Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018
Objectives. To describe the inequalities in the quality of prenatal control (CPN) carried out in the department of Atlántico. Population. Pregnant women residing in the department whose birth was attended in a Maternal and Child Hospital in Barranquilla during the period 2016-2018. Background. Despi...
- Autores:
-
Berdugo Mercado, Leonardo Fabio
Collazos Rivera, Steven
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2020
- Institución:
- Corporación Universidad de la Costa
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- REDICUC - Repositorio CUC
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- Acceso en línea:
- https://hdl.handle.net/11323/8192
https://repositorio.cuc.edu.co/
- Palabra clave:
- Health inequalities
Health inequities
Prenatal control
Quality of health care
Desigualdades en salud
Inequidades en salud
Control prenatal
Calidad de la atención en salud
- Rights
- openAccess
- License
- Attribution-NonCommercial-ShareAlike 4.0 International
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dc.title.spa.fl_str_mv |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 |
title |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 |
spellingShingle |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 Health inequalities Health inequities Prenatal control Quality of health care Desigualdades en salud Inequidades en salud Control prenatal Calidad de la atención en salud |
title_short |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 |
title_full |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 |
title_fullStr |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 |
title_full_unstemmed |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 |
title_sort |
Desigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018 |
dc.creator.fl_str_mv |
Berdugo Mercado, Leonardo Fabio Collazos Rivera, Steven |
dc.contributor.advisor.spa.fl_str_mv |
Jervis Jálabe, David Scott Beltrán Venegas, Tulia Eugenia |
dc.contributor.author.spa.fl_str_mv |
Berdugo Mercado, Leonardo Fabio Collazos Rivera, Steven |
dc.subject.eng.fl_str_mv |
Health inequalities Health inequities Prenatal control Quality of health care |
topic |
Health inequalities Health inequities Prenatal control Quality of health care Desigualdades en salud Inequidades en salud Control prenatal Calidad de la atención en salud |
dc.subject.spa.fl_str_mv |
Desigualdades en salud Inequidades en salud Control prenatal Calidad de la atención en salud |
description |
Objectives. To describe the inequalities in the quality of prenatal control (CPN) carried out in the department of Atlántico. Population. Pregnant women residing in the department whose birth was attended in a Maternal and Child Hospital in Barranquilla during the period 2016-2018. Background. Despite the efforts made to improve maternal and child health in Colombia, there are still problems with the quality of prenatal services. In this study we examine social inequalities in the quality of NCP. Methods. We analyzed data on the quality of NPC, as recorded in the delivery care process. Five criteria were applied to classify NPC as adequate or inadequate. Concentration curves (CC) were constructed and concentration indices (CI) were estimated for the factors studied. Results. Inequalities related to socio-economic conditions were demonstrated for all factors studied. The estimates suggest that these inequalities favour women with better living conditions (except "being the head of the household"). They also show the influence of the level of schooling on the inequalities found and the contribution of insurance to their reduction. Discussion. Previous studies that showed inequalities in the quality of NPC in favor of mothers with better socioeconomic conditions were corroborated and possible factors related to the inequitable distribution of resources in different areas of residence of mothers were proposed. Conclusion. The coverage of health insurance and the educational level of the poor and vulnerable population are relevant factors in closing the quality gaps of the NPC in the department. |
publishDate |
2020 |
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2020 |
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2021-04-26T13:32:51Z |
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2021-04-26T13:32:51Z |
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Trabajo de grado - Pregrado |
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Berdugo, L. y Collazos, S. (2020). Desigualdades en la calidad del control prenatal en el departamento del atlántico, Colombia, 2016-2018. Trabajo de Pregrado. Recuperado de https://hdl.handle.net/11323/8192 |
dc.identifier.uri.spa.fl_str_mv |
https://hdl.handle.net/11323/8192 |
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Corporación Universidad de la Costa |
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REDICUC - Repositorio CUC |
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Berdugo, L. y Collazos, S. (2020). Desigualdades en la calidad del control prenatal en el departamento del atlántico, Colombia, 2016-2018. Trabajo de Pregrado. Recuperado de https://hdl.handle.net/11323/8192 Corporación Universidad de la Costa REDICUC - Repositorio CUC |
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https://hdl.handle.net/11323/8192 https://repositorio.cuc.edu.co/ |
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Benova L, Tunçalp Ö, Moran AC, Campbell OMR. Not just a number: examining coverage and content of antenatal care in low-income and middle-income countries. BMJ Glob Heal. 2018;3(2):e000779. Kassebaum NJ, Barber RM, Bhutta ZA, Dandona L, Gething PW, Hay SI, et al. Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1775–812. Tunçalp Ӧzge, Pena-Rosas JP, Lawrie T, Bucagu M, Oladapo OT, Portela A, et al. WHO recommendations on antenatal care for a positive pregnancy experience-going beyond survival. BJOG. 2017;124(6):860–2. Wilkinson RG. Socioeconomic determinants of health: Health inequalities: relative or absolute material standards? Bmj. 1997;314(7080):591. Marmot M. Social determinants of health inequalities. Lancet. 2005;365(9464):1099–104. Restrepo Cano GA. Diagnóstico prenatal de anomalías congénitas; una política ausente en Colombia. Rev Med. 2016;24(1):102–10. Spencer N, Law C. Inequalities in pregnancy and early years and the impact across the life course: progress and future challenges. Challenging Heal Inequalities from Acheson to ‘Choosing Heal. 2007;69–94. Guimarães WSG, Parente RCP, Guimarães TLF, Garnelo L. Acceso y calidad de la atención prenatal en la Estrategia Salud de la Familia: infraestructura, cuidado y gestión. Cad Saude Publica. 2018;34(5). World Health Organization (WHO). Ensayo clínico aleatorizado de control prenatal de la OMS: manual para la puesta en práctica del nuevo modelo de control prenatal. Ginebra: Organización Mundial de la Salud; 2002. Haertsch M, Campbell E, Sanson‐Fisher R. What is recommended for healthy women during pregnancy? A comparison of seven prenatal clinical practice guideline documents. Birth. 1999;26(1):24–30. Daoud N, O’Campo P, Minh A, Urquia ML, Dzakpasu S, Heaman M, et al. 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Jaramillo-Mejía MC, Chernichovsky D, Jiménez-Moleón JJ. Determinantes de la mortalidad infantil en Colombia. Path Análisis. Rev Salud Pública. 2018;20:3–9. Mendoza Tascón LA, Gómez Giraldo D, Gómez Giraldo D, Osorio Ruíz MÁ, Villamarín Betancourth EA, Guatibonza A, et al. Determinantes biológicos de mortalidad neonatal, en una población de mujeres adolescentes y adultas de un hospital en Colombia. Rev Chil Obstet Ginecol. 2017;82(4):424–37. Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenariobased projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462–74. Bhalotra SR, Clarke D, Gomes J. Maternal mortality and women’s political participation. 2020; UNFPA (Fondo de Población de las naciones unidas), Ministerio de salud y protección social C. Derterminantes sociales de la morbilidad y la mortalidad materna en Colombia [Internet]. Bogota; 2014. p. 70. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/SM-DetermMM-y-MME-Demoras-I-y-II.pdf Office of the United Nations High Commissioner for Human Rights (OHCHR). Technical guidance on the application of a human rights-based approach to the implementation of policies and programmes to reduce preventable maternal morbidity and mortality. Human Rights Council, twentieth session [Internet]. New York; 2012. Available from: http://www2.ohchr.org/english/issues/ women/docs/A.HRC.21.22_en.pdf Fisk NM, McKee M, Atun R. Relative and absolute addressability of global disease burden in maternal and perinatal health by investment in R&D. Trop Med Int Heal. 2011;16(6):662– 8. Sociedad Geográfica de Colombia. Departamento del Atlántico [Internet]. Departamentos de Colombia. 2018. Available from: http://www.sogeocol.edu.co/atlantico.htm Gobernación del Atlántico. Departamento del Atlántico [Internet]. Departamento del Atlántico. 2014. Available from: https://www.atlantico.gov.co/index.php/departamento/presentaciondepartamento-45237 Secretaría de Salud Departamental del Atlántico. ASIS Departamental del Atlántico 2016. Barranquilla; 2017. Martínez AG. Economía Departamento del Atlántico [Internet]. Toda Colombia. 2019. Available from: https://www.todacolombia.com/departamentos-decolombia/atlantico/economia.html Aguilera-Díaz MM, Reina-Aranza YC, Orozco-Gallo AJ, Yabrudy-Vega J, Barcos-Robles R. Composición de la economía de la Región Caribe de Colombia [Internet]. Ensayos Sobre Economía Regional. Cartagena de Indias; 2013. Available from: http://repositorio.banrep.gov.co/handle/20.500.12134/2035 Minski S, Stevenson A. Itinerario Histórico de Barranquilla. 1st ed. Barranquilla: Editorial la Iguana Ciega; 2009. 189 p. Villalón J. Historia de Barranquilla. Barranquilla: Ediciones Uninorte; 2000. 223 p. Departamento Administrativo Nacional de Estadística DANE. Proyecciones población Censo 2005 [Internet]. Censo 2005. 2006 [cited 2018 Aug 10]. Available from: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/censogeneral-2005-1 Minski S, Stevenson A. Barranquilla: Historia, cronicas y datos esenciales. Barranquilla: Editorial la Iguana Ciega; 2009. 291 p. Caballero JE. Barranquilla y la modernidad. Un ejercicio histórico. Bogotá: Universidad Nacional de Colombia; 2000. 311 p. Ferrelli RM. Cohesión social como base para políticas públicas orientadas a la equidad en salud: reflexiones desde el programa EUROsociAL. Rev Panam Salud Pública. 2015;38:272–7. Organization WH, Whitehead M. Social justice and equity in health: report on a WHO meeting. concepts Princ equity Heal. 2000; Bordoloi R, Das P. Gender Equity for Human and Educational Development in Asia. Asian J Distance Educ. 2017;12(2):49–60. Ferrelli RM. Equidad en salud desde un enfoque de determinantes sociales. Ser Conf y Reun Área Salud Programa EUROsocial Cyan Proy Ed SA México. 2015; Arellano OL, Escudero JC, Moreno LDC. Los determinantes sociales de la salud: una perspectiva desde el Taller Latinoamericano de Determinantes Sociales sobre la Salud, ALAMES. Med Soc. 2008;3(4):323–35. Vega Romero R. Informe comision Determinantes sociales de la salud de la organizacion mundial de la salud. Rev Gerenc y Políticas Salud. 2009;8(16):7–11. Nam JY, Park EC. The association between adequate prenatal care and severe maternal morbidity: A population-based cohort study. J Korean Soc Matern Child Heal. 2018;22(2):112–23. Linard M, Blondel B, Estellat C, Deneux‐Tharaux C, Luton D, Oury JF, et al. Association between inadequate antenatal care utilisation and severe perinatal and maternal morbidity: An analysis in the Pre CARE cohort. BJOG An Int J Obstet Gynaecol. 2018;125(5):587– 95. Yeoh PL, Hornetz K, Shauki NIA, Dahlui M. Evaluating the quality of antenatal care and pregnancy outcomes using content and utilization assessment. Int J Qual Heal Care. 2018;30(6):466–71. Heaman MI, Martens PJ, Brownell MD, Chartier MJ, Derksen SA, Helewa ME. The Association of Inadequate and Intensive Prenatal Care with Maternal, fetal, and infant outcomes: a population-based study in Manitoba, Canada. J Obstet Gynaecol Canada. 2019;41(7):947– 59. Geller SE, Koch AR, Garland CE, MacDonald EJ, Storey F, Lawton B. A global view of severe maternal morbidity: moving beyond maternal mortality. Reprod Health. 2018;15(1):98. Ozimek JA, Kilpatrick SJ. Maternal mortality in the twenty-first century. Obstet Gynecol Clin. 2018;45(2):175–86. Mann S, Hollier LM, McKay K, Brown H. What we can do about maternal mortality—and how to do it quickly. Obstet Gynecol Surv. 2020;75(4):217–8. World Health Organization (WHO). Standards for Maternal and Neonatal Care. Geneve; 2007. 72 p. Morón-Duarte LS, Ramirez Varela A, Segura O, Freitas da Silveira M. Quality assessment indicators in antenatal care worldwide: a systematic review. Int J Qual Heal Care. 2019;31(7):497–505. Victora CG, Requejo JH, Barros AJD, Berman P, Bhutta Z, Boerma T, et al. Countdown to 2015: a decade of tracking progress for maternal, newborn, and child survival. Lancet. 2016;387(10032):2049–59. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Heal. 2018;6(11):e1196–252. Lawn JE, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D, et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016;387(10018):587–603. Liu H, Chen N, Yu J, Tang W, He J, Xiao H, et al. Syphilis-attributable adverse pregnancy outcomes in China: a retrospective cohort analysis of 1187 pregnant women with different syphilis treatment. BMC Infect Dis. 2019;19(1):292. Kruk ME, Kujawski S, Moyer CA, Adanu RM, Afsana K, Cohen J, et al. Next generation maternal health: external shocks and health-system innovations. Lancet. 2016;388(10057):2296–306. Manandhar M, Hawkes S, Buse K, Nosrati E, Magar V. Gender, health and the 2030 agenda for sustainable development. Bull World Health Organ. 2018;96(9):644. Organization WH. State Of Inequality; Reproductive, maternal, newborn and child health. WHO. Geneva. 2015. 2016. Campbell OMR, Benova L, MacLeod D, Baggaley RF, Rodrigues LC, Hanson K, et al. Family planning, antenatal and delivery care: cross‐sectional survey evidence on levels of coverage and inequalities by public and private sector in 57 low‐and middle‐income countries. Trop Med Int Heal. 2016;21(4):486–503. Victora CG, Matijasevich A, Silveira MF, Santos IS, Barros AJD, Barros FC. Socio-economic and ethnic group inequities in antenatal care quality in the public and private sector in Brazil. Health Policy Plan. 2010;25(4):253–61. Sachs JD. From millennium development goals to sustainable development goals. Lancet. 2012;379(9832):2206–11. World Health Organization. Making fair choices on the path to universal health coverage: final report of the WHO Consultative Group on Equity and Universal Health Coverage. 2014; Makinen M, Waters H, Rauch M, Almagambetova N, Bitrán R, Gilson L, et al. Inequalities in health care use and expenditures: empirical data from eight developing countries and countries in transition. Bull World Health Organ. 2000;78:55–65. World Health Organization (WHO). Mortalidad materna. Notas descriptivas. 2020. Dansereau E, McNellan CR, Gagnier MC, Desai SS, Haakenstad A, Johanns CK, et al. Cobertura y oportunidad de la atención prenatal en mujeres pobres de 6 países de Mesoamérica. Washington, DC Inter-American Dev Bank. 2017; Hernández-Vásquez A, Vargas-Fernández R, Bendezu-Quispe G. Factores asociados a la calidad de la atención prenatal en Perú. Rev Peru Med Exp Salud Publica. 2019;36:178–87. O’Donnell O, van Doorslaer E, Wagstaff A, Lindelow M. Analyzing health equity using household survey data: a guide to techniques and their implementation. Washington: World Bank; 2008. Google Sch. 2019; O’Donnell O, Van Doorslaer E, Wagstaff A, Lindelow M. Analyzing health equity using household survey data: a guide to techniques and their implementation. The World Bank; 2007. Departamento Administrativo Nacional de Estadística DANE. Acceso a metadatos y microdatos anonimizados [Internet]. Archivo Nacional de Datos ANDA. 2020. Available from: https://sitios.dane.gov.co/anda-index/ Arsenault C, Jordan K, Lee D, Dinsa G, Manzi F, Marchant T, et al. Equity in antenatal care quality: an analysis of 91 national household surveys. Lancet Glob Heal. 2018;6(11):e1186–95. Heaman MI, Martens PJ, Brownell MD, Chartier MJ, Thiessen KR, Derksen SA, et al. Inequities in utilization of prenatal care: a population-based study in the Canadian province of Manitoba. BMC Pregnancy Childbirth [Internet]. 2018 Nov 1;18(1):430. Available from: https://pubmed.ncbi.nlm.nih.gov/30382911 Castillo Ávila IY, Fortich Acuña LM, Padilla Yánez J, Monroy Gascón MA, Morales Pérez Y, Ahumada Tejera AM. Factores asociados al uso adecuado del control prenatal en 13 municipios de Bolívar, Colombia. Rev Cubana Enferm. 2017;33(1):62–71. Osorio AM, Tovar LM, Rathmann K. Individual and local level factors and antenatal care use in Colombia: a multilevel analysis. Cad Saude Publica. 2014;30:1079–92. Taylor MA. Review of the Social Determinants of Health-Income Inequality and Education Inequality: Why Place Matters in US Teenage Pregnancy Rates. Heal Syst Policy Res. 2017;4(2):52. Ahmed S, Creanga AA, Gillespie DG, Tsui AO. Economic status, education and empowerment: implications for maternal health service utilization in developing countries. PLoS One. 2010;5(6):e11190. |
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Jervis Jálabe, David ScottBeltrán Venegas, Tulia EugeniaBerdugo Mercado, Leonardo FabioCollazos Rivera, Steven2021-04-26T13:32:51Z2021-04-26T13:32:51Z2020Berdugo, L. y Collazos, S. (2020). Desigualdades en la calidad del control prenatal en el departamento del atlántico, Colombia, 2016-2018. Trabajo de Pregrado. Recuperado de https://hdl.handle.net/11323/8192https://hdl.handle.net/11323/8192Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objectives. To describe the inequalities in the quality of prenatal control (CPN) carried out in the department of Atlántico. Population. Pregnant women residing in the department whose birth was attended in a Maternal and Child Hospital in Barranquilla during the period 2016-2018. Background. Despite the efforts made to improve maternal and child health in Colombia, there are still problems with the quality of prenatal services. In this study we examine social inequalities in the quality of NCP. Methods. We analyzed data on the quality of NPC, as recorded in the delivery care process. Five criteria were applied to classify NPC as adequate or inadequate. Concentration curves (CC) were constructed and concentration indices (CI) were estimated for the factors studied. Results. Inequalities related to socio-economic conditions were demonstrated for all factors studied. The estimates suggest that these inequalities favour women with better living conditions (except "being the head of the household"). They also show the influence of the level of schooling on the inequalities found and the contribution of insurance to their reduction. Discussion. Previous studies that showed inequalities in the quality of NPC in favor of mothers with better socioeconomic conditions were corroborated and possible factors related to the inequitable distribution of resources in different areas of residence of mothers were proposed. Conclusion. The coverage of health insurance and the educational level of the poor and vulnerable population are relevant factors in closing the quality gaps of the NPC in the department.Objetivos. Describir las desigualdades en la calidad del control prenatal (CPN) realizado en el departamento del Atlántico. Población. Mujeres embarazadas residentes en el departamento cuyo parto fue atendido en un Hospital Materno-infantil de Barranquilla durante el período 2016- 2018. Antecedentes. A pesar de los esfuerzos realizados en el mejoramiento de la salud materno-infantil en Colombia, sigue habiendo problemas de calidad en los servicios prenatales. En este estudio examinamos las desigualdades sociales en la calidad del CPN. Métodos. Se analizaron datos de la calidad del CPN, registrados en el proceso de atención del parto. Se aplicaron cinco criterios para clasificar el CPN como adecuado o inadecuado. Se construyeron curvas de concentración (CC) y se estimaron índices de concentración (IC) para los factores estudiados. Resultados. Se demostraron desigualdades relacionadas con las condiciones socioeconómicas en todos los factores estudiados. Las estimaciones sugieren que esas desigualdades favorecen a las mujeres con mejores condiciones de vida (excepto “ser cabeza de hogar”). También demuestran la influencia del nivel de escolaridad en las desigualdades encontradas y la contribución del aseguramiento en su disminución. Discusión. Se corroboraron estudios previos que mostraron desigualdades en la calidad del CPN en favor de las maternas con mejores condiciones socio-económicas y se propusieron posibles factores relacionados con la distribución inequitativa de recursos en diferentes áreas de residencia de las maternas. Conclusión. La cobertura del aseguramiento en salud y el nivel educativo de la población pobre y vulnerable son factores relevantes para cerrar las brechas de calidad del CPN en el departamento.Berdugo Mercado, Leonardo Fabio-0580000042b4b0d3cae4532f82b4a863-0Collazos Rivera, Steven-7d1414735ce095a62e8565ad591fe608-0application/pdfspaCorporación Universidad de la CostaAdministración de Servicios de SaludAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Health inequalitiesHealth inequitiesPrenatal controlQuality of health careDesigualdades en saludInequidades en saludControl prenatalCalidad de la atención en saludDesigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018Trabajo de grado - Pregradohttp://purl.org/coar/resource_type/c_7a1fTextinfo:eu-repo/semantics/bachelorThesishttp://purl.org/redcol/resource_type/TPinfo:eu-repo/semantics/acceptedVersionBenova L, Tunçalp Ö, Moran AC, Campbell OMR. 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PLoS One. 2010;5(6):e11190.PublicationORIGINALDesigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018.pdfDesigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018.pdfapplication/pdf1553092https://repositorio.cuc.edu.co/bitstreams/9b0b162d-8d23-441e-9ba7-29992644afdd/download995142eaad2ff0dbc27d6587405d1003MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81031https://repositorio.cuc.edu.co/bitstreams/cd63a7ad-1fa4-458b-9d41-9551badb11a9/download934f4ca17e109e0a05eaeaba504d7ce4MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-83196https://repositorio.cuc.edu.co/bitstreams/b29e6345-b7b3-42d8-8643-2b88d11e5b87/downloade30e9215131d99561d40d6b0abbe9badMD53THUMBNAILDesigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 2016-2018.pdf.jpgDesigualdades en la calidad del control prenatal en el departamento del Atlántico, Colombia, 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14:19:23.25http://creativecommons.org/licenses/by-nc-sa/4.0/Attribution-NonCommercial-ShareAlike 4.0 Internationalopen.accesshttps://repositorio.cuc.edu.coRepositorio de la Universidad de la Costa 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