Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia

Bibliographic Data

ID15500006
AuthorsJ Martín Rodríguez (0000-0002-7301-7706, Pontificia Universidad Javeriana), Liany Katerine Ariza Ruiz (0000-0002-7856-8961, Pontificia Universidad Javeriana), Daniella Castro Barbudo (0000-0002-6016-9604, Pontificia Universidad Javeriana), Paula Vivas Sánchez (0000-0002-3046-1727, Pontificia Universidad Javeriana, corresponding author), María Alexandra Matallana Gómez (0000-0001-6218-902X, Pontificia Universidad Javeriana), Leidy Johanna Gómez Hernández (0000-0003-1948-9443, Pontificia Universidad Javeriana), Lilibeth Romero Mendoza (0000-0002-0714-9081, Pontificia Universidad Javeriana), Pablo Chaparro (0000-0003-2498-4721, Pontificia Universidad Javeriana)
Year2023
Volume20
Issue12
Pages6095-6095
Publication date2023-06-09
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20126095
PMID37372682
OpenAlexW4380078014
LanguageEN
Citations received3
References cited13

We used a mixed design study to analyze the inequalities and inequities in Maternal Mortality (MM) for Chocó (Colombia) between 2010-2018. The quantitative component consisted of an analytical ecological design, where proportions, ratios, measures of central tendency and rates ratios, rate difference, Gini and concentration indices were calculated to measure inequalities. The qualitative component had a phenomenological and interpretive approach. One hundred thirty-one women died in Choco between 2010-2018. The Maternal Mortality Ratio was 224/100.000 live births. The Gini coefficient was 0.35, indicating inequality in the distribution of the number of MM with respect to live births. The health service offers have been concentrated in the private sector in urban areas (77%). The exercise of midwifery has played an important role in maternal and perinatal care processes, especially in territories where the State has been absent. Nevertheless, it occurs in complex circumstances such as the armed conflict, lack of transportation routes, and income deficits, affecting the timelines and care quality for these vulnerable groups. MM in Chocó has been a consequence of deficiencies in the health system and weaknesses in its infrastructure (absence of a high level of maternal-perinatal care). This is in addition to the territory's geographical characteristics, which increase vulnerability and health risks for women and their newborns. In Colombia, as well as in other countries, many maternal and newborn deaths are preventable because their causes are due to social injustices

Demographic economics · Developing country · Distribution (mathematics · Economic growth · Economic inequality · Economics · Environmental health · Geography · Gini coefficient · Health care · Inequality · Infant mortality · Mortality rate · Socioeconomics · Sociology · Vulnerability (computing · Demography · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Maternal and Neonatal Healthcare · Medicine

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