Beneficios de combinar métodos para analizar causas de muertes maternas, Bucaramanga, Colombia

Villamizar, Laura Andrea Rodríguez; Ruiz-Rodríguez, Myriam; García, María Leonor Jaime

doi:10.1590/s1020-49892011000400001

Cited by 8 publications

(13 citation statements)

References 7 publications

(4 reference statements)

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“…The synthesis included twenty-five studies which were conducted in Democratic Republic of Congo [ 41 ], Ethiopia [ 32 ], The Gambia [ 33 , 40 ], Ghana [ 7 ], Kenya [ 43 , 46 ], Liberia [ 47 ], Malawi [ 15 , 34 ], Nigeria [ 9 ], Rwanda [ 31 ], Tanzania [ 14 , 44 ], India [ 35 , 37 , 42 ], Timor-Leste [ 30 ], Colombia [ 36 ], Haiti [ 29 , 45 ] and Mexico [ 39 ]. One of the multi-country papers involved Ethiopia, India, Indonesia, Nigeria, Tanzania, Uganda and Nepal [ 38 ]; the other one included Indonesia and Burkina Faso [ 6 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the majority of papers, a thematic content approach was used to analyse findings. Five articles [ 36 , 37 , 39 , 42 , 44 ], reported few details about the indexing process.…”

Section: Resultsmentioning

confidence: 99%

“…In the 3DM it was assumed that the woman has sole responsibility for these actions, however, included studies demonstrated more complexity. Findings indicate that knowledge of the danger signs is often limited [ 6 , 9 , 15 , 31 , 34 – 36 , 39 ]; when some women recognise the danger signs [ 32 , 38 , 40 – 43 , 46 , 47 ], they will either neglect them [ 29 , 39 , 41 ], or fail to perceive the severity of the complication to seek care on time [ 9 , 15 , 29 , 40 , 41 ]. In a few cases this unawareness was also dictated by a previous uneventful birth [ 35 , 46 ] taking place at home [ 33 – 35 , 37 ]; an aspect which was not previously acknowledged.…”

Section: Resultsmentioning

confidence: 99%

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Utility of the three-delays model and its potential for supporting a solution-based approach to accessing intrapartum care in low- and middle-income countries. A qualitative evidence synthesis

Danna

Bedwell

Wakasiaka

et al. 2020

Global Health Action

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Background The 3-Delays Model has helped in the identification of access barriers to obstetric care in low and middle-income countries by highlighting the responsibilities at household, community and health system levels. Critiques of the Model include its one-dimensionality and its limited utility in triggering preventative interventions. Such limitations have prompted a review of the evidence to establish the usefulness of the Model in optimising timely access to intrapartum care. Objective To determine the current utility of the 3-Delays Model and its potential for supporting a solution-based approach to accessing intrapartum care. Methods We conducted a qualitative evidence synthesis across several databases and included qualitative findings from stand-alone studies, mixed-methods research and literature reviews using the Model to present their findings. Papers published between 1994 and 2019 were included with no language restrictions. Twenty-seven studies were quality appraised. Qualitative accounts were analysed using the ‘best-fit framework approach’. Results This synthesis included twenty-five studies conducted in Africa, Asia, Latin America and the Caribbean. Five studies adhered to the original 3-Delays Model’s structure by identifying the same factors responsible for the delays. The remaining studies proposed modifications to the Model including alterations of the delay’s definition, adding of new factors explaining the delays, and inclusion of a fourth delay. Only two studies reported women’s individual contributions to the delays. All studies applied the Model retrospectively, thus adopting a problem-identification approach. Conclusion This synthesis unveils the need for an individual perspective, for prospective identification of potential issues. This has resulted in the development of a new framework, the Women’s Health Empowerment Model, incorporating the 3 delays. As a basis for discussion at every pregnancy, this framework promotes a solution-based approach to childbirth, which could prevent delays and support women’s empowerment during pregnancy and childbirth.

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Section: Resultsmentioning

confidence: 99%

“…In the majority of papers, a thematic content approach was used to analyse findings. Five articles [ 36 , 37 , 39 , 42 , 44 ], reported few details about the indexing process.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Utility of the three-delays model and its potential for supporting a solution-based approach to accessing intrapartum care in low- and middle-income countries. A qualitative evidence synthesis

Danna

Bedwell

Wakasiaka

et al. 2020

Global Health Action

View full text Add to dashboard Cite

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“…Un total de 116 de las 391 participantes ( [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]9), y una razón cruda de prevalencias (RP) de 2,53 (IC 95 %: 1,64-3,91). Otros factores de riesgo asociados al inicio tardío en el análisis bivariado fueron la edad, la escolaridad menor a 12 años y la no afiliación al SGSSS.…”

Section: Resultsunclassified

Prevalencia de inicio tardío de la atención prenatal. Asociación con el nivel socioeconómico de la gestante. Estudio de corte transversal. Bucaramanga, Colombia, 2014-2015

Manrique

Ruiz-Rodríguez

2018

Rev. Colomb. Obstet. Ginecol.

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Objetivo: describir la prevalencia del inicio tardío de la atención prenatal y evaluar su asociación con el estrato socioeconómico donde habita la gestante. Materiales y métodos: estudio de corte transversal. Se incluyeron gestantes procedentes del área urbana de Bucaramanga, seleccionadas por muestreo por cuotas con afijación proporcional por estrato socioeconómico, según la clasificación socioeconómica del barrio donde habitan. Se consideró inicio tardío haber comenzado atención prenatal (APN) a las 12 semanas o más de gestación. Se evaluó asociación del inicio tardío con el estrato socioeconómico, controlando por variables sociodemográficas y clínicas de la gestante, y se elaboró un PREVALENCIA DE INICIO TARDÍO DE LA ATENCIÓN PRENATAL. ASOCIACIÓN CON EL NIVEL SOCIOECONÓMICO DE LA GESTANTE. ESTUDIO DE CORTE TRANSVERSAL. BUCARAMANGA, COLOMBIA, 2014-2015 Prevalence of late initiation of prenatal care. Association with the socioeconomic level of the pregnant woman. Cross-sectional study.

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“…Important differences had been also found in MM by age, department, urban/rural zone, socioeconomic status and ethnicity [ 10 ]. Finally, other aspects like poor access and low quality of health services during attention of pregnancy, delivery, and puerperium, as well as, the inappropriate access to family planning methods, are clearly associated with an increased risk of MM [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Maternal Mortality in Colombia in 2011: A Two Level Ecological Study

et al. 2015

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ObjectiveMaternal mortality reduction is a Millennium Development Goal. In Colombia, there is a large disparity in the maternal mortality ratio (MMR) between and into departments (states) and also between municipalities. We examined socioeconomics variables at the municipal and departmental levels which could be associated to the municipal maternal mortality in Colombia.MethodsA multilevel ecology study was carried out using different national data sources in Colombia. The outcome variable was the MMR at municipal level in 2011 with multidimensional poverty at municipal and department level as the principal independent variables and other measures of the social and economic characteristics at municipal and departmental level were also considered explicative variables (overall fertility municipal rate, percentage of local rural population, health insurance coverage, per capita territorial participation allocated to the health sector, transparency index and Gini coefficient). The association between MMR and socioeconomic contextual conditions at municipal and departmental level was assessed using a multilevel Poisson regression model.ResultsThe MMR in the Colombian municipalities was associated significantly with the multidimensional poverty (relative ratio of MMR: 3.52; CI 95%: 1.09-11.38). This association was stronger in municipalities from departments with the highest poverty (relative ratio of MMR: 7.14; CI 95%: 2.01-25.35). Additionally, the MMR at municipal level was marginally associated with municipally health insurance coverage (relative ratio of MMR: 0.99; CI 95%: 0.98-1.00), and significantly with transparency index at departmental level (relative ratio of MMR: 0.98; CI 95%: 0.97-0.99).ConclusionPoverty and transparency in a contextual level were associated with the increase of the municipal MMR in Colombia. The results of this study are useful evidence for informing the public policies discussion and formulation processes with a differential approach.

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Beneficios de combinar métodos para analizar causas de muertes maternas, Bucaramanga, Colombia

Cited by 8 publications

References 7 publications

Utility of the three-delays model and its potential for supporting a solution-based approach to accessing intrapartum care in low- and middle-income countries. A qualitative evidence synthesis

Utility of the three-delays model and its potential for supporting a solution-based approach to accessing intrapartum care in low- and middle-income countries. A qualitative evidence synthesis

Prevalencia de inicio tardío de la atención prenatal. Asociación con el nivel socioeconómico de la gestante. Estudio de corte transversal. Bucaramanga, Colombia, 2014-2015

Maternal Mortality in Colombia in 2011: A Two Level Ecological Study

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