Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia

Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia

We used a mixed design study to analyze the inequalities and inequities in Maternal Mortality (MM) for Chocó (Colombia) between 2010-2018. The quantitative component consisted of an analytical ecological design, where proportions, ratios, measures of central tendency and rates ratios, rate differenc...

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Published in:International journal of environmental research and public health Vol. 20; no. 12; p. 6095
Main Authors: Rodríguez Hernández, Jorge Martín, Ariza Ruiz, Liany Katerine, Castro Barbudo, Daniella, Vivas Sánchez, Paula, Matallana Gómez, María Alexandra, Gómez Hernández, Leidy Johanna, Romero Mendoza, Lilibeth, Chaparro Narváez, Pablo Enrique
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 09-06-2023
MDPI
Subjects:
Childbirth & labor
Colombia - epidemiology
Data processing
Design analysis
Female
Health care access
Health risks
Health services
Humans
Income
Infant, Newborn
Maternal & child health
Maternal Health Services
Maternal Mortality
Midwifery
Mortality
Neonates
Obstetrics
Population
Poverty
Pregnancy
Private sector
Rural areas
Socioeconomic Factors
Sustainable design
Urban areas
Womens health
Colombia
maternal health services
Colombia
social determinants of health
midwifery
maternal mortality
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Summary:We used a mixed design study to analyze the inequalities and inequities in Maternal Mortality (MM) for Chocó (Colombia) between 2010-2018. The quantitative component consisted of an analytical ecological design, where proportions, ratios, measures of central tendency and rates ratios, rate difference, Gini and concentration indices were calculated to measure inequalities. The qualitative component had a phenomenological and interpretive approach. One hundred thirty-one women died in Choco between 2010-2018. The Maternal Mortality Ratio was 224/100.000 live births. The Gini coefficient was 0.35, indicating inequality in the distribution of the number of MM with respect to live births. The health service offers have been concentrated in the private sector in urban areas (77%). The exercise of midwifery has played an important role in maternal and perinatal care processes, especially in territories where the State has been absent. Nevertheless, it occurs in complex circumstances such as the armed conflict, lack of transportation routes, and income deficits, affecting the timelines and care quality for these vulnerable groups. MM in Chocó has been a consequence of deficiencies in the health system and weaknesses in its infrastructure (absence of a high level of maternal-perinatal care). This is in addition to the territory's geographical characteristics, which increase vulnerability and health risks for women and their newborns. In Colombia, as well as in other countries, many maternal and newborn deaths are preventable because their causes are due to social injustices.
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ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph20126095