Distancia al centro de atención en salud y mortalidad durante los primeros años de vida: revisión sistemática y metaanálisis

ABSTRACT: To update the systematic reviews of the literature discussing the effect of the distance from healthcare facilities on the mortality of children under five years of age using academic papers up to May, 2015. Methodology: a systematic review of the literature and a meta-analysis conducted in accordance with the PRISMA guidelines. A random effect model was estimated and bias and heterogeneity analyses were conducted on the estimates. Results: residing farther than 5 km away from the closest healthcare facility is associated with a greater risk of death during the following periods: perinatal OR 2.76 (CI95% 1.80 – 4.23), neonatal OR 1.62 (CI95% 1.33 – 1.96), infancy OR 1.31 (CI95% 1.16 – 1.48) childhood OR 1.57 (CI95% 1.29 – 1.92) and all age groups OR 1.63 (IC95% 1.41 – 1.88). Conclusion: The authors highlight the importance of considering a geographical distribution of healthcare facilities which reduces death risk among children residing in remote areas, particularly during the first month of life.

• Autores: Rojas Gualdrón, Diego Fernando; Caicedo Velásquez, Beatriz Elena
• Tipo de recurso: Review article
• Fecha de publicación: 2017
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: spa
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/9789
• Acceso en línea: http://hdl.handle.net/10495/9789
• Palabra clave: Desigualdades en la salud; Metaanálisis; Calidad de los servicios en salud; Centros de salud; Cobertura de servicios de salud; Salud pública; Servicios de salud; Children - mortality
• Rights: openAccess
• License: Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)