Brechas regionales de la mortalidad infantil en Colombia.

Jaramillo-Mejía, Martha C.; Chernichovsky, Dov; Jiménez-Moleón, José Juan

doi:10.17843/rpmesp.2013.304.232

Cited by 15 publications

(14 citation statements)

References 7 publications

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“…The latter group served as a reference to study the distinctiveness of teenage mothers. Mothers older than 35 were excluded from the analysis because this age group also carries a higher risk of infant mortality 23 .…”

Section: Risk Groupsmentioning

confidence: 99%

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Early adolescent childbearing in Colombia: time-trends and consequences

Jaramillo-Mejía

Chernichovsky

2019

Cad. Saúde Pública

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Teenage childbearing has been increasing, especially among girls aged 10 to 14 years, slowing the improvements in public health and propelling social marginalization. The objective of this article is to study adolescent pregnancy in Colombia and suggest possible policy interventions. The study comprises univariate and multivariate analyses that examine trends and correlates of teenage childbirth and related infant mortality in Colombia between 2001-2011 using complete vital statistics. The study compares, by relative risk analysis as well, two groups of teenage mothers, aged 10 to 14 years and 15 to 19 years, with a reference group of mothers aged 20 to 34 years. During the study period, the average of annual birth rates increased 2.6% and 0.8% in mothers aged 10 to 14 years, and 15 to 19 years respectively, whereas it declined at an average rate of 0.2% annually for mothers aged 20 to 35 years. Simultaneously, while the overall rate declined, the infant mortality rate (IMR) of the youngest group was consistently higher during the entire period compared to the IMR of older groups. Compared with the other groups, mothers aged from 10 to 14 were more likely to be unmarried, rural, indigenous or afro-descendant, and have less access to health care. The study demonstrates that early teenage childbirth is a growing challenge at least in Colombia. These mothers are at higher risk of losing their babies while being poor and remaining poor. The study suggests the need for policy that targets appropriate education and health care to poor girls as early as age 10 and even younger.

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Section: Risk Groupsmentioning

confidence: 99%

“…That same year, 95% of births were reported to have been attended by physicians in hospitals with women receiving an average of more than four prenatal control visits 21,22 . Still, wide regional and socioeconomic disparities affect access to care and the infant mortality persists 23 .…”

Section: Introductionmentioning

confidence: 99%

Early adolescent childbearing in Colombia: time-trends and consequences

Jaramillo-Mejía

Chernichovsky

2019

Cad. Saúde Pública

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“…Detectaron además que más importante que el nivel educativo es el nivel de ingresos promedio (asociado con el nivel educativo), a través del aseguramiento y de la prestación de servicios. Aseguran que la infraestructura sanitaria es importante también, en término de disponibilidad de médicos y por el número de camas privadas materno-infantil (29). Algunos estudios han demostrado la existencia de una interacción aditiva de tipo sinérgico entre los años de estudios aprobados por ambos progenitores y la tasa de mortalidad infantil.…”

Section: Discussionunclassified

Brechas en la mortalidad infantil según nivel educativo de las madres en la Provincia de Córdoba. Estimación indirecta a partir de datos censales 2010

Torres

Bertone

Andrada

2018

Rev. Salud Pública (Córdoba)

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<p>Se ha reconocido ampliamente que el nivel educativo de las madres influye en el nivel de la mortalidad infantil (MI) pero poco se sabe de la situación en la provincia de Córdoba-Argentina para monitorear inequidades. Por ello, el objetivo fue identificar brechas en la MI según el nivel de instrucción de las madres en la provincia. La fuente de datos es el Censo de Población, hogares y viviendas (2010). Se utiliza la técnica indirecta de Brass. Se calculan indicadores de desigualdad y se simula el nivel actual de la MI aplicando las brechas detectadas. Se arribó a la conclusión de que a mayor nivel educativo menor el riesgo de los niños de morir antes del año de edad. El RR fue de 1,73 y el RAP de 25%. De no existir la brecha, la TMI hubiera sido 6 en vez de 8 ‰ nacidos vivos en 2015.</p>

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“…Small municipalities located in the Pacific Coast of Colombia have low coverage of healthcare services, since the IPS are located in the main cities, far from rural and scattered areas (i.e. the Buenaventura District has on only one public hospital in Puerto Merizalde called ESE San Agustin [ESE-Empresa Social del Estado]) [16].…”

Section: Introductionmentioning

confidence: 99%

Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia

Blandón-Lotero

Jaramillo-Mejía²

2020

Int J Equity Health

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Background Social and community participation is a fundamental component of the development of renewed primary healthcare (PHC). With the recognition of health as a right, such participation is a significant part of the design of public policies aimed at this sector. These policies contribute not only to overcoming inequity in the provision of this type of services but also to a reduction in social inequalities as a whole. Through a comparative analysis, this study aimed to explain the conditions through which ethnic-rural territories of the Colombian Pacific coast participate in health to contribute to the generation of policies and programs in territories with similar conditions. Methods The work was developed through the use of multiple techniques and strategies for information collection and analysis. These include several semi-structured interviews, multiple observation exercises and analysis based on a set theory, i.e., qualitative comparative analysis (QCA). The latter aims to develop a model that provides a count of the main causal combinations that allow high community participation in health. Results Key findings include how the trajectory of social mobilization and existence of a robust community social fabric became two critical conditions for community participation in the context of social exclusion. The presence of variables such as the implementation of PHC, guarantee of social rights, and trust in institutions, is underestimated as sufficient causal conditions for obtaining this result. Therefore, it is essential to recognize the existence, validity, and importance of processes, experiences, and resourcefulness of political natures, which aim at transforming the daily reality of the inhabitants of these communities. These also set a potential space and scenario for managing the communities’ main problems, including health, in the absence of institutionality that guarantees access to their social rights. Conclusion This study points out the importance of understanding community participation as a political activity, expanding exchange dynamics and dialogs between institutions, rulers, and communities to provide social responses in health and well-being to communities and to understand local realities and their own community dynamics.

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Brechas regionales de la mortalidad infantil en Colombia.

Cited by 15 publications

References 7 publications

Early adolescent childbearing in Colombia: time-trends and consequences

Early adolescent childbearing in Colombia: time-trends and consequences

Brechas en la mortalidad infantil según nivel educativo de las madres en la Provincia de Córdoba. Estimación indirecta a partir de datos censales 2010

Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia

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