Social inequalities in maternal mortality among the provinces of Ecuador / Las desigualdades sociales en cuanto a la mortalidad materna entre las provincias del Ecuador
Rev Panam Salud Publica
; 41, mayo 2017
Artículo
en Inglés
| PAHO-IRIS
| ID: phr-34066
Biblioteca responsable:
US1.1
ABSTRACT
Objective. This study set out to describe the association between the maternal mortality ratio (MMR) estimates and a set of socioeconomic indicators and compute the MMR inequalities among the provinces of Ecuador. Methods. A cross-sectional ecological study was conducted, using data for 2014 from the country’s 24 provinces. The MMR estimate was calculated for each province, as well as the association and its strength between MMR and specific socioeconomic indicators. For the indicators that were found to be significantly associated with MMR, inequality measurements were computed. Results. Despite a relatively low MMR for Ecuador overall, ratios differed substantially among the provinces. Five socioeconomic indicators proved to be statistically significantly associated with MMR total fertility rate, the percentage of indigenous population, the percentage of households with children who do not attend school, gross domestic product, and the percentage of houses with electrical service. Of these five, only three had MMR inequalities that were significant total fertility rate, gross domestic product, and the percentage of households with electricity. Conclusions. This study supports research arguing that national averages can be misleading, as they often hide differences among subgroups at the local level. The findings also suggest that MMR is significantly associated with some socioeconomic indicators, including ones linked with significant health outcome inequalities. In order to reduce health inequities, it is crucial that countries look beyond national averages and identify the subgroups being left behind, explore the particular social determinants that generate these health inequalities, and examine the specific barriers and other factors affecting the subgroups most vulnerable to maternal health inequalities.
Texto completo:
Disponible
Colección:
Bases de datos de organismos internacionales
Contexto en salud:
ODS3 - Meta 3.8 Alcanzar cobertura universal de salud
/
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
Problema de salud:
Coordinación Multisectorial
/
Objetivo 1: Acceso equitativo a servicios de salud
/
Objetivo 11: Desigualdades e inequidades en la salud
/
Meta 3.8: Alcanzar cobertura universal de salud
/
Meta 3.1: Reducir la mortalidad materna
Base de datos:
PAHO-IRIS
Asunto principal:
Mortalidad Materna
/
Equidad en Salud
/
Ecuador
/
Disparidades en el Estado de Salud
/
Determinantes Sociales de la Salud
/
Inequidades en Salud
/
América Latina
Tipo de estudio:
Estudio pronóstico
Aspecto:
Determinantes sociales de la salud
/
Equidad y inequidad
/
Preferencia del paciente
País/Región como asunto:
America del Sur
/
Ecuador
Idioma:
Inglés
Año:
2017
Tipo del documento:
Artículo