Primary health care in reducing perinatal maternal mortality: State responsibilities

This study focuses on Primary Health Care (PHC) and maternal-perinatal health inequalities in Peru. Its main objective is to assess the impact of PHC on reducing maternal and perinatal mortality, which still persists in the Peruvian healthcare system (Seguro Integral de Salud, 2020), while also exploring persistent regional disparities and inequitable access to healthcare services. The methodology employed is based on a qualitative approach that combines the review of scientific literature and the analysis of relevant reports and data. The results, according to Arispe (2023), highlight the importance of addressing dimensions of inequality such as geographical, economic, and sociocultural accessibility to improve maternal-perinatal care in the country. The review of definitions and dimensions provides a solid foundation for future evidence-based research and policies. In summary, this study underscores the crucial role of PHC in Peru and emphasizes the need for changes in healthcare policies (Ministry of Women and Vulnerable Populations, 2021) to reduce disparities in access to maternal-perinatal care, with the aim of improving the health of the vulnerable population. Its contribution lies in providing an in-depth understanding of disparities in obstetric care and setting guidelines for future research and healthcare policies in the country.