Evaluación del subregistro de la mortalidad materna en Los Altos de Chiapas mediante las estrategias RAMOS y RAMOS modificada

Freyermuth-Enciso, Graciela; Cárdenas-Elizalde, Rosario

doi:10.1590/s0036-36342009000600002

Cited by 15 publications

(8 citation statements)

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“…Over the past 15 years, there have been widespread reductions in the maternal mortality ratio across much of the globe [ 1 ]. Despite this improvement, there were nearly 300,000 maternal deaths in 2013 [ 1 ], possibly more due to underreporting [ 2 ]. Since the majority of maternal, fetal, and neonatal deaths take place during or soon after delivery [ 1 , 3 , 4 ], institutional delivery with skilled birth attendants is expected to dramatically reduce the number of these deaths [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Institutional Delivery and Satisfaction among Indigenous and Poor Women in Guatemala, Mexico, and Panama

et al. 2016

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Indigenous women in Mesoamerica experience disproportionately high maternal mortality rates and are less likely to have institutional deliveries. Identifying correlates of institutional delivery, and satisfaction with institutional deliveries, may help improve facility utilization and health outcomes in this population. We used baseline surveys from the Salud Mesoamérica Initiative to analyze data from 10,895 indigenous and non-indigenous women in Guatemala and Mexico (Chiapas State) and indigenous women in Panama. We created multivariable Poisson regression models for indigenous (Guatemala, Mexico, Panama) and non-indigenous (Guatemala, Mexico) women to identify correlates of institutional delivery and satisfaction. Compared to their non-indigenous peers, indigenous women were substantially less likely to have an institutional delivery (15.2% vs. 41.5% in Guatemala (P<0.001), 29.1% vs. 73.9% in Mexico (P<0.001), and 70.3% among indigenous Panamanian women). Indigenous women who had at least one antenatal care visit were more than 90% more likely to have an institutional delivery (adjusted risk ratio (aRR) = 1.94, 95% confidence interval (CI): 1.44–2.61), compared to those who had no visits. Indigenous women who were advised to give birth in a health facility (aRR = 1.46, 95% CI: 1.18–1.81), primiparous (aRR = 1.44, 95% CI: 1.24–1.68), informed that she should have a Caesarean section (aRR = 1.41, 95% CI: 1.21–1.63), and had a secondary or higher level of education (aRR = 1.36, 95% CI: 1.04–1.79) also had substantially higher likelihoods of institutional delivery. Satisfaction among indigenous women was associated with being able to be accompanied by a community health worker (aRR = 1.15, 95% CI: 1.05–1.26) and facility staff speaking an indigenous language (aRR = 1.10, 95% CI: 1.02–1.19). Additional effort should be exerted to increase utilization of birthing facilities by indigenous and poor women in the region. Improving access to antenatal care and opportunities for higher-level education may increase institutional delivery rates, and providing culturally adapted services may improve satisfaction.

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Section: Introductionmentioning

confidence: 99%

Institutional Delivery and Satisfaction among Indigenous and Poor Women in Guatemala, Mexico, and Panama

et al. 2016

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“…This is a strategy that the Mexican government and the state of Chiapas, specifically, must strengthen. We have previously made specific recommendations for the reduction of maternal mortality [ 79 , 80 ], and will not reiterate those here.…”

Section: Discussionmentioning

confidence: 99%

From therapeutic to elective cesarean deliveries: factors associated with the increase in cesarean deliveries in Chiapas

Freyermuth

Hernández

Ochoa

2017

Int J Equity Health

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BackgroundCesarean deliveries have increased over the past decade in Mexico, including those states with high percentages of indigenous language speakers, e.g., Chiapas. However, the factors contributing to this trend and whether they affect indigenous languages populations remain unknown. Thus, this work aims to identify some of the factors controlling the prevalence of cesarean sections (C-sections) in Chiapas between the 2011–2014 period.MethodsWe analyzed certified birth data, compiled by the Subsystem of Information on Births of the Secretary of Health and the National Institute of Statistics and Geography, and information regarding the Human Development Index (HDI), assembled by the United Nations Development Program. A descriptive analysis of the variables and a multilevel logistics regression model were employed to assess the role of the different factors in the observed trends.ResultsThe results show that the factors contributing to the increased risk of C-sections are (i) women residing in municipalities with indigenous population and municipalities with high HDIs, (ii) advanced schooling, (iii) frequent prenatal checkups, and (iv) deliveries occurring in private health clinics. Furthermore, C-sections might also be associated with prolonged hospital stays.ConclusionsThe increasing frequency of C-sections among indigenous populations in Chiapas seems to be related to public policies aimed at reducing maternal mortality in Mexico. Therefore, public health policy needs to be revisited to ensure that reproductive rights are being respected.

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“…Al respecto, muchas investigaciones a través del tiempo y en distintas partes del mundo han dado cuenta de la falta de cobertura en distintos eventos de mortalidad (19)(20)(21)(22)(23)(24)(25). En general, la información está afectada por errores de cobertura y de contenido (12,26), problemas que se han convertido en todo un desafío para la estadística.…”

Section: Discussionunclassified

Identificación de los conocimientos de calidad de la información de mortalidad en Bogotá

2017

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RESUMENObjetivo Identificar los conocimientos del personal que participaba en la producción y el uso de la información de mortalidad sobre la calidad de la misma, durante el año 2010. Métodos Estudio descriptivo que aplicó encuesta semi-estructurada, auto-administrada a 130 funcionarios que participaban en la producción y uso de estadísticas de mortalidad. Sobre los conocimientos de calidad de la información de mortalidad, se indagaron aspectos que daban cuenta de fiabilidad, características, calificación, explicación a la calificación dada y propuesta para mejorar. Se calcularon frecuencias y distribuciones porcentuales. Resultados El 76,2 % de los encuestados identificaron cobertura y contenido como aspectos que daban cuenta de la fiabilidad de la información de mortalidad. Las principales características de calidad de la información reconocidas fueron veracidad, 80,8 %; completitud, 76,2 %; precisión, 75,4 %; oportunidad, 74,6 %; y validez, 73,8 %. El 55,4 % de los participantes calificó la calidad como regular y el 6,2 % como mala. Sensibilización, procesos formativos y evaluativos fueron algunas de las propuestas mencionadas para el mejoramiento de la calidad. Conclusiones Los hallazgos sugieren que existe falta de conocimientos sobre la calidad de la información de mortalidad. Se hace necesario corregir esa falta de conocimientos poniendo en práctica las propuestas de mejoramiento realizada por los encuestados. Se recomendó que las distintas propuestas que se pongan en marcha, sean seguidas y evaluadas para conocer el impacto que ellas producen.Palabras Clave: Información; mortalidad; estadísticas vitales; causa de muerte (fuente: DeCS, BIREME). ABSTRACTObjective Identify the workers knowledge involved in the production and usage, about the quality of mortality information in Bogotá during 2006. Methods We conducted a descriptive study using a self-administered and semi-structured questionnaire in 130 functionaries who participated in the mortality data production and use. The instruments inquired into the reliability, characteristics, qualification, reasons for that qualification and improvement proposals. We calculated frequencies and percentage distributions. Results 76.2 % of respondents identified coverage and content as the aspects that best indicated reliability of mortality information. The main quality characteristics of the information recognized were veracity, 80.8 %; completeness, 76.2 %; accuracy, 75.4 %; opportunity, 74.6 %; and validity, 73.8 %. 55.4 % of participants rated the quality as fair and 6.2 % as poor. Some of the proposals for the quality improvement were awareness, training and evaluation processes. Conclusions The findings suggest that there is still a lack of knowledge about the quality of mortality information in people involved in its production and use. It is necessary

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Evaluación del subregistro de la mortalidad materna en Los Altos de Chiapas mediante las estrategias RAMOS y RAMOS modificada

Cited by 15 publications

References 15 publications

Institutional Delivery and Satisfaction among Indigenous and Poor Women in Guatemala, Mexico, and Panama

Institutional Delivery and Satisfaction among Indigenous and Poor Women in Guatemala, Mexico, and Panama

From therapeutic to elective cesarean deliveries: factors associated with the increase in cesarean deliveries in Chiapas

Identificación de los conocimientos de calidad de la información de mortalidad en Bogotá

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