Strategies of public health to mitigate the maternal death rate at the region during the period understood between 2015 and 2021
DOI:
https://doi.org/10.56294/sctconf20231115Keywords:
Educational Level, Ethnic Groups, Risk FactorsAbstract
Maternal mortality, a pressing problem in developing countries like Ecuador, is mainly due to avoidable causes and highlights sociodemographic disparities, as countries with less economic development show the highest maternal mortality rates, putting their population at highest risk of mortality during pregnancy, childbirth and the postpartum period. The objective of this study is to formulate evidence-based public health interventions to reduce maternal mortality in the region. An observational and descriptive research approach is used, which involved the extraction of aggregate data on maternal mortality from the National Institute of Statistics and Census of Ecuador. Through descriptive statistical methods, which led to the calculation of the maternal mortality rate. Specifically, the province of Guayas documents 352 cases of maternal deaths, resulting in a maternal mortality rate of 91,57 per 100 000 live births in 2017. These data closely reflect the situation observed in other Ecuadorian provinces and throughout Latin America. While there was a downward trend in maternal mortality rates between 2015 and 2019, a resurgence of cases is seen in 2020 and 2021, which may be attributed to difficulties in addressing obstetric complications in healthcare settings. The implementation of the strategy prepared from the analysis of the existing situation allows improving public policies aimed at reducing maternal mortality rates in Ecuador.
References
1. Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, et al. The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review. PLoS Med. 2015;12(6):e1001847.
2. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323-33.
3. Souza JP, Tunçalp Ö, Vogel JP, Bohren M, Widmer M, Oladapo OT, et al. Obstetric transition: the pathway towards ending preventable maternal deaths. BJOG. 2014;121 Suppl 1:1-4.
4. Graham WJ, Woodd S, Byass P, Filippi V, Gon G, Virgo S, et al. Diversity and divergence: the dynamic burden of poor maternal health. Lancet. 2016;388(10056):2164-75.
5. Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462-74.
6. Filippi V, Chou D, Ronsmans C, Graham W, Say L. Levels and causes of maternal mortality and morbidity. Reproductive Health. 2016;13 Suppl 3:3.
7. Tuncalp Ö, Were WM, MacLennan C, Oladapo OT, Gulmezoglu AM, Bahl R, et al. Quality of care for pregnant women and newborns—the WHO vision. BJOG. 2015;122(8):1045-9.
8. Vogel JP, Bohren MA, Tunçalp Ö, Oladapo OT, Gülmezoglu AM. Promoting respect and preventing mistreatment during childbirth. BJOG. 2016;123(5):671-4. DOI: https://doi.org/10.1111/1471-0528.13750
9. Freedman LP, Ramsey K, Abuya T, Bellows B, Ndwiga C, Warren CE, et al. Defining disrespect and abuse of women in childbirth: a research, policy and rights agenda. Bull World Health Organ. 2014;92(12):915-7. DOI: https://doi.org/10.2471/BLT.14.137869
10. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018;6(11):e1196-252. DOI: https://doi.org/10.1016/S2214-109X(18)30386-3
11. Bohren MA, Vogel JP, Fawole B, Maya ET, Maung TM, Baldé MD, et al. Mistreatment of women during childbirth: a systematic review of quantitative evidence. PLoS Med. 2015;12(6):e1001847.
12. Miller S, Abalos E, Chamillard M, Ciapponi A, Colaci D, Comande D, et al. Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet. 2016;388(10056):2176-92. DOI: https://doi.org/10.1016/S0140-6736(16)31472-6
13. Tunçalp Ö, Were WM, MacLennan C, Oladapo OT, Gulmezoglu AM, Bahl R, et al. Quality of care for pregnant women and newborns—the WHO vision. BJOG. 2015;122(8):1045-9.
14. Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, et al. The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review. PLoS Med. 2015;12(6):e1001847. DOI: https://doi.org/10.1371/journal.pmed.1001847
15. Souza JP, Tunçalp Ö, Vogel JP, Bohren M, Widmer M, Oladapo OT, et al. Obstetric transition: the pathway towards ending preventable maternal deaths. BJOG. 2014;121 Suppl 1:1-4. DOI: https://doi.org/10.1111/1471-0528.12735
16. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323-33. DOI: https://doi.org/10.1016/S2214-109X(14)70227-X
17. Graham WJ, Woodd S, Byass P, Filippi V, Gon G, Virgo S, et al. Diversity and divergence: the dynamic burden of poor maternal health. Lancet. 2016;388(10056):2164-75. DOI: https://doi.org/10.1016/S0140-6736(16)31533-1
18. Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462-74. DOI: https://doi.org/10.1016/S0140-6736(15)00838-7
19. Filippi V, Chou D, Ronsmans C, Graham W, Say L. Levels and causes of maternal mortality and morbidity. Reproductive Health. 2016;13 Suppl 3:3. DOI: https://doi.org/10.1596/978-1-4648-0348-2_ch3
20. Tuncalp Ö, Were WM, MacLennan C, Oladapo OT, Gulmezoglu AM, Bahl R, et al. Quality of care for pregnant women and newborns—the WHO vision. BJOG. 2015;122(8):1045-9. DOI: https://doi.org/10.1111/1471-0528.13451
Published
Issue
Section
License
Copyright (c) 2023 Santiago Xavier Peñarreta Quezada, Camila Alejandra Ochoa Yanez, Stefany Yamileth Mejía Ayala (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
