006), sex and complete contact tracing (p = 0.049), community of residence and both coverage and complete contact tracing (p < 0.001), and intervention period and both coverage and complete contact tracing (p < 0.001)., Conclusions: Our analysis highlights the promises and the challenges of implementing CHW-led COVID-19 contact tracing programs. To optimize implementation, we recommend using digital tools for data collection with a human-centered design, conducting regular data quality assessments, providing CHWs with sufficient technical knowledge of the data collection system, supervising CHWs to ensure contact tracing guidelines are followed, involving communities in the design and implementation of the intervention, and addressing community member needs and concerns surrounding stigmatization arising from lack of privacy., (© 2024. The Author(s).)