Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study
Articulo en revista indexada
- Autores:
-
Garcia-Balaguera, Cesar
Vargas Martínez, Mery Gireth
Guzmán Arbelaez, David Alejandro
Montenegro Fernandez, Valentina
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2023
- Institución:
- Universidad Cooperativa de Colombia
- Repositorio:
- Repositorio UCC
- Idioma:
- eng
- OAI Identifier:
- oai:repository.ucc.edu.co:20.500.12494/55236
- Acceso en línea:
- https://hdl.handle.net/20.500.12494/55236
http://dx.doi.org/10.2174/0118749445277442240220101010
- Palabra clave:
- Maternal mortality
COVID-19
Health system
Pandemic
- Rights
- openAccess
- License
- https://creativecommons.org/licenses/by/4.0/
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Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study |
| title |
Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study |
| spellingShingle |
Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study Maternal mortality COVID-19 Health system Pandemic |
| title_short |
Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study |
| title_full |
Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study |
| title_fullStr |
Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study |
| title_full_unstemmed |
Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study |
| title_sort |
Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study |
| dc.creator.fl_str_mv |
Garcia-Balaguera, Cesar Vargas Martínez, Mery Gireth Guzmán Arbelaez, David Alejandro Montenegro Fernandez, Valentina |
| dc.contributor.author.none.fl_str_mv |
Garcia-Balaguera, Cesar Vargas Martínez, Mery Gireth Guzmán Arbelaez, David Alejandro Montenegro Fernandez, Valentina |
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GRIVI |
| dc.subject.proposal.eng.fl_str_mv |
Maternal mortality COVID-19 Health system Pandemic |
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Maternal mortality COVID-19 Health system Pandemic |
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Articulo en revista indexada |
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2023 |
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2023-12-08 |
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2024-03-19T18:31:25Z |
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Garcia-Balaguera C, Vargas Martínez M, Guzmán Arbelaez D, Fernandez V. Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study. Open Public Health J, 2024; 17: e18749445277442. http://dx.doi.org/10.2174/0118749445277442240220101010 |
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http://dx.doi.org/10.2174/0118749445277442240220101010 |
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1874-9445 |
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Garcia-Balaguera C, Vargas Martínez M, Guzmán Arbelaez D, Fernandez V. Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study. Open Public Health J, 2024; 17: e18749445277442. http://dx.doi.org/10.2174/0118749445277442240220101010 1874-9445 |
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https://hdl.handle.net/20.500.12494/55236 http://dx.doi.org/10.2174/0118749445277442240220101010 |
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eng |
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eng |
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Garcia-Balaguera C, Vargas Martínez M, Guzmán Arbelaez D, Fernandez V. Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study. Open Public Health J, 2024; 17: e18749445277442. http://dx.doi.org/10.2174/0118749445277442240220101010 |
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The Open Public Health Journal |
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[1] Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA. World Bank Group and UNDESA/Population Division. 2023. Available from:https://www.who.int/publications/i/item/9789240068759 (Cited 2023 Apr 27). [2] Protocolo de Vigilancia de la Salud Pública de la Mortalidad Materna. Colombia: Instituto Nacional de Salud 2022. http://dx.doi.org/10.33610/infoeventos.45 [3] Hamal M, Dieleman M, De Brouwere V, de Cock Buning T. Social determinants of maternal health: A scoping review of factors influencing maternal mortality and maternal health service use in India. Public Health Rev 2020; 41(1): 13. http://dx.doi.org/10.1186/s40985-020-00125-6 PMID: 32514389 [4] Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Genève, Switzerland: World Health Organization 2010. [5] Crear-Perry J, Correa-de-Araujo R, Lewis Johnson T, McLemore MR, Neilson E, Wallace M. Social and structural determinants of health inequities in maternal health. J Womens Health 2021; 30(2): 230-5. [6] Thaddeus S, Maine D. Too far to walk: Maternal mortality in context. Soc Sci Med 1994; 38(8): 1091-110. http://dx.doi.org/10.1016/0277-9536(94)90226-7 PMID: 8042057 [7] Wang E, Glazer KB, Howell EA, Janevic TM. Social determinants of pregnancy-related mortality and morbidity in the United States: A systematic review: A systematic review. Obstet Gynecol 2020; 135(4): 896-915. http://dx.doi.org/10.1097/AOG.0000000000003762 PMID: 32168209 [8] Jairam JA, Vigod SN, Siddiqi A, et al. Severe maternal morbidity and mortality among immigrant and Canadian-born women residing within low-income neighborhoods in Ontario, Canada. JAMA Netw Open 2023; 6(2): e2256203. http://dx.doi.org/10.1001/jamanetworkopen.2022.56203 PMID: 36795412 [9] Di Toro F, Gjoka M, Di Lorenzo G, et al. Impact of COVID-19 on maternal and neonatal outcomes: A systematic review and metaanalysis. Clin Microbiol Infect 2021; 27(1): 36-46. http://dx.doi.org/10.1016/j.cmi.2020.10.007 PMID: 33148440 [10] Takemoto MLS, Menezes MO, Andreucci CB, et al. Maternal mortality and COVID-19. J Matern Fetal Neonatal Med 2022; 35(12): 2355-61. http://dx.doi.org/10.1080/14767058.2020.1786056 PMID: 32674646 Calvert C, John J, Nzvere FP, Cresswell JA, Fawcus S, Fottrell E, et al. Maternal mortality in the covid-19 pandemic: Findings from a rapid systematic review. Glob Health Action 2021; 14(S1): 1974677. Castañeda-Orjuela C, Hilarion Gaitan L, Diaz-Jimenez D, Cotes- Cantillo K, Garfield R. Maternal mortality in Colombia during the COVID-19 pandemic: Time series and social inequities. BMJ Open 2023; 13(4): e064960. http://dx.doi.org/10.1136/bmjopen-2022-064960 PMID: 37015796 Romero M, Ramos S, Ábalos E. Modelos de análisis de la morbimortalidad materna. 2023. Available from:https://repositorio.cedes.org/bitstream/123456789/3776/1/HI _OSSyR_03.pdf (Cited 2023 Apr 27). Bula JA. Urzola Vertel KD Madres ausentes: La voz de los profesionales de salud ante las muertes maternas del departamento de Córdoba -Colombia. Enferm Actual Costa Rica 2020; (39): 164-83. Soliz Torres F. La determinación social de la salud: La comprensión de la complejidad de la vida. Revista Ciencias de la Salud 2020; 18: 1-3. Kurjak A, Stanojević M, Dudenhausen J. Why maternal mortality in the world remains tragedy in low-income countries and shame for high-income ones: Will sustainable development goals (SDG) help? J Perinat Med 2023; 51(2): 170-81. http://dx.doi.org/10.1515/jpm-2022-0061 PMID: 35636412 Musarandega R, Ngwenya S, Murewanhema G, et al. Changes in causes of pregnancy-related and maternal mortality in Zimbabwe 2007-08 to 2018-19: Findings from two reproductive age mortality surveys. BMC Public Health 2022; 22(1): 923. http://dx.doi.org/10.1186/s12889-022-13321-7 PMID: 35534811 Lawrence ER, Klein TJ, Beyuo TK. Maternal mortality in low and middle-income countries. Obstet Gynecol Clin North Am 2022; 49(4): 713-33. http://dx.doi.org/10.1016/j.ogc.2022.07.001 PMID: 36328676 Bond RM, Ansong YA, Albert MA. Arrojando luz sobre el esquema de la supermujer y la salud materna. Circulación 2022; 145: 507-9. http://dx.doi.org/10.1161/CIRCULATIONAHA.121.058905 PMID: 35157523 García-Balaguera C. Barreras de acceso y calidad en el control prenatal. Rev Fac Med 2017; 65(2): 305-10. http://dx.doi.org/10.15446/revfacmed.v65n2.59704 Amaya A, Bolaños ÁP, Cuevas AM, Díaz DI. Factores asociados con la mortalidad materna en las afiliadas a una EPS del Régimen Subsidiado, durante el año 2008. Cuadernos Latinoamericanos de Administración 2016; 6(10): 103-18. http://dx.doi.org/10.18270/cuaderlam.v6i10.1066 Sanhueza A, Roldán JC, Ríos-Quituizaca P, Acuña MC, Espinosa I. Social inequalities in maternal mortality among the provinces of Ecuador. Rev Panam Salud Publica 2017; 41: e97. PMID: 28614488 Colorado-Barrios KT, Díaz-Hernández TE, Cabrera-Narvaez RA. Caracterización de los determinantes sociales de la salud, en la mortalidad materna de Cundinamarca, 2016-2019. Investigaciones en Seguridad Social y Salud 2021; 23(2): 4-13. http://dx.doi.org/10.56085/20277970.450 García-Balaguera C. [Health as a right in Colombia’s post-conflict period]. Rev Salud Publica 2018; 20(6): 771-7. http://dx.doi.org/10.15446/rsap.v20n6.67777 PMID: 33206904 Venegas Luque R, Gutiérrez Velasco A, Caicedo Cardeñosa MF. Investigaciones y comprensiones del conflicto armado en Colombia. Salud mental y familia. Univ Psychol 2017; 16(3) Alvarez-Sierra SP. Demoras en mortalidad materna en el departamento de Santander 2012 a 2015. Rev Salud Publica 2018; 20(6): 699-706. http://dx.doi.org/10.15446/rsap.v20n6.68156 PMID: 33206892 van den Akker T, Nair M, Goedhart M, Schutte J, Schaap T, Knight M. Maternal mortality: Direct or indirect has become irrelevant. Lancet Glob Health 2017; 5(12): e1181-2. http://dx.doi.org/10.1016/S2214-109X(17)30426-6 PMID: 29132607 |
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Garcia-Balaguera, CesarVargas Martínez, Mery GirethGuzmán Arbelaez, David AlejandroMontenegro Fernandez, ValentinaGRIVI2024-03-19T18:31:25Z2024-03-19T18:31:25Z2023-12-08Garcia-Balaguera C, Vargas Martínez M, Guzmán Arbelaez D, Fernandez V. Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study. Open Public Health J, 2024; 17: e18749445277442. http://dx.doi.org/10.2174/0118749445277442240220101010https://hdl.handle.net/20.500.12494/55236http://dx.doi.org/10.2174/01187494452774422402201010101874-9445Articulo en revista indexadaAbstract: Introduction: Maternal mortality is an important indicator of the quality of life and efficiency of the healthcare system of a country. Given that it is still a substantial public health concern in Colombia, we aimed to describe the determinants of health identified in maternal deaths registered at the Department of Meta, Colombia, from 2018 to 2021 and to understand their causes or underlying mechanisms by applying the SDH framework. Materials and Methods: This retrospective cross-sectional study was conducted using a quantitative approach and involved a review of databases from the maternal mortality epidemiological surveillance system in the Department of Meta during 2017–2022. The analysis involved a multinomial logistic regression to assess risk associations. Results: Overall, 59 patients were included, with an average age of 29.92 (range: 15–46) years and a median age of 30 years. Maternal mortality had a significant increase in its incidence during the pandemic, especially indirect causes. The logistic regression suggests low income, low educational level, low autonomy of women, being indigenous, and living in rural areas as possible associated factors. Conclusion: There is evidence of a significant impact on maternal mortality due to COVID-19, reflecting the low response capacity of the Colombian health system and the difficulties of access and information for pregnant women. Further, indirect causes of death must be prioritized in the public health agenda.Universidad Cooperativa de ColombiaEstudio observacional descriptivo de corte transversal, abordaje cuantitativoEpidemiología y salud pública8 p.application/pdfengUniversidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, VillavicencioVillavicenciohttps://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessAtribución 4.0 Internacional (CC BY 4.0)http://purl.org/coar/access_right/c_abf2https://openpublichealthjournal.com/contents/volumes/V17/e18749445277442/e18749445277442.pdfMaternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional StudyArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionGarcia-Balaguera C, Vargas Martínez M, Guzmán Arbelaez D, Fernandez V. Maternal Mortality, Health Determinants, and Covid-19 in the Department of Meta, Colombia: A Cross-sectional Study. Open Public Health J, 2024; 17: e18749445277442. http://dx.doi.org/10.2174/011874944527744224022010101081117The Open Public Health Journal[1] Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA. World Bank Group and UNDESA/Population Division. 2023. Available from:https://www.who.int/publications/i/item/9789240068759 (Cited 2023 Apr 27).[2] Protocolo de Vigilancia de la Salud Pública de la Mortalidad Materna. Colombia: Instituto Nacional de Salud 2022. http://dx.doi.org/10.33610/infoeventos.45[3] Hamal M, Dieleman M, De Brouwere V, de Cock Buning T. Social determinants of maternal health: A scoping review of factors influencing maternal mortality and maternal health service use in India. Public Health Rev 2020; 41(1): 13. http://dx.doi.org/10.1186/s40985-020-00125-6 PMID: 32514389[4] Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Genève, Switzerland: World Health Organization 2010.[5] Crear-Perry J, Correa-de-Araujo R, Lewis Johnson T, McLemore MR, Neilson E, Wallace M. Social and structural determinants of health inequities in maternal health. J Womens Health 2021; 30(2): 230-5.[6] Thaddeus S, Maine D. Too far to walk: Maternal mortality in context. Soc Sci Med 1994; 38(8): 1091-110. http://dx.doi.org/10.1016/0277-9536(94)90226-7 PMID: 8042057[7] Wang E, Glazer KB, Howell EA, Janevic TM. Social determinants of pregnancy-related mortality and morbidity in the United States: A systematic review: A systematic review. Obstet Gynecol 2020; 135(4): 896-915. http://dx.doi.org/10.1097/AOG.0000000000003762 PMID: 32168209[8] Jairam JA, Vigod SN, Siddiqi A, et al. Severe maternal morbidity and mortality among immigrant and Canadian-born women residing within low-income neighborhoods in Ontario, Canada. JAMA Netw Open 2023; 6(2): e2256203. http://dx.doi.org/10.1001/jamanetworkopen.2022.56203 PMID: 36795412[9] Di Toro F, Gjoka M, Di Lorenzo G, et al. Impact of COVID-19 on maternal and neonatal outcomes: A systematic review and metaanalysis. Clin Microbiol Infect 2021; 27(1): 36-46. http://dx.doi.org/10.1016/j.cmi.2020.10.007 PMID: 33148440[10] Takemoto MLS, Menezes MO, Andreucci CB, et al. Maternal mortality and COVID-19. J Matern Fetal Neonatal Med 2022; 35(12): 2355-61. http://dx.doi.org/10.1080/14767058.2020.1786056 PMID: 32674646Calvert C, John J, Nzvere FP, Cresswell JA, Fawcus S, Fottrell E, et al. Maternal mortality in the covid-19 pandemic: Findings from a rapid systematic review. Glob Health Action 2021; 14(S1): 1974677.Castañeda-Orjuela C, Hilarion Gaitan L, Diaz-Jimenez D, Cotes- Cantillo K, Garfield R. Maternal mortality in Colombia during the COVID-19 pandemic: Time series and social inequities. BMJ Open 2023; 13(4): e064960. http://dx.doi.org/10.1136/bmjopen-2022-064960 PMID: 37015796Romero M, Ramos S, Ábalos E. Modelos de análisis de la morbimortalidad materna. 2023. Available from:https://repositorio.cedes.org/bitstream/123456789/3776/1/HI _OSSyR_03.pdf (Cited 2023 Apr 27).Bula JA. Urzola Vertel KD Madres ausentes: La voz de los profesionales de salud ante las muertes maternas del departamento de Córdoba -Colombia. Enferm Actual Costa Rica 2020; (39): 164-83.Soliz Torres F. La determinación social de la salud: La comprensión de la complejidad de la vida. Revista Ciencias de la Salud 2020; 18: 1-3.Kurjak A, Stanojević M, Dudenhausen J. Why maternal mortality in the world remains tragedy in low-income countries and shame for high-income ones: Will sustainable development goals (SDG) help? J Perinat Med 2023; 51(2): 170-81. http://dx.doi.org/10.1515/jpm-2022-0061 PMID: 35636412Musarandega R, Ngwenya S, Murewanhema G, et al. Changes in causes of pregnancy-related and maternal mortality in Zimbabwe 2007-08 to 2018-19: Findings from two reproductive age mortality surveys. BMC Public Health 2022; 22(1): 923. http://dx.doi.org/10.1186/s12889-022-13321-7 PMID: 35534811Lawrence ER, Klein TJ, Beyuo TK. Maternal mortality in low and middle-income countries. Obstet Gynecol Clin North Am 2022; 49(4): 713-33. http://dx.doi.org/10.1016/j.ogc.2022.07.001 PMID: 36328676Bond RM, Ansong YA, Albert MA. Arrojando luz sobre el esquema de la supermujer y la salud materna. Circulación 2022; 145: 507-9. http://dx.doi.org/10.1161/CIRCULATIONAHA.121.058905 PMID: 35157523García-Balaguera C. Barreras de acceso y calidad en el control prenatal. Rev Fac Med 2017; 65(2): 305-10. http://dx.doi.org/10.15446/revfacmed.v65n2.59704Amaya A, Bolaños ÁP, Cuevas AM, Díaz DI. Factores asociados con la mortalidad materna en las afiliadas a una EPS del Régimen Subsidiado, durante el año 2008. Cuadernos Latinoamericanos de Administración 2016; 6(10): 103-18. http://dx.doi.org/10.18270/cuaderlam.v6i10.1066Sanhueza A, Roldán JC, Ríos-Quituizaca P, Acuña MC, Espinosa I. Social inequalities in maternal mortality among the provinces of Ecuador. Rev Panam Salud Publica 2017; 41: e97. PMID: 28614488Colorado-Barrios KT, Díaz-Hernández TE, Cabrera-Narvaez RA. Caracterización de los determinantes sociales de la salud, en la mortalidad materna de Cundinamarca, 2016-2019. Investigaciones en Seguridad Social y Salud 2021; 23(2): 4-13. http://dx.doi.org/10.56085/20277970.450García-Balaguera C. [Health as a right in Colombia’s post-conflict period]. Rev Salud Publica 2018; 20(6): 771-7. http://dx.doi.org/10.15446/rsap.v20n6.67777 PMID: 33206904Venegas Luque R, Gutiérrez Velasco A, Caicedo Cardeñosa MF. Investigaciones y comprensiones del conflicto armado en Colombia. Salud mental y familia. Univ Psychol 2017; 16(3)Alvarez-Sierra SP. Demoras en mortalidad materna en el departamento de Santander 2012 a 2015. Rev Salud Publica 2018; 20(6): 699-706. http://dx.doi.org/10.15446/rsap.v20n6.68156 PMID: 33206892van den Akker T, Nair M, Goedhart M, Schutte J, Schaap T, Knight M. Maternal mortality: Direct or indirect has become irrelevant. 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