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Maternal Deaths Databases Analysis: Ecuador 2003-2013
Background: Maternal mortality ratio in Ecuador is the only millennium goal on which national agencies are still making strong efforts to reach 2015 target. The purpose of the study was to process national maternal death databases to identify a specific association pattern of variable included in th...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062756/ https://www.ncbi.nlm.nih.gov/pubmed/27747203 http://dx.doi.org/10.4081/jphr.2016.692 |
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author | Pino, Antonio Albán, María Rivas, Alejandra Rodríguez, Erika |
author_facet | Pino, Antonio Albán, María Rivas, Alejandra Rodríguez, Erika |
author_sort | Pino, Antonio |
collection | PubMed |
description | Background: Maternal mortality ratio in Ecuador is the only millennium goal on which national agencies are still making strong efforts to reach 2015 target. The purpose of the study was to process national maternal death databases to identify a specific association pattern of variable included in the death certificate. Design and methods: The study processed mortality databases published yearly by the National Census and Statistics Institute (INEC). Data analysed were exclusively maternal deaths. Data corresponds to the 2003-2013 period, accessible through INEC’s website. Comparisons are based on number of deaths and use an ecological approach for geographical coincidences. Results: The study identified variable association into the maternal mortality national databases showing that to die at home or in a different place than a hospital is closely related to women’s socioeconomic characteristics; there was an association with the absence of a public health facility. Also, to die in a different place than the usual residence could mean that women and families are searching for or were referred to a higher level of attention when they face complications. Conclusions: Ecuadorian maternal deaths showed Patterns of inequity in health status, health care provision and health risks. A predominant factor seems unclear to explain the variable association found processing national databases; perhaps every pattern of health systems development played a role in maternal mortality or factors different from those registered by the statistics system may remain hidden. Some random influences might not be even considered in an explanatory model yet. |
format | Online Article Text |
id | pubmed-5062756 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-50627562016-10-14 Maternal Deaths Databases Analysis: Ecuador 2003-2013 Pino, Antonio Albán, María Rivas, Alejandra Rodríguez, Erika J Public Health Res Article Background: Maternal mortality ratio in Ecuador is the only millennium goal on which national agencies are still making strong efforts to reach 2015 target. The purpose of the study was to process national maternal death databases to identify a specific association pattern of variable included in the death certificate. Design and methods: The study processed mortality databases published yearly by the National Census and Statistics Institute (INEC). Data analysed were exclusively maternal deaths. Data corresponds to the 2003-2013 period, accessible through INEC’s website. Comparisons are based on number of deaths and use an ecological approach for geographical coincidences. Results: The study identified variable association into the maternal mortality national databases showing that to die at home or in a different place than a hospital is closely related to women’s socioeconomic characteristics; there was an association with the absence of a public health facility. Also, to die in a different place than the usual residence could mean that women and families are searching for or were referred to a higher level of attention when they face complications. Conclusions: Ecuadorian maternal deaths showed Patterns of inequity in health status, health care provision and health risks. A predominant factor seems unclear to explain the variable association found processing national databases; perhaps every pattern of health systems development played a role in maternal mortality or factors different from those registered by the statistics system may remain hidden. Some random influences might not be even considered in an explanatory model yet. PAGEPress Publications, Pavia, Italy 2016-08-19 /pmc/articles/PMC5062756/ /pubmed/27747203 http://dx.doi.org/10.4081/jphr.2016.692 Text en ©Copyright A. Pino, et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Article Pino, Antonio Albán, María Rivas, Alejandra Rodríguez, Erika Maternal Deaths Databases Analysis: Ecuador 2003-2013 |
title | Maternal Deaths Databases Analysis: Ecuador 2003-2013 |
title_full | Maternal Deaths Databases Analysis: Ecuador 2003-2013 |
title_fullStr | Maternal Deaths Databases Analysis: Ecuador 2003-2013 |
title_full_unstemmed | Maternal Deaths Databases Analysis: Ecuador 2003-2013 |
title_short | Maternal Deaths Databases Analysis: Ecuador 2003-2013 |
title_sort | maternal deaths databases analysis: ecuador 2003-2013 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062756/ https://www.ncbi.nlm.nih.gov/pubmed/27747203 http://dx.doi.org/10.4081/jphr.2016.692 |
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