Introducción. El control prenatal (CPN) es una estrategia de costo eficaz en la prevención de mortalidad y morbilidad materna y perinatal. Aunque Colombia tiene una inscripción de gestantes al CPN del 94%, este logro no afecta el descenso de la mortalidad materno perinatal.Objetivo. Describir las barreras de acceso al CPN y la calidad de atención a gestantes en Meta.Materiales y métodos. Se diseñó un estudio observacional descriptivo de corte transversal y se realizó una encuesta que abordó aspectos como percepción de calidad de atención, barreras de acceso e integridad de la atención.Resultados. Se trabajó con 306 gestantes, cuya edad promedio fue de 24 años. El 66% tuvo una o dos gestaciones, el 15% ha tenido aborto y el 25% cesárea. El 74.17% tuvo cuatro o más controles. Existieron factores de riesgo asociados a menos de cuatro controles, percepción de la calidad del control con Odds ratio (OR, por su sigla en inglés) 22.7, inicio del CPN en segundo trimestre con OR 5.64, nivel de ingreso bajo con OR 5.12 y baja escolaridad de la madre con OR 3.62.Conclusión. Es necesario mejorar la calidad e integridad del CPN por los prestadores de salud como estrategia complementaria para asegurar su efecto en la reducción de la morbimortalidad materno y perinatal.
Objetivo Explorar los elementos que se deben considerar en las zonas de post-conflicto para garantizar el derecho a la salud de las poblaciones inmersas o vecinas a las zonas de concentración de los excombatientes.Materiales y Métodos Se realizó un estudio retrospectivo, mediante búsqueda en bases de datos, obteniendo 26 artículos pertinentes.Resultados Mediante la revisión documental se evidenció que no solo es importante el marco legal o normativo, se deben incluir las necesidades e intereses de las personas de la comunidad, tanto de la población civil como de las víctimas de la guerra, el derecho a la salud en estas zonas implica también ejercicios de poder, de dialogo de saberes, de perdón, no repetición y de respeto, se debe ofertar servicios de promoción de la salud y prevención de la enfermedad, tratamiento y rehabilitación basados en la estrategia de atención primaria en salud, es decir adaptados a las realidades culturales, los entornos y los quereres de las comunidades.Conclusiones El reto es cómo dentro de un débil sistema de salud tanto en lo financiero, administrativo y técnico eso pueda ser posible. Se proponen los elementos básicos multidimensionales en el ámbito de la atención primaria en salud, para afrontar este reto de la salud pública colombiana.
Malaria is one of the diseases with the highest morbi-mortality rate worldwide, including Colombia, where it is endemic in several regions of the country. Although the incidence of this disease in the Department of Meta and the Atlantic Coast is not as high as in Nariño, the number of reported cases has held steady over time. It is still an event of great interest in public health. The struggle against malaria is part of one of the Millennium Development Goals and has generated global and national programs that have been implemented at a national and global level, whose main goal is to control and eradicate malaria. These programs have stood out for their vertical nature and for the low level of community participation. Health sector needs to include, at a micro-level, the voices of the community represented in their discourses and actions in the face of the disease, its prevention, and treatment. Therefore, a community and institutional look at these elements, in relation to the disease and the vector, should be provided, which will allow the vector and disease control programs to be improved, designing strategies to bring community and government agencies together to propose public health policies and programs.
Zika, a viral disease transmitted to humans by the bite of infected Aedes mosquitoes, emerged in the Americas in 2015, causing large-scale epidemics. Colombia alone reported 72,031 Zika cases between 31/May/2015 and 01/October/2016. We used national surveillance data from 1,121 municipalities over 70 epidemiological weeks to identify sociodemographic and environmental factors associated with Zika's emergence, re-emergence, persistence, and transmission intensity in Colombia. We fitted a zero-state Markov-switching spatio-temporal model under the Bayesian framework, assuming Zika switched between periods of presence and absence according to spatially and temporally varying probabilities of emergence/re-emergence (from absence to presence) and persistence (from presence to presence). These probabilities were assumed to follow a series of mixed multiple logistic regressions. When Zika was present, assuming that the cases follow a negative binomial distribution, we estimated the transmission intensity rate. Our results indicate that Zika emerged/re-emerged sooner and that transmission was more intense in municipalities which were more densely populated, with lower altitude and/or less vegetation cover. Higher weekly temperatures and less weekly-accumulated rain were also associated with Zika emergence. Zika cases persisted for longer in more densely populated areas and with a higher number of cases reported in the previous week. Overall, population density, elevation, and temperature were identified as the main contributors of the first Zika epidemic in Colombia. The estimated probability of Zika presence increased weeks before case reporting, suggesting undetected circulation in the early stages. These results offer insights into priority areas for public health interventions against emerging and re-emerging Aedes-borne diseases.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.