Maternal deaths databases analysis: Ecuador 2003-2013

<em>Background</em>: Maternal mortality ratio in Ecuador is the only millennium goal on which national agencies are still making strong efforts to reach 2015 target. The purpose of the study was to process national maternal death databases to identify a specific association pattern of va...

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Main Authors: Antonio Pino, María Albán, Alejandra Rivas, Erika Rodríguez
Format: Article
Language:English
Published: SAGE Publishing 2016-08-01
Series:Journal of Public Health Research
Subjects:
Online Access:http://www.jphres.org/index.php/jphres/article/view/692
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author Antonio Pino
María Albán
Alejandra Rivas
Erika Rodríguez
author_facet Antonio Pino
María Albán
Alejandra Rivas
Erika Rodríguez
author_sort Antonio Pino
collection DOAJ
description <em>Background</em>: Maternal mortality ratio in Ecuador is the only millennium goal on which national agencies are still making strong efforts to reach 2015 target. The purpose of the study was to process national maternal death databases to identify a specific association pattern of variable included in the death certificate. <br /><em>Design and methods:</em> The study processed mortality databases published yearly by the National Census and Statistics Institute (INEC). Data analysed were exclusively maternal deaths. Data corresponds to the 2003-2013 period, accessible through INEC’s website. Comparisons are based on number of deaths and use an ecological approach for geographical coincidences. <br /><em>Results</em>: The study identified variable association into the maternal mortality national databases showing that to die at home or in a different place than a hospital is closely related to women’s socioeconomic characteristics; there was an association with the absence of a public health facility. Also, to die in a different place than the usual residence could mean that women and families are searching for or were referred to a higher level of attention when they face complications. <br /><em>Conclusions</em>: Ecuadorian maternal deaths showed <em>Patterns of inequity in health status, health care provision and health risks</em>. A predominant factor seems unclear to explain the variable association found processing national databases; perhaps every pattern of health systems development played a role in maternal mortality or factors different from those registered by the statistics system may remain hidden. Some random influences might not be even considered in an explanatory model yet.
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spelling doaj.art-26f0ef3f82774934a39064dedd9dec272023-01-02T16:12:29ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362016-08-015210.4081/jphr.2016.692147Maternal deaths databases analysis: Ecuador 2003-2013Antonio Pino0María Albán1Alejandra Rivas2Erika Rodríguez3Pontifical Catholic University of Ecuador, QuitoPontifical Catholic University of Ecuador, QuitoPontifical Catholic University of Ecuador, QuitoPontifical Catholic University of Ecuador, Quito<em>Background</em>: Maternal mortality ratio in Ecuador is the only millennium goal on which national agencies are still making strong efforts to reach 2015 target. The purpose of the study was to process national maternal death databases to identify a specific association pattern of variable included in the death certificate. <br /><em>Design and methods:</em> The study processed mortality databases published yearly by the National Census and Statistics Institute (INEC). Data analysed were exclusively maternal deaths. Data corresponds to the 2003-2013 period, accessible through INEC’s website. Comparisons are based on number of deaths and use an ecological approach for geographical coincidences. <br /><em>Results</em>: The study identified variable association into the maternal mortality national databases showing that to die at home or in a different place than a hospital is closely related to women’s socioeconomic characteristics; there was an association with the absence of a public health facility. Also, to die in a different place than the usual residence could mean that women and families are searching for or were referred to a higher level of attention when they face complications. <br /><em>Conclusions</em>: Ecuadorian maternal deaths showed <em>Patterns of inequity in health status, health care provision and health risks</em>. A predominant factor seems unclear to explain the variable association found processing national databases; perhaps every pattern of health systems development played a role in maternal mortality or factors different from those registered by the statistics system may remain hidden. Some random influences might not be even considered in an explanatory model yet.http://www.jphres.org/index.php/jphres/article/view/692Maternal mortality, death certificates
spellingShingle Antonio Pino
María Albán
Alejandra Rivas
Erika Rodríguez
Maternal deaths databases analysis: Ecuador 2003-2013
Journal of Public Health Research
Maternal mortality, death certificates
title Maternal deaths databases analysis: Ecuador 2003-2013
title_full Maternal deaths databases analysis: Ecuador 2003-2013
title_fullStr Maternal deaths databases analysis: Ecuador 2003-2013
title_full_unstemmed Maternal deaths databases analysis: Ecuador 2003-2013
title_short Maternal deaths databases analysis: Ecuador 2003-2013
title_sort maternal deaths databases analysis ecuador 2003 2013
topic Maternal mortality, death certificates
url http://www.jphres.org/index.php/jphres/article/view/692
work_keys_str_mv AT antoniopino maternaldeathsdatabasesanalysisecuador20032013
AT mariaalban maternaldeathsdatabasesanalysisecuador20032013
AT alejandrarivas maternaldeathsdatabasesanalysisecuador20032013
AT erikarodriguez maternaldeathsdatabasesanalysisecuador20032013